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                        Behavioral Health Medical Director - Indiana Medicaid (PS36228)

                        Anthem, Inc.
                        Anthem, AZ 85086
                        Full-time, Part-time
                        Similar jobs pay $26.04 - $54.29
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                        Job Description

                        Welcome to the Anthem Careers site! We have been hard at work to improve our job search and application systems to better serve you. It is now easier to find and apply for relevant jobs as well stay connected with Anthem. Here are a few of the updates you may notice:

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                        Behavioral Health Medical Director - Indiana Medicaid (PS36228)

                        Your Talent. Our Vision. At Anthem, Inc., it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

                        This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

                        Location: This position will allow you to work from your home office but you must be willing to travel to our Indianapolis office and provider offices in the Indiana area for meetings as needed. It is preferred that applicants reside in Indiana.

                        The Behavioral Health Medical Director for Indiana Medicaid is responsible for the administration of medical services for company health plans including the overall medical policies of the business unit to ensure the appropriate and most cost effective medical care is received and for the day-to-day management of medical management staff. Primary duties may include, but are not limited to:

                        Interprets existing policies and develops new policies based on changes in the healthcare or medical arena.

                        Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes.

                        Identifies and develops opportunities for innovation to increase effectiveness and quality.

                        Serves as a resource and consultant to other areas of the company, may chair or serve on company committees, may be required to represent the company to external entities and/or serve on external committees, conduct peer clinical and/ or appeal case reviews and peer to peer clinical reviews with attending physicians or other ordering providers to discuss review determinations, provides guidance for clinical operational aspects of the program.

                        Supports the medical management staff ensuring timely and consistent responses to members and providers.

                        Qualifications

                        Requires:

                        M.D. or D.O.

                        Active unrestricted medical license to practice medicine or a health profession in Indiana (or the ability to obtain in the state of Indiana upon hire.)

                        Board Certified by the American Board of Psychiatry and Neurology in the specialty of Psychiatry

                        At least 5 years of post-residency clinical Psychiatry experience required

                        2+ years clinical experience in the state of Indiana preferred.

                        Addiction Psychiatry background preferred

                        Knowledge of Medicaid preferred

                        Utilization Management and managed care experience a plus.

                        Ability to work with an inter-disciplinary team required.

                        Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

                        Please be advised that Anthem only accepts resumes from agencies that have a signed agreement with Anthem. Accordingly, Anthem is not obligated to pay referral fees to any agency that is not a party to an agreement with Anthem. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Anthem.

                        EEO is the Law

                        Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.

                        Anthem, Inc. is committed to helping individuals with disabilities participate in the workforce and ensuring equal opportunity to apply and compete for jobs. If you are an individual with a disability and require a reasonable accommodation to complete the application process, please email Human Resources at ability@icareerhelp.com for further assistance.

                        *WARNING : Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Please be advised that Anthem will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission here by selecting the 'Rip-offs and Imposter Scams' option. Anthem requires a completed online application for consideration of employment for any position.

                        Posting ID: 564756290Posted: 2020-08-05