Job details
Job type part-time
Full job description
Contract medical doctor, behavioral health
Oregon, washington, idaho, utah or remote
This is a contract position for up to 20 hours a week.
General functions and outcomes:
Conducts case reviews requiring physician involvement and/or provides clinical expertise to others related to behavioral health case management, prior authorizations and appeals.
Provides peer-to-peer consultations with providersPromotes provider understanding of utilization management and quality improvement policies, procedures and standards.
Provides medical advice and oversight for staff to ensure members receive safe, effective and cost efficient services.
Provides clinical input on case management, working closely with the case management clinical staff, as necessary.
Participates on various teams to provide clinical input on medical policy reviews and development.
Minimum requirements:
Psychiatrist with an md or doActive, unrestricted license to practice medicine in one or more states or territories of the united states.
Board certification form the american board of psychiatry and neurology required.
At least 5 years of post -residency clinical experience, preferably combination of adults, adolescents and children.
In-depth knowledge of best practices related to medical care for a wide variety of behavioral health conditions.
Strong analytic and communication skills
Required licenses, certifications, registration, etc.:
Licensed physician with an md or do degree related to behavioral healthActive, unrestricted license to practice medicine in one or more states or territories of the united statesBoard certification required.
Qualification by training and experience to render clinical opinions about medical conditions, procedures, and treatments under review.
Regence employees are part of the larger cambia family of companies, which seeks to drive innovative health solutionsWe offer a competitive salary and a generous benefits packageRegence is 2.2 million members, here for our families, co-workers and neighbors, helping each other be and stay healthy and provide support in time of needWe`ve been here for members for 100 yearsRegence is a nonprofit health care company offering individual and group medical, dental, vision and life insurance, medicare and other government programs as well as pharmacy benefit managementWe are the largest health insurer in the northwest/intermountain region, serving members as regence blueshield of idaho, regence bluecross blueshield of oregon, regence bluecross blueshield of utah and regence blueshield (in washington)Each plan is an independent licensee of the blue cross and blue shield association.
If you’re seeking a career that affects change in the health care system, consider joining our team at cambia health solutionsWe advocate for transforming the health care system by making health care more affordable and accessible, increasing consumers’ engagement in their health care decisions, and offering a diverse range of products and services that promote the health and well-being of our membersCambia`s portfolio of companies spans health care information technology and software development; retail health care; health insurance plans that carry the blue cross and blue shield brands; pharmacy benefit management; life, disability, dental, vision and other lines of protection; alternative solutions to health care access and free-standing health and wellness solutions.
We are an equal opportunity and affirmative action employer dedicated to workforce diversity and a drug and tobacco-free workplaceAll qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by lawA drug screen and background check are required.
We are an equal opportunity and affirmative action employer dedicated to workforce diversity and a drug and tobacco-free workplaceAll qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by lawA drug screen and background check are required.
If you need accommodation for any part of the application process because of a medical condition or disability, please email cambiacareers@cambiahealth.com Information about how cambia health solutions collects, uses, and discloses information is available in our privacy policy .