Medical director jobs in Idaho Falls, ID

JOB DESCRIPTION Job SummaryLeads and manages a team of medical directors delivering oversight and expertise in appropriateness and medical necessity of services provided to members - ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties - Leads a team of medical directors responsible for assessing appropriateness and medical necessity of health care services provided to plan members. - Provides leadership and expertise in performance of prior authorization, inpatient concurrent review, discharge planning, care management and interdisciplinary care team (ICT) activities. - Recruits, hires, trains, mentors and develops medical director staff as needed. - Ensures that authorization decisions are rendered by qualified medical personnel and without hindrance due to fiscal or administrative incentives. - Analyzes data and identifies medical cost-savings and quality improvement opportunities. - Accounts for regulatory and accreditation performance of assigned team and responds to inquiries, issues and complaints from government and accreditation regulators. - Develops medical policies and procedures as needed. - Conducts peer review processes. Required Qualifications - At least 8 years of relevant experience, including clinical practice experience, and at least 2 years as a medical director in managed care setting supporting utilization management/quality management initiatives, or equivalent combination of relevant education and experience. - At least 3 years management/leadership experience. - Doctor of Medicine (MD) or Doctor of Osteopathy (DO). License must be active and unrestricted in state of practice. - Board Certification. - Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff. - Demonstrated ability to make strategic decisions. - Knowledge of health care regulatory and legislative processes, including ability to read and interpret legislation. - Experience gaining consensus, and collaborating in a highly matrixed organization. - Experience demonstrating strong leadership, communication, consensus building, collaboration and financial acumen abilities. - Evidence-based clinical criteria competency. - Peer review, medical policy/procedure development, and provider contracting experience. - Strong verbal and written communication skills. - Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications - Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other Health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $214,132 - $417,557 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Daisy Medical is looking to add a talented/dependable Admin to our team! You will be joining a talented group of healthcare professionals! ************************ Job Info: Admin Medical Director 3x12Hr Rotating Wkends , 07:00:00-19:00:00, 12.00-3 Pocatello , Idaho Licenses/Certifications Required: 2 yrs exerience as a Admin Current active professional license in Admin field. CONTACT us for Perm Pay Information: Permanent pay packages vary depending on: Years of experience Specialty Certifications Location of the position. Call or email a Daisy Rectuiter to get your personalized pay package!!! ******************************. Ph: ************ About Daisy Medical: Daisy is a very responsive and growing agency, with the #1 goal of finding talented healthcare professionals and getting them premium contract assignments! Daisy Medical Staffing is owned and operated by a Michigan Nurse! We are located in Southeast Michigan and our sole focus is on the staffing needs of Healthcare professionals and facilities. Daisy Medical's sole focus is on the specific needs and goals of our Healthcare providers that national staffing companies cannot match. We know the needs of Allied Healthcare professionals and work tirelessly to provide a local/personalized staffing experience that is extremely unique in our industry. I look forward to meeting you and welcoming you to our talented team, Claire, BSN, Owner

Daisy Medical is looking to add a talented/dependable Admin to our team! You will be joining a talented group of healthcare professionals! www.DAISYMEDSTAFFING.com Job Info: Admin Medical Director 3x12Hr Rotating Wkends, 07:00:00-19:00:00, 12.00-3 Pocatello, Idaho Licenses/Certifications Required: 2 yrs exerience as a Admin Current active professional license in Admin field. CONTACT us for Perm Pay Information: Permanent pay packages vary depending on: Years of experience Specialty Certifications Location of the position. Call or email a Daisy Rectuiter to get your personalized pay package! Recruiter@DaisyMedStaffing.com. Ph: 810-315-6808 About Daisy Medical: Daisy is a very responsive and growing agency, with the #1 goal of finding talented healthcare professionals and getting them premium contract assignments! Daisy Medical Staffing is owned and operated by a Michigan Nurse! We are located in Southeast Michigan and our sole focus is on the staffing needs of Healthcare professionals and facilities. Daisy Medical's sole focus is on the specific needs and goals of our Healthcare providers that national staffing companies cannot match. We know the needs of Allied Healthcare professionals and work tirelessly to provide a local/personalized staffing experience that is extremely unique in our industry. I look forward to meeting you and welcoming you to our talented team, Claire, BSN, Owner

**Specialization:** Surgery Critical Care Critical Care Emergency Medicine Critical Care Internal Medicine Critical Care Pulmonary Critical Care Anesthesiology ICC Healthcare (Intensive Care Consortium) is seeking an Intensivist Medical Director to lead the ICU team at Eastern Idaho Regional Medical Center in Idaho Falls, Idaho. **Qualified Candidates:** + Leadership experience preferred for Medical Director position + Maintain Board certification in critical care (all tracks will be considered) + Ability to work Full Time, 12-15 shifts per month + Medical Director will hold clinical and administrative responsibilities with dedicated Administrative Time + Work 12-hour day shifts, with night call from home, APP in House at night + Manage 29-bed Mixed Open ICU (Medical, trauma surgery, neurosurgery, cardiac surgery, and burn) + Supervise all full or part time Intensivists + Lead quality improvement initiatives and participate in multidisciplinary hospital initiatives + Develop collaborative relationships with primary and consulting physicians, facility leadership, and clinical staff + Develop, implement, and oversee ICC standards and protocols + Provide direction and leadership for patient care initiatives and protocols + Provide peer support to the Intensivist team members to establish and achieve program initiatives and goals + Participate in teaching responsibilities with ACGME-Accredited Residency programs **Incentive/Benefits Package:** + Competitive compensation driven by MGMA data and industry benchmarking + Excellent benefits package including health, dental, life insurance, stock options, 401k with company match, disability, CME allowance and days, and more + Appropriate staffing models and flexible scheduling + 100% covered occurrence-based malpractice Insurance + Expert practice management including privileging, provider enrollment, and billing and collections + Sign on and Relocation assistance available + Employed, W2 opportunity + Strong operational support + Academic opportunity through Idaho College of Medicine to teach residents & medical students + Professional development program with leadership training and mentoring **About ICC Healthcare:** + ICC Healthcare employees over 700 providers in 70 programs with 6-8 new programs opening each year + We are part of the HCA Healthcare system of care + HCA owns and operates over 190 facilities in 20 states + The success of the ICC intensivist program relies on strong team building strategies within the ICU, the hardwiring of best practice evidence base protocols and streamlining the delivery of hospital wide critical care services. + Our providers have the ability to impact change on a national scale through our association with HCA + We believe work/life balance is an important and strive to help providers maintain this balance + Our partnership with HCA provides access to data on a large scale and allows us to test and implement new models of care and management for the best interest of our patients and providers **About Eastern Idaho Regional Medical Center:** + The largest medical facility in the region, Eastern Idaho Regional Medical Center (EIRMC) is a full-service hospital with 318 patient beds. It serves as the region's healthcare hub, serving southeast Idaho, western Wyoming, Yellowstone National Park, and parts of Montana. + EIRMC is home to a Level II Trauma Center, a Level 1 ICU (of only two in Idaho), and the only Burn Center in the state of Idaho. A robust local helicopter and ground medical rescue service support its comprehensive trauma program. Additionally, EIRMC has the region's only Pediatric Intensive Care Unit for critically ill children. + The Heart Center provides the region's most comprehensive cardiovascular program with a full spectrum of cardiology services. Idaho Falls lies at the heart of some of the world's best-known recreation areas, including Yellowstone and Grand Teton National Parks, the Snake River, the Sawtooth Mountains, Henry's Lake, Jackson Hole, and Sun Valley. Nature provides a stunning backdrop to the safe, accessible, and convenient city. Idaho Falls' downtown area includes a visual and performing arts center, dinner theater, art museum, natural and cultural history museum, Tautphaus Park Zoo, BMX track, kayak course, rock climbing wall, and so many other outdoor and family activities. Idaho Falls is proud of its low cost of living, low crime rate and award-winning schools.

Facility Lifepoint Rehabilitation Location Pocatello, ID Provider Type Physician Specialty Physical Medicine & Rehabilitation Job ID #6938 Share this job * * * * Medical Director Opportunity in Pocatello, ID! Your Healing Mission Matters As a Medical Director with Lifepoint Rehabilitation, you will be inspired by the community you serve as a valuable member of the Lifepoint Health team, a nationally recognized healthcare organization centered on caring with a local heart for the communities we serve. You'll contribute to our positive, collaborative work environment as a culture champion while having access to the staff, resources and technologies you need to impact patient care. You'll find yourself in a work environment where what truly matters is achievable - from your career goals to your own well-being. In partnership with Portneuf Medical Center, Lifepoint Rehabilitation is seeking a Medical Director to provide services of a minimum of 20 hours per week in the acute rehabilitation unit. This is a 9-bed unit that serves patients in need of rehabilitation services, including physical, occupational, and speech-language therapies. The Medical Director position will collaborate with the Program Director (or CEO) and the entire clinical team to provide medical direction in conformance with the facility's policies and procedures, state and federal laws and regulations, including the Centers for Medicare and Medicaid Services (CMS) and The Joint Commission. Why partner with us as a Medical Director? * Independent contractor status * Flexible schedule * Latest technology * Team environment * Medical Director training and support * Best in Class compliance team About the Community The city of Pocatello is set against a Rocky Mountain backdrop in southeastern Idaho. The beautiful mountain town is full of beautiful views, outdoor adventure, and rich educational and business opportunities. With world class outdoor recreation minutes from town, more than 60 miles of trails inside the city limits, Pocatello is an active college community and was recently named as the best city in Idaho to start your career. A unique four-season climate and predominantly sunny skies allows for both summer and winter recreation opportunities with just a short drive to world class hiking, biking, skiing, cross-country skiing, fishing, hunting, swimming, golf, rock climbing and rafting to make Pocatello an ideal place to live. Lifepoint Rehabilitation is an Equal Opportunity Employer. Lifepoint Rehabilitation is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment. Take the Next Step Connect with a Recruitment Professional This opportunity may be right for you. Submit the information below and start a conversation about how this position with Lifepoint Health will align with your goals. * Required fields URL This field is for validation purposes and should be left unchanged. First Name* Last Name* Email* Phone* This field is hidden when viewing the form Desired Work Location Preferred Method of Contact* Email Phone Text This field is hidden when viewing the form SMS Consent Get messages by text Consent Get messages by text SMS Consent Resume (preferred, but not required) Accepted file types: pdf, doc, txt, Max. file size: 2 MB. Message * This is not an application for employment with Lifepoint Health, Inc. or its subsidiaries. By clicking Submit, you agree to receive emails and communications from Lifepoint Health, Inc. and its subsidiaries about job opportunities and agree to their terms of use and privacy policy. Similar Positions * Physiatrist (PM&R) Longview Rehabilitation Hospital, Longview, TX Physical Medicine & Rehabilitation View Job Job ID #8746 * Physiatrist (PM&R) Central Texas Rehabilitation Hospital, Austin, TX Physical Medicine & Rehabilitation View Job Job ID #8862 Back to search results

CDM Smith is seeking a Design Practice Manager to join our Digital Engineering Solutions team. This individual will lead the Design Practice group, helping to drive the firm's digital transformation through the strategic implementation of digital design tools, technologies and processes. This group plays a key role in advancing digital enablement programs and technology execution plans that enhance design workflows across our architecture, engineering, and construction (AEC) disciplines. This role also involves collaborating with cross-functional teams to ensure seamless integration of various technologies and communicating effectively with stakeholders to drive project success. This position is ideal for someone who has demonstrated excellence in digital design technologies and processes, has applied them across a variety of AEC practices, and thrives on identifying, developing, and establishing standards, workflows, and training programs. The Design Practice Manager will lead rollout efforts and champion adoption across the organization. As a member of the Digital Engineering Solutions team, the Design Practice group will also collaborate closely the business units project delivery teams and discipline experts to identify, prioritize and advance design practice initiatives. This includes translating strategic objectives and operational challenges into actionable insights that align with broader digital strategies. The ideal candidate will have a proven record in the field of design practice, with a mindset of continuous learning and curiosity leading to tangible results. Under the direction of the Digital Practice Leader, the duties and responsibilities for this position include: - Working on the cutting edge of digital tools and technologies, developing standards, processes and workflows for applications by Autodesk and Bentley, and other design applications and plug-ins that can benefit the AEC practices at CDM Smith. - Maintaining consistent and documented standards, processes, workflows, and best practices for CDM Smith's AEC digital tools and technologies in alignment with the broader digital enablement strategy Ability to communicate thoughts and technical ideas in an accessible and easy-to-understand manner. - Eagerness to learn and work as part of a multidisciplinary team across a global practice. - Display excellent interpersonal skills to build quality relationships with the team and across the organization. - Assist on initiatives and efforts, as part of a collaborative team, with your digital tools and technologies expertise. - Assist with the development of documentation, standards, best practices, and workflows for design practice hardware/software and digital tools and technologies in use across the business. - Manage and oversee a team of design practice specialists, aligning the group to the Digital Engineering Solutions team's goals and objectives along with the Digital Practice Leader. This further includes providing guidance, instruction, training, and leadership skills to inspire the group to perform at their optimum, working efficiently together and maximizing the team's potential. - Motivate and inspire a team of design practice specialists by creating an environment that promotes positive communication, encourages bonding of group members (both within the area of design technology and across the broader team as a whole), and demonstrates flexibility. - Manages staff, evaluates performance, mentors, approves paid time off (PTO) and training, ensures human resources (HR) policies are followed and makes recommendations regarding staffing decisions. - Present to both internal and external audiences as needed. - Assist the business with marketing, communications, and business development descriptions and activities from a technology perspective as needed. - Assist with internal and external website descriptions as needed. - Perform other duties as required. \#LI-LP1 \#LI-REMOTE **Job Title:** Manager, Design Practice **Group:** COR **Employment Type:** Regular **Minimum Qualifications:** - Bachelor's degree. - 10 years of related experience with at least 2 of those years in a supervisory or leadership capacity. - Equivalent additional directly related experience will be considered in lieu of a college degree. Domestic and/or international travel may be required. The frequency of travel is contingent on specific duties, responsibilities, and the essential functions of the position, which may vary depending on workload and project demands. **Preferred Qualifications:** - Experience with Civil 3D, including corridor modeling, grading, pipe networks, and plan production workflows for transportation infrastructure projects. - Proficiency in Bentley design tools such as OpenRoads Designer, MicroStation, and InRoads, with a strong understanding of their application in roadway and civil site design. - Familiarity with DOT requirements and digital deliverables for transportation projects using Civil 3D and Bentley tools. - Understanding of low-code/no-code computational design applications for implementing quality assurance frameworks including reliability, security, and scalability. **EEO Statement:** We attract the best people in the industry, supporting their efforts to learn and grow. We strive to create a challenging and progressive work environment. We provide career opportunities that span a variety of disciplines and geographic locations, with projects that our employees plan, design, build and operate as diverse as the needs of our clients. CDM Smith is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, pregnancy related conditions, childbirth and related medical conditions, sexual orientation, gender identity or gender expression), national origin, age, marital status, disability, veteran status, citizenship status, genetic information or any other characteristic protected by applicable law. **Why CDM Smith?:** Check out this video and find out why our team loves to work here! (************************************************* **Join Us! CDM Smith - where amazing career journeys unfold.** Imagine a place committed to offering an unmatched employee experience. Where you work on projects that are meaningful to you. Where you play an active part in shaping your career journey. Where your co-workers are invested in you and your success. Where you are encouraged and supported to do your very best and given the tools and resources to do so. Where it's a priority that the company takes good care of you and your family. Our employees are the heart of our company. As an employer of choice, our goal is to provide a challenging, progressive and inclusive work environment which fosters personal leadership, career growth and development for every employee. We value passionate individuals who challenge the norm, deliver world-class solutions and bring diverse perspectives. Join our team, and together we will make a difference and change the world. **Job Site Location:** United States - Nationwide **Agency Disclaimer:** All vendors must have a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any other member of the CDM Smith staff will not be considered binding terms. All unsolicited resumes sent to CDM Smith and any resume submitted to any employee outside of CDM Smith Recruiting Center Team (RCT) will be considered property of CDM Smith. CDM Smith will not be held liable to pay a placement fee. **Amount of Travel Required:** 0% **Assignment Category:** Fulltime-Regular **Visa Sponsorship Available:** No - We will not support sponsorship, i.e. H-1B or TN Visas for this position **Skills and Abilities:** - Experience leading and managing a team of staff. Team-oriented, positive, collaborative and reliable. Proven leadership capabilities with the ability to organize, plan, prioritize, and to manage time and changing priorities. - Expert knowledge and proven ability in the area of AEC design technologies and processes. Inquisitive, with a desire to ask questions to gain a deeper understanding of business issues. Passionate about helping AEC business lines drive their success in using design technology and processes. - Excellent written and oral communication skills with the ability to communicate well with people from both technical and non-technical backgrounds. Ability to listen, build rapport, and credibility as a strategic and diplomatic partner with our business units. - Innovative and able to apply critical thinking skills to generate new solutions/ideas that create value and improve processes. - Detail oriented with the ability to assist with executing highly complex or specialized projects. **Background Check and Drug Testing Information:** CDM Smith Inc. and its divisions and subsidiaries (hereafter collectively referred to as "CDM Smith") reserves the right to require background checks including criminal, employment, education, licensure, etc. as well as credit and motor vehicle when applicable for certain positions. In addition, CDM Smith may conduct drug testing for designated positions. Background checks are conducted after an offer of employment has been made in the United States. The timing of when background checks will be conducted on candidates for positions outside the United States will vary based on country statutory law but in no case, will the background check precede an interview. CDM Smith will conduct interviews of qualified individuals prior to requesting a criminal background check, and no job application submitted prior to such interview shall inquire into an applicant's criminal history. If this position is subject to a background check for any convictions related to its responsibilities and requirements, employment will be contingent upon successful completion of a background investigation including criminal history. Criminal history will not automatically disqualify a candidate. In addition, during employment individuals may be required by CDM Smith or a CDM Smith client to successfully complete additional background checks, including motor vehicle record as well as drug testing. **Pay Range Minimum:** $121,368 **Pay Range Maximum:** $212,368 **Additional Compensation:** All bonuses at CDM Smith are discretionary and may or may not apply to this position. **Work Location Options:** Fully Remote or Hybrid Work Options may be considered for successful candidate. **Additional Pay Range Information:** The pay range for this position is listed above. This pay range is a good faith estimate representative of all experience levels for this position based on the geographic location assigned to the position. Please note that pay ranges vary based on geographic location. In addition to geographic location, the company considers several other factors when extending an offer including but not limited to the role, function and associated responsibilities, the candidate's work experience, education/training and key skills. **Massachusetts Applicants:** It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Job Description Fay is a 3-sided AI platform redefining preventative care with a b2b2c business in a box. We're one of the fastest growing companies in tech and the fastest growing company in wellness history. We combine clinical expertise with smart systems. The result? More affordable, effective care for the people who need it most. Behind the platform is a Marvel team of builders deeply connected to the problem we're solving. We pride ourselves on attracting superstar talent - the kind that's driven the best growth-to-burn metrics since early Airbnb, Stripe, and WhatsApp. Those aren't our words, though. That's straight from our investors at General Catalyst, Forerunner, 1984, and Goldman Sachs. If you're excited to build at the intersection of AI, healthcare, and real-world impact - we'd love to meet you. As a Clinical Growth Manager, you'll lead efforts to grow our referral network of healthcare providers-from primary care to specialists-ensuring more patients access high-quality nutrition care. You'll build and nurture strong partnerships with referring clinicians, host in-person meetings and events, and develop local go-to-market strategies in key markets. Your work will directly help people access life-changing care, while amplifying the reach of Fay's mission in the broader healthcare ecosystem. You'll be a great fit if you: Are energized by connecting with physicians, care teams, and provider organizations Have 2+ years of experience in sales, partnerships, account management, or clinical outreach (especially in healthcare or digital health) Are an excellent communicator who can build trust quickly Feel confident leading in-person meetings and events to represent Fay in the field Are highly organized and comfortable managing multiple partnerships across different markets Are curious, resilient, and eager to grow with a fast-paced startup Are deeply aligned with Fay's mission to make nutrition care more accessible In this role, you'll: Identify and develop referral relationships with clinicians and healthcare orgs Educate providers about Fay's services and how we support their patients Coordinate and attend in-person visits, events, and presentations in local markets Act as the voice of referring providers internally, sharing insights with product and growth teams Help shape the strategy, tools, and materials that support clinical outreach at scale Why this role matters: Fay is pioneering a new model for nutrition care-and referral partnerships are key to unlocking access for millions. You'll be joining a mission-driven team that values heart, hustle, and humility. Together, we're transforming healthcare, one meal at a time. The best companies are made of the best people. There's no shortage of work ahead, but we stay balanced and look forward to celebrating our wins as a team. See our careers page here to learn more about working on our team. If you don't meet every single requirement, but are still interested in the job, we hope you still apply! We know that the perfect candidate is more than just a resume. Fay is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Medical Imaging Associates is seeking a full time Fellowship trained Body Radiologist to live and practice in Pocatello, ID. The case mix includes a variety of outpatient, inpatient, and trauma cases across multiple modalities, including PET/CT and Body MR. The ideal Body Radiologist will also be comfortable with general radiology. Additionally, the Body Radiologist should be capable of performing basic image guided procedures. MQSA certification is required to help with occasional mammography rotations (approximately once per week). * $3000 Monthly Stipend for Fellows in Training * $50,000 Sign-on Bonus * Financial Relocation Assistance * Comprehensive Benefits * Outstanding Supportive & Collaborative Culture * Two-year Path to Partnership with employee option available. LOCAL PRACTICE AND COMMUNITY OVERVIEW Medical Imaging Associates (MIA) is the leading regional radiology practice based in Eastern Idaho and provides comprehensive imaging services in ID, WY, MT, and UT. Our practice of over 30 radiologists and APPs provides the full spectrum of inpatient and outpatient radiology, diagnostic and interventional, general and subspecialty, day, and night, on-site and remote. Come join an excellent group of collegial radiologists and support staff! We have a great collaborative work environment and atmosphere. We focus on group unity with monthly group lunches, summer and winter socials, and open communication at work. Additionally, Southeastern Idaho is home to some of the most beautiful landscapes on earth! Pocatello and the surrounding area have countless hiking and biking trails and endless places for camping and enjoying the outdoors. We are located a short drive from Yellowstone National Park, Grand Teton National Park, Sawtooth Mountain Range, Jackson Hole, Bear Lake Idaho, and multiple additional state and national parks. We have some of the best fishing and hunting in the country and endless miles of land for ATV riding, snowmobiling, or other recreation. If you are looking for a great practice and a wonderful place to live, you have found it! DESIRED PROFESSIONAL SKILLS AND EXPERIENCE * American Board of Radiology (ABR) certified or eligible * American Osteopathic Board of Radiology (AOBR) certified or eligible * Body Fellowship Trained * Licensed or ability to be licensed in Idaho, Wyoming, Montana, and Utah * MQSA Certified COMPENSATION: The salary range for this position is $500,000-$700,000. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. This role is also eligible for an annual discretionary bonus. In addition to this range, Radiology Partners offers competitive total rewards packages, which include health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements). FOR MORE INFORMATION OR TO APPLY: For inquiries about this position, please contact Geri Ferguson at ************************** or **************. RADIOLOGY PARTNERS OVERVIEW Radiology Partners, through its affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service, and economics, while elevating the role of radiology and radiologists in healthcare. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve. Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences. Radiology Partners participates in E-verify. CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History. Beware of Fraudulent Messages: Radiology Partners will never request payment, banking, financial or personal information such as a driver's license in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in "@radpartners.com." If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please notify our Recruiting Team at **************************.

JOB DESCRIPTION Job SummaryLeads and manages a team of medical directors delivering oversight and expertise in appropriateness and medical necessity of services provided to members - ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Leads a team of medical directors responsible for assessing appropriateness and medical necessity of health care services provided to plan members. * Provides leadership and expertise in performance of prior authorization, inpatient concurrent review, discharge planning, care management and interdisciplinary care team (ICT) activities. * Recruits, hires, trains, mentors and develops medical director staff as needed. * Ensures that authorization decisions are rendered by qualified medical personnel and without hindrance due to fiscal or administrative incentives. * Analyzes data and identifies medical cost-savings and quality improvement opportunities. * Accounts for regulatory and accreditation performance of assigned team and responds to inquiries, issues and complaints from government and accreditation regulators. * Develops medical policies and procedures as needed. * Conducts peer review processes. Required Qualifications * At least 8 years of relevant experience, including clinical practice experience, and at least 2 years as a medical director in managed care setting supporting utilization management/quality management initiatives, or equivalent combination of relevant education and experience. * At least 3 years management/leadership experience. * Doctor of Medicine (MD) or Doctor of Osteopathy (DO). License must be active and unrestricted in state of practice. * Board Certification. * Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff. * Demonstrated ability to make strategic decisions. * Knowledge of health care regulatory and legislative processes, including ability to read and interpret legislation. * Experience gaining consensus, and collaborating in a highly matrixed organization. * Experience demonstrating strong leadership, communication, consensus building, collaboration and financial acumen abilities. * Evidence-based clinical criteria competency. * Peer review, medical policy/procedure development, and provider contracting experience. * Strong verbal and written communication skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other Health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $214,132 - $417,557 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Specialization: Surgery Critical Care Critical Care Emergency Medicine Critical Care Internal Medicine Critical Care Pulmonary Critical Care Anesthesiology ICC Healthcare (Intensive Care Consortium) is seeking an Intensivist Medical Director to lead the ICU team at Eastern Idaho Regional Medical Center in Idaho Falls, Idaho. Qualified Candidates: * Leadership experience preferred for Medical Director position * Maintain Board certification in critical care (all tracks will be considered) * Ability to work Full Time, 12-15 shifts per month * Medical Director will hold clinical and administrative responsibilities with dedicated Administrative Time * Work 12-hour day shifts, with night call from home, APP in House at night * Manage 29-bed Mixed Open ICU (Medical, trauma surgery, neurosurgery, cardiac surgery, and burn) * Supervise all full or part time Intensivists * Lead quality improvement initiatives and participate in multidisciplinary hospital initiatives * Develop collaborative relationships with primary and consulting physicians, facility leadership, and clinical staff * Develop, implement, and oversee ICC standards and protocols * Provide direction and leadership for patient care initiatives and protocols * Provide peer support to the Intensivist team members to establish and achieve program initiatives and goals * Participate in teaching responsibilities with ACGME-Accredited Residency programs Incentive/Benefits Package: * Competitive compensation driven by MGMA data and industry benchmarking * Excellent benefits package including health, dental, life insurance, stock options, 401k with company match, disability, CME allowance and days, and more * Appropriate staffing models and flexible scheduling * 100% covered occurrence-based malpractice Insurance * Expert practice management including privileging, provider enrollment, and billing and collections * Sign on and Relocation assistance available * Employed, W2 opportunity * Strong operational support * Academic opportunity through Idaho College of Medicine to teach residents & medical students * Professional development program with leadership training and mentoring About ICC Healthcare: * ICC Healthcare employees over 700 providers in 70 programs with 6-8 new programs opening each year * We are part of the HCA Healthcare system of care * HCA owns and operates over 190 facilities in 20 states * The success of the ICC intensivist program relies on strong team building strategies within the ICU, the hardwiring of best practice evidence base protocols and streamlining the delivery of hospital wide critical care services. * Our providers have the ability to impact change on a national scale through our association with HCA * We believe work/life balance is an important and strive to help providers maintain this balance * Our partnership with HCA provides access to data on a large scale and allows us to test and implement new models of care and management for the best interest of our patients and providers About Eastern Idaho Regional Medical Center: * The largest medical facility in the region, Eastern Idaho Regional Medical Center (EIRMC) is a full-service hospital with 318 patient beds. It serves as the regions healthcare hub, serving southeast Idaho, western Wyoming, Yellowstone National Park, and parts of Montana. * EIRMC is home to a Level II Trauma Center, a Level 1 ICU (of only two in Idaho), and the only Burn Center in the state of Idaho. A robust local helicopter and ground medical rescue service support its comprehensive trauma program. Additionally, EIRMC has the regions only Pediatric Intensive Care Unit for critically ill children. * The Heart Center provides the regions most comprehensive cardiovascular program with a full spectrum of cardiology services. Idaho Falls lies at the heart of some of the worlds best-known recreation areas, including Yellowstone and Grand Teton National Parks, the Snake River, the Sawtooth Mountains, Henrys Lake, Jackson Hole, and Sun Valley. Nature provides a stunning backdrop to the safe, accessible, and convenient city. Idaho Falls downtown area includes a visual and performing arts center, dinner theater, art museum, natural and cultural history museum, Tautphaus Park Zoo, BMX track, kayak course, rock climbing wall, and so many other outdoor and family activities. Idaho Falls is proud of its low cost of living, low crime rate and award-winning schools.

Fay is a 3-sided AI platform redefining preventative care with a b2b2c business in a box. We're one of the fastest growing companies in tech and the fastest growing company in wellness history. We combine clinical expertise with smart systems. The result? More affordable, effective care for the people who need it most. Behind the platform is a Marvel team of builders deeply connected to the problem we're solving. We pride ourselves on attracting superstar talent - the kind that's driven the best growth-to-burn metrics since early Airbnb, Stripe, and WhatsApp. Those aren't our words, though. That's straight from our investors at General Catalyst, Forerunner, 1984, and Goldman Sachs. If you're excited to build at the intersection of AI, healthcare, and real-world impact - we'd love to meet you. As a Clinical Growth Manager, you'll lead efforts to grow our referral network of healthcare providers-from primary care to specialists-ensuring more patients access high-quality nutrition care. You'll build and nurture strong partnerships with referring clinicians, host in-person meetings and events, and develop local go-to-market strategies in key markets. Your work will directly help people access life-changing care, while amplifying the reach of Fay's mission in the broader healthcare ecosystem. You'll be a great fit if you: Are energized by connecting with physicians, care teams, and provider organizations Have 2+ years of experience in sales, partnerships, account management, or clinical outreach (especially in healthcare or digital health) Are an excellent communicator who can build trust quickly Feel confident leading in-person meetings and events to represent Fay in the field Are highly organized and comfortable managing multiple partnerships across different markets Are curious, resilient, and eager to grow with a fast-paced startup Are deeply aligned with Fay's mission to make nutrition care more accessible In this role, you'll: Identify and develop referral relationships with clinicians and healthcare orgs Educate providers about Fay's services and how we support their patients Coordinate and attend in-person visits, events, and presentations in local markets Act as the voice of referring providers internally, sharing insights with product and growth teams Help shape the strategy, tools, and materials that support clinical outreach at scale Why this role matters: Fay is pioneering a new model for nutrition care-and referral partnerships are key to unlocking access for millions. You'll be joining a mission-driven team that values heart, hustle, and humility. Together, we're transforming healthcare, one meal at a time. The best companies are made of the best people. There's no shortage of work ahead, but we stay balanced and look forward to celebrating our wins as a team. See our careers page here to learn more about working on our team. If you don't meet every single requirement, but are still interested in the job, we hope you still apply! We know that the perfect candidate is more than just a resume. Fay is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for both members and providers and ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties - Determines appropriateness and medical necessity of health care services provided to plan members. - Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality member care - ensuring members receive the most appropriate care at the most effective setting. -Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and under-utilization. - Educates and interacts with network, group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management. - Assumes leadership relative to knowledge, implementation, training, and supervision of the use of the criteria for medical necessity. - Participates in and maintains the integrity of the appeals process, both internally and externally. - Responsible for investigation of adverse incidents and quality of care concerns. - Participates in preparation for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. - Provides leadership and consultation for NCQA standards/guidelines for the plan including compliant clinical quality improvement activity (QIA) in collaboration with clinical leadership and quality improvement teams. - Facilitates conformance to Medicare, Medicaid, NCQA and other regulatory requirements. - Reviews quality referred issues, focused reviews and recommends corrective actions. - Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. - Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and other committees as directed by the chief medical officer. - Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the denial process. - Monitors appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost-efficiency, and continuity of care. - Ensures that medical decisions are rendered by qualified medical personnel and not influenced by fiscal or administrative management considerations, and that care provided meets the standards for acceptable medical care. - Ensures medical protocols and rules of conduct for plan medical personnel are followed. - Develops and implements plan medical policies. - Provides implementation support for quality improvement activities. - Stabilizes, improves and educates primary care physicians and specialty networks; monitors practitioner practice patterns and recommends corrective actions as needed. - Fosters clinical practice guideline implementation and evidence-based medical practices. - Utilizes information technology and data analytics to produce tools to report, monitor and improve utilization management. - Actively participates in regulatory, professional and community activities. Required Qualifications - At least 3 years health care experience, including at least 2 years of medical practice experience, or equivalent combination of relevant education and experience. - Active and unrestricted Doctor of Medicine (MD) or Doctor of Osteopathy (DO) license in state of practice. - Board certification. - Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff. - Ability to work cross-collaboratively within a highly matrixed organization. - Strong organizational and time-management skills. - Ability to multi-task and meet deadlines. - Attention to detail. - Critical-thinking and active listening skills. - Decision-making and problem-solving skills. - Strong verbal and written communication skills. - Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs. Preferred Qualifications - Experience with utilization/quality program management. - Managed care experience. - Peer review experience. - Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $161,914.25 - $315,733 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Medical Imaging Associates is seeking a full time Fellowship trained Musculoskeletal Radiologist. The case mix includes various outpatient, inpatient, and trauma cases across multiple modalities and image guided MSK procedures. The ideal MSK radiologist will also be comfortable with general radiology. Potential locations for residence in Eastern Idaho include - Pocatello, Blackfoot, Idaho Falls, or Rexburg areas. MQSA certification is a plus, but not required. * Generous Monthly Stipend for Fellows in Training * Sign-on Bonus * Financial Relocation Assistance * Comprehensive Benefits * Outstanding Supportive & Collaborative Culture * Two-year Path to Partnership * Just Culture QA Program LOCAL PRACTICE AND COMMUNITY OVERVIEW Medical Imaging Associates (MIA) is the leading radiology practice based in Eastern Idaho and provides comprehensive imaging services in ID, WY, MT, and UT. Our practice of over 30 radiologists and APPs provides the full spectrum of inpatient and outpatient radiology, diagnostic and interventional, general and subspecialty, day, and night, on-site and remote. Come join an excellent group of collegial radiologists and support staff! We have a great collaborative work environment and atmosphere. We focus on group unity with monthly group lunches, summer and winter socials, and open communication at work. Additionally, Southeastern Idaho is home to some of the most beautiful landscapes on earth! Eastern Idaho and the surrounding area have countless hiking and biking trails and endless places for camping and enjoying the outdoors. We are located a short drive from Yellowstone National Park, Grand Teton National Park, Sawtooth Mountain Range, Jackson Hole, Bear Lake Idaho, and multiple additional state and national parks. We have some of the best fishing and hunting in the country and endless miles of land for ATV riding, snowmobiling, or other recreation. If you are looking for a great practice and a wonderful place to live, you have found it! DESIRED PROFESSIONAL SKILLS AND EXPERIENCE * American Board of Radiology (ABR) certified or eligible * American Osteopathic Board of Radiology (AOBR) certified or eligible * MSK Fellowship Trained * Licensed or ability to be licensed in Idaho, Wyoming, Montana, and Utah COMPENSATION: The salary range for this position is $500,000-$700,000. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. This role is also eligible for an annual discretionary bonus. In addition to this range, Radiology Partners offers competitive total rewards packages, which include health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements). For More information or to apply: For inquiries about this position, please contact Geri Ferguson at ************************** or **************. RADIOLOGY PARTNERS OVERVIEW Radiology Partners, through its affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve. Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system over all. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences. Radiology Partners participates in E-verify. Beware of Fraudulent Messages: Radiology Partners will never request payment, banking, financial or personal information such as a driver's license in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in "@radpartners.com." If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please notify our Recruiting Team at **************************.

JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties - Provides behavioral health oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and decrease costs. - Facilitates behavioral health-related regional medical necessity reviews and cross coverage. - Standardizes behavioral health-related utilization management, quality, and financial goals across all lines of businesses. - Responds to behavioral health-related requests for proposal (RFP) sections and reviews behavioral health portions of state contracts. - Assists behavioral health medical director lead trainers in the development of enterprise-wide education on psychiatric diagnoses and treatment. - Provides second level behavioral health clinical reviews, peer reviews and appeals. - Supports behavioral health committees for quality compliance. - Implements behavioral health specific clinical practice guidelines and medical necessity review criteria. - Tracks all clinical programs for behavioral health quality compliance with National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). - Assists with the recruitment and orientation of new psychiatric medical directors. - Ensures all behavioral health programs and policies are in line with industry standards and best practices. - Assists with new program implementation and supports for health plan in-source behavioral health services. Required Qualifications - At least 3 of relevant experience, including 2 years of medical practice experience in psychiatry/behavioral health, or equivalent combination of relevant education and experience. - Doctor of Medicine (MD) or Doctor of Osteopathy (DO). License must be active and unrestricted in state of practice. - Board Certification in Psychiatry. - Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff. - Ability to work cross-collaboratively within a highly matrixed organization. - Strong organizational and time-management skills. - Ability to multi-task and meet deadlines. - Attention to detail. - Critical-thinking and active listening skills. - Decision-making and problem-solving skills. - Strong verbal and written communication skills. - Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs. Preferred Qualifications - Experience with utilization/quality program management. - Managed care experience. - Peer review experience. - Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $161,914.25 - $315,733 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties - Provides behavioral health oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and decrease costs. - Facilitates behavioral health-related regional medical necessity reviews and cross coverage. - Standardizes behavioral health-related utilization management, quality, and financial goals across all lines of businesses. - Responds to behavioral health-related requests for proposal (RFP) sections and reviews behavioral health portions of state contracts. - Assists behavioral health medical director lead trainers in the development of enterprise-wide education on psychiatric diagnoses and treatment. - Provides second level behavioral health clinical reviews, peer reviews and appeals. - Supports behavioral health committees for quality compliance. - Implements behavioral health specific clinical practice guidelines and medical necessity review criteria. - Tracks all clinical programs for behavioral health quality compliance with National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). - Assists with the recruitment and orientation of new psychiatric medical directors. - Ensures all behavioral health programs and policies are in line with industry standards and best practices. - Assists with new program implementation and supports for health plan in-source behavioral health services. Required Qualifications - At least 3 of relevant experience, including 2 years of medical practice experience in psychiatry/behavioral health, or equivalent combination of relevant education and experience. - Doctor of Medicine (MD) or Doctor of Osteopathy (DO). License must be active and unrestricted in state of practice. - Board Certification in Psychiatry. - Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff. - Ability to work cross-collaboratively within a highly matrixed organization. - Strong organizational and time-management skills. - Ability to multi-task and meet deadlines. - Attention to detail. - Critical-thinking and active listening skills. - Decision-making and problem-solving skills. - Strong verbal and written communication skills. - Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs. Preferred Qualifications - Experience with utilization/quality program management. - Managed care experience. - Peer review experience. - Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other health care or management certification. \#PJHS \#LI-AC1 \#HTF To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $161,914.25 - $315,733 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization management and case management programs for mental health and chemical dependency services. Works closely with the Regional Medical Directors to standardized utilization management policies and procedures to improve quality outcomes and decrease costs. - Provide regional medical necessity reviews and cross coverage - Standardizes UM practices and quality and financial goals across all LOBs - Responds to BH-related RFP sections and review BH portions of state contracts - Assist the BH MD lead trainers in the development of enterprise-wide teaching on psychiatric diagnoses and treatment - Provides second level BH clinical reviews, BH peer reviews and appeals - Supports BH committees for quality compliance. - Implements clinical practice guidelines and medical necessity review criteria - Tracks all clinical programs for BH quality compliance with NCQA and CMS - Assists with the recruitment and orientation of new Psychiatric MDs - Ensures all BH programs and policies are in line with industry standards and best practices - Assists with new program implementation and supports the health plan in-source BH services - Additional duties as assigned **Job Qualifications** **REQUIRED EDUCATION:** - Doctorate Degree in Medicine (MD or DO) with Board Certification in Psychiatry **REQUIRED EXPERIENCE:** - 2 years previous experience as a Medical Director in clinical practice - 3 years' experience in Utilization/Quality Program Management - 2+ years HMO/Managed Care experience - Experience demonstrating strong management and communication skills, consensus building and collaborative ability, and financial acumen. - Knowledge of applicable state, federal and third-party regulations **Required License, Certification, Association** Active and unrestricted State (TX) Medical License, free of sanctions from Medicaid or Medicare. **Preferred Experience** - Peer Review, medical policy/procedure development, provider contracting experience. - Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. \#PJHS \#LI-AC1 Pay Range: $161,914.25 - $315,733 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties - Provides behavioral health oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and decrease costs. - Facilitates behavioral health-related regional medical necessity reviews and cross coverage. - Standardizes behavioral health-related utilization management, quality, and financial goals across all lines of businesses. - Responds to behavioral health-related requests for proposal (RFP) sections and reviews behavioral health portions of state contracts. - Assists behavioral health medical director lead trainers in the development of enterprise-wide education on psychiatric diagnoses and treatment. - Provides second level behavioral health clinical reviews, peer reviews and appeals. - Supports behavioral health committees for quality compliance. - Implements behavioral health specific clinical practice guidelines and medical necessity review criteria. - Tracks all clinical programs for behavioral health quality compliance with National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). - Assists with the recruitment and orientation of new psychiatric medical directors. - Ensures all behavioral health programs and policies are in line with industry standards and best practices. - Assists with new program implementation and supports for health plan in-source behavioral health services. Required Qualifications - At least 3 of relevant experience, including 2 years of medical practice experience in psychiatry/behavioral health, or equivalent combination of relevant education and experience. - Doctor of Medicine (MD) or Doctor of Osteopathy (DO). License must be active and unrestricted in state of practice. - Board Certification in Psychiatry. - Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff. - Ability to work cross-collaboratively within a highly matrixed organization. - Strong organizational and time-management skills. - Ability to multi-task and meet deadlines. - Attention to detail. - Critical-thinking and active listening skills. - Decision-making and problem-solving skills. - Strong verbal and written communication skills. - Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs. Preferred Qualifications - Experience with utilization/quality program management. - Managed care experience. - Peer review experience. - Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $161,914.25 - $315,733 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Provides behavioral health oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and decrease costs. * Facilitates behavioral health-related regional medical necessity reviews and cross coverage. * Standardizes behavioral health-related utilization management, quality, and financial goals across all lines of businesses. * Responds to behavioral health-related requests for proposal (RFP) sections and reviews behavioral health portions of state contracts. * Assists behavioral health medical director lead trainers in the development of enterprise-wide education on psychiatric diagnoses and treatment. * Provides second level behavioral health clinical reviews, peer reviews and appeals. * Supports behavioral health committees for quality compliance. * Implements behavioral health specific clinical practice guidelines and medical necessity review criteria. * Tracks all clinical programs for behavioral health quality compliance with National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). * Assists with the recruitment and orientation of new psychiatric medical directors. * Ensures all behavioral health programs and policies are in line with industry standards and best practices. * Assists with new program implementation and supports for health plan in-source behavioral health services. Required Qualifications * At least 3 of relevant experience, including 2 years of medical practice experience in psychiatry/behavioral health, or equivalent combination of relevant education and experience. * Doctor of Medicine (MD) or Doctor of Osteopathy (DO). License must be active and unrestricted in state of practice. * Board Certification in Psychiatry. * Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff. * Ability to work cross-collaboratively within a highly matrixed organization. * Strong organizational and time-management skills. * Ability to multi-task and meet deadlines. * Attention to detail. * Critical-thinking and active listening skills. * Decision-making and problem-solving skills. * Strong verbal and written communication skills. * Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other health care or management certification. #PJHS #LI-AC1 #HTF To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $161,914.25 - $315,733 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Provides behavioral health oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and decrease costs. * Facilitates behavioral health-related regional medical necessity reviews and cross coverage. * Standardizes behavioral health-related utilization management, quality, and financial goals across all lines of businesses. * Responds to behavioral health-related requests for proposal (RFP) sections and reviews behavioral health portions of state contracts. * Assists behavioral health medical director lead trainers in the development of enterprise-wide education on psychiatric diagnoses and treatment. * Provides second level behavioral health clinical reviews, peer reviews and appeals. * Supports behavioral health committees for quality compliance. * Implements behavioral health specific clinical practice guidelines and medical necessity review criteria. * Tracks all clinical programs for behavioral health quality compliance with National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). * Assists with the recruitment and orientation of new psychiatric medical directors. * Ensures all behavioral health programs and policies are in line with industry standards and best practices. * Assists with new program implementation and supports for health plan in-source behavioral health services. Required Qualifications * At least 3 of relevant experience, including 2 years of medical practice experience in psychiatry/behavioral health, or equivalent combination of relevant education and experience. * Doctor of Medicine (MD) or Doctor of Osteopathy (DO). License must be active and unrestricted in state of practice. * Board Certification in Psychiatry. * Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff. * Ability to work cross-collaboratively within a highly matrixed organization. * Strong organizational and time-management skills. * Ability to multi-task and meet deadlines. * Attention to detail. * Critical-thinking and active listening skills. * Decision-making and problem-solving skills. * Strong verbal and written communication skills. * Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $161,914.25 - $315,733 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.