Chief Psychiatrist - Behavioral Health Medical Director - Remote Eligible

Chief Psychiatrist

The Chief Psychiatrist oversees our behavioral health (BH) clinical program for our Illinois FIDE members. The individual in this role collaborates closely with Clinical Services and the Chief Medical Officer(CMO) to integrate the day-to-day administration and strategic management of behavioral and physical health services, including Utilization Management (UM), Quality Improvement, and value-based payment programs. The Chief Psychiatrist will be based in Illinois and will also lead the development of new products and services in Humana's Medicaid BH delivery model.

Position Responsibilities:

• Leads clinical and quality management components of Humana's BH services
• Oversees, monitors, and assists with the management of psychopharmacology pharmacy benefits manager (PBM) activities
• Develops comprehensive care programs for the management of adult behavioral health concerns
• Develops targeted education and training for contracted PCPs
• Coordinates with the Medical Director to integrate the administration and management of behavioral and physical health services
• Oversees, monitors, and assists with effective implementation of the Quality Management (QM) program
• Leads BH policy development in Illinois
• Adheres to and complies with federal and state laws
• Collaborates with Provider relations personnel
• Establishes and maintains relationships with Providers, advocates, and other key Illinois stakeholders
• Maintains compliance with BH-related Contract requirements
• Collaborates closely with corporate and local population health teams

Required Qualifications

• Physician with a current or ability to obtain, unencumbered Illinois-license and be board-certified in psychiatry
• 8+ years clinical experience working in behavioral health
• Possess analysis and interpretation skills with prior experience leading teams
• Must reside in Illinois, or a boarding state and be willing to report to the market office in IL as needed for trainings/meetings

Preferred Qualifications

• Familiarity with Illinois-based BH organizations
• Medicaid Managed Care clinical or behavioral health leadership experience
• Reside near the border of Illinois in Indiana, Wisconsin and Iowa

Work at Home Requirements

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is required.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Interview Format

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability.

Social Security Task

Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

$223,800 - $313,100 per year

Description of Benefits

Humana, Inc. and its affiliated subsidiaries offers competitive benefits that support whole-person well-being.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status.