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Position Summary Aetna, a CVS Health company has an outstanding opportunity for a Medical Director - Behavioral Health. Ready to take your career to the next level with a Fortune 6 company?

Roles and responsibilities:

• Oversee and be responsible for all Behavioral Health activities

• Oversight of coordination activities with KDADS

• Shall work closely with the behavior supports director and other medical officers to ensure the delivery of holistic and integrated person-centered care.

• Provide strategic oversight and leadership for all behavioral health activities within the health plan.

• Serve as the subject matter expert on behavioral health for Aetna Better Health of Kansas, ensuring compliance and alignment with state regulations and expectations.

• Lead and coordinate efforts with the state and other health plan colleagues to promote integrated care models.

• Oversee coordination activities with the state, ensuring effective collaboration and adherence to regulatory requirements.

• Work closely with health plan leadership, the Chief Medical Officer, other Medical Leadership, Pharmacy Director, clinical staff (including those in utilization management, care management, quality management), and colleagues within network and provider relations, to enhance the delivery of holistic and integrated care.

• Contribute to the development and implementation of policies and procedures that support the health plan's objectives and comply with state guidelines.

• Advocate for and implement innovative approaches to behavioral health care, promoting evidence-based practices that enhance patient outcomes.

• Support duties as required regarding utilization management of the service benefit and pharmacy benefit within the state health plan and additional duties as assigned.

• Actively participate in continuous improvement activities, development and monitoring of SAI initiatives, and other activities that support quality of care and total cost of care oversight.

• Serve as a key health plan external facing liaison, regarding behavioral health initiatives, programs, and projects with state regulators, providers, vendors, and community organizations.

• Provides guidance and/or represents the Health Plan in all state fair hearings for services that are behavioral health related.

Required Qualifications

• Board certified psychiatrist and addictionologist (or addictions experience approved by the State in writing),

• Licensed physician in Kansas and reside in Kansas.

• Has at least five (5) years combined experience in mental health and SUD services.

Preferred Qualifications

• Health Plan/payor experience

Education

• M.D. or D.O., Board Certification in Psychiatry including post graduate direct patient care experience

Pay Range

The typical pay range for this role is:

$174,070.00 - $374,900.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 06/24/2024

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.