Job Description Spectrum Healthcare Resources is excited to offer a potential career opportunity for a Behavioral Health Medical Director supporting the TriCare/Department of Defense and Community Care Network/Department of Veterans Affairs. This remote-based civilian position is an outstanding chance to make a meaningful contribution to the healthcare of veterans and military beneficiaries while benefiting from work-life flexibility, professional collaboration, and impactful leadership. Join us in leading high-quality care initiatives for those who have served our country, with a focus on system-wide clinical improvement, peer collaboration, and mission-driven support! Requirements: • Doctor of Medicine (MD) or Doctor of Osteopathy (DO) from an accredited medical school. • Active, unrestricted license to practice medicine in the United States. • Board certification or board eligibility through a recognized specialty board. • U.S. Citizenship. • Favorable background investigation through the Department of Defense (DoD). • Minimum of 5 years of medical practice experience. • 3+ years of experience in managed care environments. • Preferred: • Experience working with TRICARE, Veterans Affairs, or other federal health plans. • Advanced degree in management (MPA, MBA, MHA, MPH). • Corporate-level leadership experience. • Experience using InterQual and/or similar evidence-based criterial to assess medical interventions, procedures and treatments. Job Responsibilities: • Provide program-wide clinical guidance across multiple medical management domains including Utilization Management, Case Management, Quality, and Public Health. • Lead and participate in quality committees and collaborative safety initiatives. • Review member cases for appropriateness and quality of care; document findings in CareRadius and other health systems. • Conduct peer-to-peer discussions with network providers and internal stakeholders. • Develop and implement corrective action plans related to clinical quality or provider performance. • Collaborate closely with TriWest teams such as Clinical Operations, Data Analytics, and General Counsel. • Provide clinical expertise on new technologies, treatment protocols, and population health initiatives. • Interact with veterans and beneficiaries to support satisfaction and outcomes. • Stay current with required licensure, board certification, and federal medical standards. Working Conditions: • Remote position with standard weekday hours and occasional after-hours availability. • Extensive computer-based work; prolonged periods of sitting may be necessary. Company Overview: Spectrum Healthcare Resources (SHR) was established in 1988 to deliver systems and processes designed to meet the unique needs of Military and VA Health Systems. SHR is a leading organization that provides physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics and other Federal Agencies through various contracting vehicles. A Joint Commission Health Care Staffing Services firm, SHR is the military staffing division of TeamHealth, a Nationwide organization that serves 850 civilian and military hospitals with a team of 9,600 affiliated health care professionals. EOE/Disabled/Veterans Location : Location US-NV-Las Vegas Recruiter : Full Name: First Last Joseph Day Direct phone number 314-744-4138 Recruiter : Email [email protected]