Medical Director Mental Health and Wellness

3 days ago


Dubai, Dubai, United Arab Emirates Health eCareers Full time
Job Summary

The Medical Director, Mental Health and Wellness is a key leader within the national program office responsible for ensuring high-quality mental health and wellness services are delivered to Kaiser Permanente members and patients in California. This role requires extensive clinical and medical expertise in mental health and wellness to identify areas of risk and care gaps, and to develop and implement evidence-based practices to improve clinical outcomes.

Essential Responsibilities
  • Provide strategic, medical, and clinical expertise to Kaiser Permanente Behavioral and Mental Health teams to identify and resolve complex operational issues associated with access and quality of care.
  • Develop and implement the California Mental Health and Wellness Quality Oversight program strategy in coordination with national, northern California, and southern California quality and mental health and wellness teams.
  • Stay up-to-date on global, national, and state trends and emerging methods that inform the development and deployment of performance reporting systems and oversight processes to surface relevant performance issues in a timely manner.
  • Perform medical case review for quality and risk evaluation and surface opportunities for improvement and considerations for peer review.
  • Develop, deploy, and manage a comprehensive system for monitoring and evaluating access and network adequacy, including policies and procedures for identifying and addressing problems with operational leaders.
  • Co-chair the Behavioral Health Quality Oversight Committees (BHQOC) and serve as a voting member on the KPNorthern California Quality Oversight Committee and the Southern California Quality Committee.
  • Provide input for the Mental Health and Wellness Joint Operational Northern California and Statewide committees.
  • Collaborate with Legal, Compliance, and regional leadership to ensure compliance with all applicable legal and regulatory requirements related to the provision of mental health and wellness services.
  • Partner with Member Services and Experience leadership to surface and resolve issues related to member mental health services experience, complaints, and grievances.
  • Provide consultation, guidance, and assurance of compliance with regulatory standards associated with the review of appeals, denials, and Independent Medical Review (IMR).
  • Contribute to regional policies, procedures, and practices for mental health and wellness policies, and develop and/or advise on new policies and procedures as needed.
  • Partner with national colleagues on Non-Quantitative Treatment Limits (NQTL) comparative analyses.
  • Actively seek synergies and best practices with colleagues in California and in other KP markets, and regularly perform external scans for best practices and benchmark performance.


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