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The Associate Medical Director, Department Youth Services, under the direction of the Director of the Office of Clinical Affairs (OCA) or his/her designee, is responsible for providing clinical expertise to OCA and EOHHS program staff. This position will participate in the development and evaluation of clinical standards and guidelines for MassHealth medical services, conduct prior authorization reviews and serve as a clinical resource for OCA and EOHHS programs as well as MassHealth providers.

Provide clinical support and expertise to OCA programs and clinical staff.
Participate/lead in the development of policies, clinical standards, guidelines, criteria, and algorithms for use in MassHealth medical services, ensuring adherence to all applicable federal and state laws and regulations.
Provide clinical support and expertise to MA Department of Youth Services (DYS) Central Office and Health Services staff.
Assist the Director of OCA or his/her designee in the identification and implementation of opportunities for improving the physician review process (including research and documentation of prior authorization determinations).
Provide clinical leadership to the activities of medical program managers.
Provide updates and consult with OCA and MassHealth managers on new technologies, treatment methodologies and policies.
Participate in communications with MassHealth medical providers, conduct peer-to-peer discussions, as applicable, and educate physicians and others on current policy and prior authorization issues.
Participate in or lead Advisory Board meetings and other OCA, EOHHS and Office of Medicaid meetings as designated by OCA Director or his/her designee.
Assist the Director of OCA with the development and implementation of clinical, quality and analytics initiatives
Participate in OCA activities to monitor, report upon, and make recommendations regarding quality, clinical effectiveness and cost effectiveness of MassHealth medical services and programs.
Provide clinical leadership and mentoring for the OCA and MassHealth staff and work collaboratively with both clinical and non-clinical team members.
Perform other similar and related duties as required or as directed.

REQUIRED EDUCATION
Medical Doctor or Doctor of Osteopathy.

REQUIRED WORK EXPERIENCE
Actively licensed to practice medicine without restriction in Massachusetts throughout his/her employment with OCA.
Board certified in area of specialty and minimum 5 years of experience in direct patient care.
Must work onsite during normal business hours.

PREFERRED WORK EXPERIENCE
Experience providing direct care to diverse range of adolescent and young adult populations.
Familiarity with juvenile justice system in Massachusetts.
Clinical experience in addiction medicine/substance use disorders.
Experience in the application of state and federal Medicaid rules and regulations.

PREFERRED EDUCATION
Graduate degree in Public Health or Public Policy or other advanced degree in business or healthcare.