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The Behavioral Medical Director position is responsible for providing oversight to and direction of the Utilization Management Program and performing peer reviews as necessary.
This individual will interact directly with Psychiatrists, Behavioral Health Providers, and other clinical professionals who consult on various processes and programs.
The Behavioral Medical Director is part of a leadership team that manages development and implementation of evidence-based treatments and medical expense initiatives and will also advise leadership on health care system improvement opportunities.
They are responsible for maintaining the clinical integrity of the program, including timely peer reviews, appeals and consultations with providers and other community-based clinicians, including general practitioners and will work collaboratively with the Health Plan Medical Director, Clinical, Network and Quality staff.
At Optum, our clinical vision drives the team to improve the quality of care our consumers receive.
You'll enjoy the flexibility to work remotely
from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities :
- Ensuring delivery of cost-effective quality care that incorporates recovery, resiliency and person-centered services
- Responsible for Level of Care guidelines and utilization management protocols
- Responsible for oversight and management, along with the Clinical Director and Clinical Program Director, utilization review, management, and care coordination activities
- Provide clinical oversight to the clinical staff, oversee the management of services at all levels of care in the benefit plan
- Keep current regarding Evidence Based Practices and treatment philosophies including those that address Recovery and Resilience
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications :
- Doctor of Medicine or Osteopathy
- Current license to practice as a physician without restrictions in Arizona, California or Texas
- Board certified in Psychiatry
- Demonstrated understanding of the clinical application of the principles of engagement, empowerment, rehabilitation, and recovery
- Computer and typing proficiency, data analysis and organizational skills necessary
Preferred Qualifications :
- Licensed in Arizona, Texas or California
- Board certification in Child and Adolescent Psychiatry
- 3+ years of experience as a practicing psychiatrist post residency
- Prior Managed care experience
- Experience in public sector delivery systems and experience in state specific public sector services
- Experience working with community-based programs and resources designed to aid the State Medicaid population
- All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only : The salary range for this role is $305,179 to $428,250 annually.
Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.
UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Application Deadline : This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected.
Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone.
We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life.
Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere : UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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