Join to apply for the Behavioral Medical Director - Remote role at Optum
1 day ago Be among the first 25 applicants
Join to apply for the Behavioral Medical Director - Remote role at Optum
Get AI-powered advice on this job and more exclusive features.
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
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
Required Qualifications
- Doctor of Medicine or Osteopathy
- Current license to practice as a physician without restrictions
- Board certified in Psychiatry
- Demonstrated understanding of the clinical application of the principles of engagement, empowerment, rehabilitation and recovery
- Knowledge of post-acute care planning such as home care, discharge planning, case management, and disease management
- Computer and typing proficiency, data analysis and solid organizational skills necessary
- Board certification in Child and Adolescent Psychiatry
- 3+ years of experience as a practicing psychiatrist post residency
- 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
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Seniority level
Seniority level
Director
Employment type
Employment type
Full-time
Job function
Job function
Health Care ProviderIndustries
Hospitals and Health Care
Referrals increase your chances of interviewing at Optum by 2x
Get notified about new Medical Director jobs in Eden Prairie, MN .
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr