Optum
Behavioral Medical Director - Licensed in California - Remote
Optum, New York, New York, United States
Overview
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 in the state of California 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
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 *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Compensation and Benefits
Compensation for this specialty generally ranges from $258,000 - $423,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer 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 us, 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. About UnitedHealth Group and EEO
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. 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. #J-18808-Ljbffr
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 in the state of California 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
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 *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Compensation and Benefits
Compensation for this specialty generally ranges from $258,000 - $423,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer 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 us, 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. About UnitedHealth Group and EEO
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. 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. #J-18808-Ljbffr