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Senior Behavioral Medical Director - Telecommute

Company: Optum
Location: Salt Lake City
Posted on: January 15, 2022

Job Description:

Medical Director opening in Salt Lake City, Utah. This and other physician jobs brought to you by DocCafe.com

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)



At Optum, our mission is to make the health system work better for all. The Senior Behavioral Medical Director serves as the clinical team leader for a large behavioral managed care membership in the state of Utah. They are accountable for the strategic approach to executing our annual business objectives in alignment with the larger organization. They work collaboratively with other functional partners such as Care Advocacy, Quality Improvement, State and Legal Compliance, providing medical subject matter expertise. The SMD is also actively involved in the implementation, supervision, oversight and evaluation of the Utilization Management, Care Coordination and Quality of Care programs, develops and implements policies and procedures. The SMD will also monitor the consistency with which Utilization Management criteria are applied; through supervision, case review, training and in consultations with treating providers, making coverage decisions and participates in committee meetings.



You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.



Primary Responsibilities:


  • Serve as the lead physician for the Behavioral Health plan working closely with medical management team leaders
  • Leadership and oversight of contract adherence as well as Profit & Loss management
  • Develops programs to promote integration of physical and behavioral health services which support continuity and coordination among all network providers
  • Contribute and lead the collaboration for Utilization Management, Care Coordination and Quality of Care discussions for Utah membership
  • Monitors behavioral healthcare utilization authorization and claims data for all healthcare services
  • Assures that policies adhere to contractual obligations
  • Develop targeted education and training for and provide clinical guidance to the Care Advocates
  • Performs Clinical Case reviews in conjunction with Clinical and Quality departments
  • Consultation with practitioners in the Optum clinical network
  • Participation in clinical workgroups as required
  • Chairing Utilization Management Committee and participation in additional committees as required
  • Collaborates in network provider initiatives and engagement
  • Minimal travel for state and county meetings as needed






    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 the state of Utah or willing to obtain
    • Board certified in Psychiatry
    • 2+ years of management experience overseeing multidisciplinary teams
    • 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




      Preferred Qualifications:


      • 5+ years of experience as a practicing psychiatrist post residency
      • 2+ years of 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
      • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance




        To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.



        Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)



        *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.



        Colorado, Connecticut or Nevada Residents Only: The salary/hourly range for Colorado residents is $293,200 to $324,800. The salary/hourly range for Connecticut/Nevada residents is $293,200 to $324,800. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.





        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.





        Job Keywords: Senior Behavioral Medical Director, Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote

        Keyphrases: health administration jobs, medical director jobs, hospital administration jobs, hospital administrative jobs, healthcare administration jobs, administration jobs, healthcare administrator jobs, medical administration jobs, chief medical officer jobs, medical director position jobs, associate medical director jobs, medical ceo jobs, healthcare ceo jobs, medical administrative jobs, executive director jobs

Keywords: Optum, Salt Lake City , Senior Behavioral Medical Director - Telecommute, Executive , Salt Lake City, Utah

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