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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity 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 Clinical Management Program. This individual will be part of a team of Optum Psychiatrists and will work closely with community Behavioral Health Providers. 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, consultations, and Medical-Behavioral Integration activities. The responsibilities include working collaboratively with the Health Plan Medical Director, Clinical (Utilization Management and Care Coordination), Network and Quality staff. At Optum, our clinical vision drives the team to improve the quality of care our consumers receive.If you are located in the state of North Carolina, you will have the flexibility to work remotely as you take on some tough challenges.Primary Responsibilities:
Ensuring delivery of cost-effective quality care that incorporates recovery, resiliency and person-centered services
Level of Care guidelines and utilization management protocols
Oversight and management, along with the Executive 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
Attend onsite 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 North Carolina
Currently reside in North Carolina
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 organizational skills
Proven ability to participate in weekend call coverage
Willing or ability to minimal travel as needed for meetings
Preferred Qualifications:
Board certification in Child and Adolescent Psychiatry; Addiction experience/training
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 PolicyAt 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.
