22 days old

Behavioral Medical Director Maryland

Columbia, MD 21044
  • Job Code
    844206

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. You'll help improve the health of millions. And you'll do your life's best work.(sm)

 


At Optum, our mission is to make the health system work better for all. We are currently looking for a Behavioral Medical Director to serve as the clinical team leader for behavioral managed care membership in the state of Maryland. The successful candidate will be accountable for the strategic approach to executing our annual business objectives in alignment with the larger organization. They will work collaboratively with other functional partners such as Care Advocacy, Quality Improvement, State and Legal Compliance, providing medical subject matter expertise. The MD is also actively involved in the implementation, supervision, oversight and evaluation of the Utilization Management program, develops and implements Utilization Management policies and procedures, monitors the consistency with which Utilization Management criteria are applied; through supervision, case review, training and consultations with Peer Reviewers, making coverage decisions and participates in committee meetings. Additionally, the Medical Director serves as the liaison with network providers and the medical delivery system. 

 

Primary Responsibilities:

  • Serve as the lead physician for the Behavioral Health plan working closely with medical management team leaders
  • Develop programs to promote integration of physical and behavioral health services which support continuity and coordination among all network providers
  • Overall responsibility for implementation of the Utilization Management program
  • Monitor behavioral healthcare utilization authorization and claims data for all healthcare services
  • Assure that policies adhere to contractual obligations
  • Develop targeted education and training for and provide clinical guidance to the Care Advocates
  • Direct supervision and mentorship to clinical team
  • Perform Clinical Case reviews in conjunction with Clinical and Quality departments
  • Consultation with practitioners in the Optum clinical network
  • Participation in clinical work groups as required
  • Participation in committees as required
  • Collaborate in network provider initiatives and engagement
  • Oversight of clinical decision-making
  • Facilitate coordination of core business functions across business units; Oversee the clinical administrative operations of the program to ensure appropriate services are provided under the Maryland contract


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.



For those who want to invent the future of health care, here's your opportunity. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

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Posted: 2019-11-12 Expires: 2019-12-12

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Behavioral Medical Director Maryland

UnitedHealth Group
Columbia, MD 21044

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