19 days old

Senior Behavioral Medical Director Part Time

Boise, ID 83702
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  • Job Code
    865011

At Optum, our mission is to make the health system work better for all. The Part-Time Senior Behavioral Medical Director serves as the clinical team leader for a large behavioral managed care membership in the state of Idaho. 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 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 Senior Medical Director serves as the liaison with network providers and the medical delivery system.


Responsibilities

  • Serve as the lead physician for the Behavioral Health plan working closely with medical management team leaders
  • Develops 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
  • 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
  • Direct Supervision and mentorship to Psychiatry team
  • 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
  • Participation in committees as required
  • Collaborates in network provider initiatives and engagement

 

 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.

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Posted: 2020-03-14 Expires: 2020-04-13

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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Senior Behavioral Medical Director Part Time

UnitedHealth Group
Boise, ID 83702

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