1+ months

Senior Behavioral Medical Director Utah Telecommute

Salt Lake City, UT 84111 Work Remotely
Apply Now
Apply on the Company Site
  • Job Code
    892242

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 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
  • Leadership and oversight of contract adherence as well as Profit & Loss management
  • 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

 

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.

 

",
Posted: 2020-09-15 Expires: 2020-11-15

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.

Sponsored by:
ADP Logo

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Senior Behavioral Medical Director Utah Telecommute

UnitedHealth Group
Salt Lake City, UT 84111

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast