Behavioral Medical Director

Optum
Published
July 28, 2022
Location
Baltimore, MD
Category
Other  
Job Type
Work Setting
Remote / Home-based, In-office

Description

If you are located in Maryland, you will have the flexibility to telecommute* 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
  • 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  clinical 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
  • 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.

Required Qualifications

  • Doctor of Medicine or Osteopathy
  • Current license to practice as a physician without restrictions in the state of Maryland
  • Board certified by the American Board of Psychiatry and Neurology; with additional board certification in Addiction Medicine or Addiction Psychiatry
  • Understanding of the Maryland Behavioral Health system of care, the services available, and the criteria for receiving services
  • 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
  • Ability to travel locally (minimal) depending on location
  • Reside in the state of Maryland
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications

  • 3+ years of clinical experience post residency
  • 2+ years managed care experience
  • Experience in managing BH Services including mental health and substance use disorders
  • Experience in public sector delivery systems and experience in state specific public sector service
  • Experience working with community-based programs and resources designed to aid the State Medicaid population
  • Experience working with child and adolescent populations
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