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The Behavioral Medical Director position is responsible for providing oversight to and direction of the Utilization Management Program and performing peer reviews as necessary. This individual will interact directly with Psychiatrists, Prescribers, and other clinical professionals who consult on various processes and programs. It will include roles which manage development and implementation of utilization management and quality initiatives. The Medical Director will also advise leadership on improvement opportunities regarding Utilization Management programs and clinical activities. Our clinical vision drives the team to improve the quality of care our consumers receive.

Primary Responsibilities:

• Conducts Peer Reviews with prospective review focus in specialized behavioral outpatient care

• Conducts retrospective review of post service requests for coverage (all levels of care)

• Consults with Care Advocate staff in virtual medical rounds and case consultation

• Shares information with providers related to high quality health care delivery

• Shares information with providers related to high managed pharmacy projects

• Actively participate in committees and meetings

• Seeking individual who is willing to work as part of a multidisciplinary team as an equal with team members

• Works closely with the Senior Medical Director and team

• Assists in implementations related to Community & State and Employer & individual businesses

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

• Board certified by the American Board of Psychiatry and Neurology

• 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 experience, and solid organizational skills

Preferred Qualifications:

• Board certified in child and adolescent psychiatry

• 3+ years of post-residency experience

• Managed care experience

• Willing to obtain additional licensure (e.g., Texas, New Mexico)

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $305,179 to $428,250 annually. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At 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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.