Senior Behavioral Medical Director Boise, Idaho
Company: Optum
Location: Boise
Posted on: September 12, 2020
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Job Description:
National Postdoctoral Association Career Center Senior
Behavioral Medical Director Boise, Idaho Senior Behavioral Medical Director Boise, Idaho 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 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. Requirements: Doctor of Medicine or Osteopathy Current license to practice as a physician without restrictions
in the state of Idaho Board certified in Psychiatry 2 years management experience overseeing multidisciplinary
teams 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 strong
organizational skills Minimal local travel Preferred Qualifications: 2 years managed care experience 5 years of experience as a practicing psychiatrist post
residency strongly preferred Experience in public sector delivery systems and experience in
state specific public sector services Experience working with community based programs and resources
designed to aid the State Medicaid population At Optum, our mission is to improve health care for all. The
Senior Behavioral Medical Director serves as the Behavioral CMO for
a large State-specific managed care organization. They provide
clinical leadership and oversight to a multidisciplinary team, work
collaboratively to develop and implement clinical policy, and align
strategic goals with business objectives. The CMO is a member of
the health plan leadership team and collaborates to oversee case
advocacy, quality improvement , regulatory compliance, and
utilization management. They will provide leadership to State-wide
initiatives for behavioral-medical intervention as well as MAT. The
CMO has the opportunity to be at the leading edge of implementation
of population health strategies. Diversity creates a healthier atmosphere: UnitedHealth Group is
an Equal Employment Opportunity/Affirmative Action employer 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. UnitedHealth Group is a drug-free workplace. Candidates are
required to pass a drug test before beginning employment. Position Title: Senior Behavioral Medical Director Boise,
Idaho 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.We are committed to introducing innovative approaches,
products and services that can improve personal health and promote
healthier populations in local communities. Our core capabilities
in clinical care resources, information and technology uniquely
enable us to meet the evolving needs of a changing health care
en... Senior Behavioral Medical Director Salt Lake City, Utah Salt Lake City, Utah, United States 19 hours ago Jobs You May Like N Director of Highways D Strategic Health Systems Manager - Western US 15800 Crabbs Branch Way, Rockville, Maryland 20855 (301)
984-4800
Keywords: Optum, Boise , Senior Behavioral Medical Director Boise, Idaho, Other , Boise, Idaho
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