Talent.com
Behavioral Medical Director East Region - Remote
Behavioral Medical Director East Region - RemoteUnitedHealth Group • New York, NY, United States
Behavioral Medical Director East Region - Remote

Behavioral Medical Director East Region - Remote

UnitedHealth Group • New York, NY, United States
4 days ago
Job type
  • Full-time
  • Remote
Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

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 and offer clinical, procedural, or administrative recommendations to psychiatrists and other behavioral health providers, medical physicians and nurses, clinical professionals, and / or state agencies who care for members, or consult on various processes and programs. The Medical Director is part of a leadership team that manages development and implementation of evidence-based treatments and medical expense initiatives and will also advise leadership on health care system improvement opportunities. They are responsible for maintaining the clinical integrity of the program, including timely peer reviews, appeals and consultations with providers and other community-based clinicians, including general practitioners, and will work collaboratively with the Health Plan Medical Director, Clinical, Network and Quality staff. At Optum, our clinical vision drives the team to improve the quality of care our consumers receive.

If you are located in New Jersey, you will have the flexibility to work remotely

  • as you take on some tough challenges.

Primary Responsibilities :

  • Ensuring delivery of cost-effective quality care that incorporates recovery, resiliency and person-centered services
  • Level of Care guidelines and utilization management protocols
  • Oversight and management, along with the Clinical Director and Clinical Program Director, utilization review, management and care coordination activities
  • Provide clinical oversight to the clinical staff, oversee the management of services at all levels of care in the benefit plan
  • Keep current regarding Evidence Based Practices and treatment philosophies including those that address Recovery and Resilience
  • 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 in Psychiatry; and Child and Adolescent Psychiatry
  • 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 necessary
  • Preferred Qualifications :

  • 3+ years of experience as a practicing psychiatrist post residency
  • Managed care experience
  • 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
  • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
  • Compensation for this specialty generally ranges from $258,000 to $423,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives.

    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.

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

    Create a job alert for this search

    Medical Director • New York, NY, United States

    Related jobs
    Behavioral Medical Director - Remote

    Behavioral Medical Director - Remote

    UnitedHealth Group • New York, NY, United States
    Remote
    Full-time
    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...Show more
    Last updated: 30+ days ago • Promoted
    New Jersey Licensed Behavioral Medical Director

    New Jersey Licensed Behavioral Medical Director

    VirtualVocations • Astoria, New York, United States
    Full-time
    A company is looking for a Behavioral Medical Director for the East Region, working remotely.Key Responsibilities Oversee and direct the Utilization Management Program, ensuring delivery of quali...Show more
    Last updated: 5 days ago • Promoted
    New York Licensed Behavioral Medical Director

    New York Licensed Behavioral Medical Director

    VirtualVocations • Jamaica, New York, United States
    Full-time
    A company is looking for a Behavioral Medical Director - Remote.Key Responsibilities Oversee and guide the Utilization Management team, ensuring cost-effective quality care Implement Level of Ca...Show more
    Last updated: 30+ days ago • Promoted
    Medical Director

    Medical Director

    Acacia Network • New York, NY, US
    Full-time
    Are you ready to give back to the community while pursuing your passion? For over 50 years, Acacia Network and its affiliates have been committed to improving the quality-of-life and wellbeing of u...Show more
    Last updated: 30+ days ago • Promoted
    Director of Nursing (DON)

    Director of Nursing (DON)

    Wayne Surgical Center LLC • Wayne, NJ, US
    Full-time
    DIRECTOR OF NURSING - $80,000 / year.Elite Surgical Center is seeking an experienced full-time Director of Nursing to lead our exceptional team. We are a state-of-the-art Ambulatory Surgical Center lo...Show more
    Last updated: 23 days ago • Promoted
    Director, Clinical Excellence, East - Remote, USA

    Director, Clinical Excellence, East - Remote, USA

    Calyxo • New York, NY, US
    Remote
    Full-time
    The company was founded in 2016 to address the profound need for improved kidney stone treatment.Kidney stone disease is a common, painful condition that consumes vast amounts of healthcare resourc...Show more
    Last updated: 1 day ago • Promoted
    Regional Medical Director

    Regional Medical Director

    Physician Affiliate Group of New York • New York, NY, US
    Full-time
    Physician Affiliate Group of New York (.Regional Medical Directors to lead the.Opportunities available in Brooklyn of New York City. NYC Health + Hospitals / Gotham Health.We provide the full spectrum...Show more
    Last updated: 30+ days ago • Promoted
    Content Acquisitions Director, Rest of the World

    Content Acquisitions Director, Rest of the World

    Amazon.com • New Brunswick, NJ, USA
    Full-time
    At Audible, we believe stories have the power to transform lives.It’s why we work with some of the world’s leading creators to produce and share audio storytelling with our millions of global liste...Show more
    Last updated: 28 days ago • Promoted
    Maryland Licensed Medical Director

    Maryland Licensed Medical Director

    VirtualVocations • Newark, New Jersey, United States
    Full-time
    A company is looking for a Health Plan Medical Director Physician.Key Responsibilities Participate in the development and execution of case management, disease management, and population health m...Show more
    Last updated: 30+ days ago • Promoted
    Remote Medical Director- New York

    Remote Medical Director- New York

    Centene Corporation • New York City, NY, US
    Remote
    Full-time +1
    You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified, national organization offe...Show more
    Last updated: 7 hours ago • Promoted • New!
    Area Dental Director

    Area Dental Director

    Sutton Dental & Braces - a Benevis company • Stamford, CT, US
    Full-time
    T his position is responsible for the assimilation and smooth operation of productive dental teams across multiple sites. In conjunction with the Chief Dental Officer, VP of Clinical Performance, Ch...Show more
    Last updated: 17 days ago • Promoted
    Behavioral Medical Director - Remote

    Behavioral Medical Director - Remote

    Optum • New York City, NY, US
    Remote
    Full-time
    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...Show more
    Last updated: 2 days ago • Promoted
    Medical Director - Family Medicine

    Medical Director - Family Medicine

    VirtualVocations • Astoria, New York, United States
    Full-time
    A company is looking for a UM Medical Director specializing in Family Medicine, Internal Medicine, or Sports Medicine, to work remotely. Key Responsibilities : Conduct coverage reviews and render c...Show more
    Last updated: 5 days ago • Promoted
    Behavioral Medical Director East Region - Remote

    Behavioral Medical Director East Region - Remote

    Optum • New York City, NY, US
    Remote
    Full-time
    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...Show more
    Last updated: 2 days ago • Promoted
    Senior Medical Director - Psychiatrist - Remote Based

    Senior Medical Director - Psychiatrist - Remote Based

    Syneos Health / inVentiv Health Commercial LLC • New York, NY, United States
    Remote
    Full-time
    Senior Medical Director - Psychiatrist - Remote Based.Syneos Health is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success.We translate unique c...Show more
    Last updated: 19 days ago • Promoted
    Travel Lab Director

    Travel Lab Director

    OneStaffMedical • Pompton Plains, NJ, US
    Full-time
    An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find ...Show more
    Last updated: 1 day ago • Promoted
    Senior / Executive Medical Director

    Senior / Executive Medical Director

    HUTCHMED • Florham Park, NJ, US
    Full-time
    The (Senior / Executive) Medical Director (MD) - will provide strategic leadership to develop Clinical Development Plan (CDP), working closely with partners in Pre-Clinical, Regulatory, Safety, Stats...Show more
    Last updated: 18 days ago • Promoted
    Director, Platform Enablement RLT & RLI (US Medical) 2 of 2

    Director, Platform Enablement RLT & RLI (US Medical) 2 of 2

    Novartis Group Companies • East Hanover, NJ, United States
    Full-time
    Location : Remote : This position can be based remotely in US.Please note that this role would not provide relocation as a result. The expectation of working hours and travel (domestic and / or internat...Show more
    Last updated: 30+ days ago • Promoted