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Behavioral Medical Director - Alaska - Telecommute

Company: UnitedHealth Group
Location: Wasilla
Posted on: May 9, 2022

Job Description:

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. You'll help improve the health of millions. And you'll do -your life's best work.(sm)At Optum, our mission is to make the health system work better for all. We are currently looking for a -Behavioral Medical Director -to -serve as the clinical team leader for the Optum Alaska Administrative Service Organization. The successful candidate will be accountable for the strategic approach to executing our annual business objectives in alignment with the larger organization. They will work collaboratively with other functional partners such as Care Advocacy, Case Management, Quality Improvement, State and Legal Compliance, providing medical subject matter expertise. The MD 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 Medical Director serves as the liaison with network providers and the medical delivery system. -If you are located in Alaska, 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
  • Develop 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
  • Monitor behavioral healthcare utilization authorization and claims data for all healthcare services
  • Assure that policies adhere to contractual obligations - - - - -
  • Develop targeted education and training for, and provide clinical guidance to, the Care Advocates
  • Supervision and mentorship to clinical team
  • Perform Clinical Case reviews in conjunction with Clinical and Quality departments
  • Consultation with Alaska Medicaid Behavioral Health providers
  • Participation in clinical workgroups as required
  • Participation in committees as required
  • Collaborate in 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 Alaska contractYou'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 Alaska -
    • Board certified by the American Board of Psychiatry and Neurology
    • Understanding of the Alaska Behavioral Health system of care, the services available, and the criteria for receiving services
    • Willingness to be trained in Alaska Native Culture, historical trauma, and the significance of the Adverse Childhood Experiences Survey scores for Alaskans
    • 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
    • Minimal in-state travel required depending on location
    • Full COVID-19 vaccination is an essential requirement 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 compliancePreferred Qualifications:
      • 3+ years of -clinical experience post residency
      • 2+ years of managed care experience
      • Experience in managing BH Services including mental health and substance use disorders
      • Experience in public sector delivery systems and in state specific public sector service
      • Experience working with community-based programs and resources designed to aid the State Medicaid populationTo protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employmentCareers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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.Keywords: Alaska, Psychiatrist, Behavioral, Managed Care, Psychiatry, Medical Director

Keywords: UnitedHealth Group, Anchorage , Behavioral Medical Director - Alaska - Telecommute, Executive , Wasilla, Alaska

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