• 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
• 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

• 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

Candidates are required to pass a drug test before beginning employment

• 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