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National Sr Behavioral Medical Director (Telecommute)

UnitedHealth Group


Location:
San Francisco, CA
Date:
02/20/2018
2018-02-202018-03-21
Job Code:
745913
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Job Details

745913 National Sr Behavioral Medical Director Telecommute

National Sr Behavioral Medical Director (Telecommute) (745913)

Position Description

Medical Director careers at UnitedHealth Group are anything but ordinary. We push ourselves and each other to find smarter solutions. The result is a culture of performance that's driving the health care industry forward. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Join us. And start doing your life's best work.(sm)

 

The National Senior Medical Director will report to the Chief Medical Officer for Optum Behavioral and will be responsible for providing strategic direction, and development of programs designed to optimize quality, affordability and delivery of culturally competent behavioral health care services.  Our focus is on improving the quality and affordability of health care services provided for acute and chronic behavioral health care conditions.

 

 

The role itself must be a deep subject matter expert who can drive execution and change through collaboration and relationships. They will work closely with the product organization, analytics, operations and other matrix partners to seek ways to enhance and quantify the value of existing services and develop new products and solutions to address emerging opportunities.  This role will be partnered with a Channel Lead and together will develop strategies to address the existing and emerging clinical and affordability needs of external and internal customers.  They will continuously seek to identify potential growth opportunities and provide clinical support to OBH in presenting solutions to potential new clients. The role will require proficiency in presenting on clinical programs in front of diverse audiences.

 

 

Primary Responsibilities:

  • Collaborate with product organization, operations, analytics and other matrix partners through all phases of product development, implementation, maintenance and the sales process

  • Provide clinical strategy for programs designed to optimize quality, affordability and delivery of culturally competent behavioral health care services

  • Collaborate with product organization and functional partners to continually seek ways to enhance and quantify the value of existing services and develop new products and solutions to address emerging market opportunities

  • Work in partnership with operational teams to address variation in quality and affordability using the most efficient and effective process, and to avoid overlapping or redundant approaches

  • Support the execution of academic partnerships, publications, presentations and other activities that positions CSG and OBH as the clinical thought leader in areas of strategic importance

  • Support the business in identifying market trends that should influence key investments (i.e., technology investments and / or M&A)

  • Represent OBH as point of contact for state and national professional societies / trade associations and through speaking opportunities at local and national conferences

  • Collaborate with internal and external partners to publish high impact content focused on improving quality and affordability

  • Evaluate clinical and other data (e.g., quality metrics, claims data, bed-day data, usage data) to identify opportunities for improvement of clinical care and processes

  • Continuously seek to identify potential growth opportunities and provide clinical support to OBH in presenting solutions to potential new clients

  • Collaborate with all internal partners to socialize consumer and provider NPS data and drive actions that create a better consumer and provider experience and improvement in our Net Promoter Scores (NPS)

  • In partnership with other provider experience Optum partners, help develop provider segmentation models that determine the best mode of provider interaction/engagement and ease of experience

  • Enhance programs that build trust within the provider community and encourage providers to partner with OBH on clinical initiatives that drive improved consumer outcomes and reduced costs of care

  • Improve the ability of our programs to deliver actionable, real-time data into the hands of our providers

  • Focus on improving the service system through enhancements to network services, provider engagement and consumer experience

  • Create and maintain strong relationships with key clinical leaders across Optum and UHG

  • Represent CSG on clinical committees within and outside of Optum

  • Participate in response development and delivery to high level questions, concerns and complaints from regulators, accreditors, legal / risk management, employers, healthcare providers, and other stakeholders

  • Manage challenging conversations with appropriate interpersonal dynamics when discussing programs that impact quality and / or affordability and areas of disagreement

  • Deliver group presentations on clinical programs

  • Assist in development of technical / clinical communications that will be delivered to external audiences (e.g., new clinical policies, programs, processes)

  • Discuss case information with internal or external parties (e.g., case managers, other medical directors, clinical providers, physicians)

  • Provide feedback to team members and other departments to refine decision making and promote a shared understanding of benefit or coverage decisions

  • Discuss clinical program outcomes, data and performance with providers, employers, accreditors and regulators

  • Solicit or respond to input on clinical initiatives and guidelines (e.g., providers, specialty societies, clinical experts)

  • Assess and interpret complex financial and clinical data to evaluate feasibility of proposed initiatives

  • Identify and implement development resources in response to business needs and regulatory changes

  • Support expansion of OptumHealth Education content into the provider community

Required Qualifications:

  • Doctorate of Medicine (MD or DO) degree with unrestricted medical license

  • Board certified in Psychiatry

  • 7+ years of behavioral clinical practice experience and 5+ years in managed care industry with strong knowledge of managing behavioral benefit risk

  • 5+ years of behavioral managed care experience across the continuum of care including acute and chronic condition management, utilization management and preventative services

  • Familiarity with commercial, government and provider markets and experience setting clinical policy for wellness, case management, disease management and specialized networks

  • Demonstrated accomplishments in the areas of behavioral care delivery systems, utilization management, case management, disease management, quality management, product development and peer review

  • Business experience in addition to a clinical background is a key attribute for success in this role

  • Experience in client-facing customer relationship management

  • Excellent presentation skills for both clinical and non-clinical audiences

  • Experience in population health management

  • Past success working collaboratively in a highly - matrixed environment

  • Ability to navigate ambiguity and seek appropriate resources / tools

  • Self - motivated and able to work with little direct supervision and drive results with disciplined follow-though

  • Strong strategic thinking and business acumen with the ability to align clinical related strategies and recommendations with business objectives

  • Adaptable and flexible style of collaborating

  • Proven ability to quickly gain credibility, influence and partner with staff, business leaders and the clinical community

  • Visibility and involvement in medical community

  • Strong belief in evidence - based medicine and familiarity with current behavioral issues and practices

  • Ability to develop relationships with network and community providers

  • Willingness to travel as determined by business need

 

 

 

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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)


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: Psychiatrist, Behavior, Physician, Managed Care, Telecommute, Psychiatry

Job Details

  • Contest Number745913
  • Job TitleNational Sr Behavioral Medical Director (Telecommute)
  • Job FamilyMedical and Clinical Operations
  • Business SegmentOptum Consumer Solutions Group

Job Location Information

  • San Francisco, CA
    United States
    North America
  • Other LocationsHouston, TX
    Denver, CO
    Indianapolis, IN
    Boston, MA
    Atlanta, GA

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job Level
  • ShiftDay Job
  • TravelYes, 25 % of the Time
  • Telecommuter PositionYes
  • Overtime StatusExempt

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.

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