UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Description
OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you want more meaning in your career - as a clinician or a business professional - think of OptumHealth as your calling.
By providing 60 million Americans with information, tools and solutions, we are helping to guide them through the health care system, financing their health care needs, and enabling them to achieve their personal health and well-being goals.
Position Summary:
The Medical Director is responsible for the development and implementation of clinical standards and guidelines, quality assurance activities, and behavioral medicine initiatives. You will guide clinical innovation and promotion of evidence based practices, anticipates clinical strategic needs and processes and guides change as appropriate. You will have overall responsibility for ensuring the clinical excellence of services provided to all members.
Primary Responsibilities:
· Responsible for delegation of adherence to quality standards and quality improvement.
· Recommends changes and modifications of current protocols such as level of care guidelines and process for purpose of quality improvement.
· Develops and participates in clinical and quality management processes
· Monitor and trend compliance with established clinical performance standards and oversee action plans to ensure compliance.
· Develops and promotes the coordination of behavioral and medical care.
· Oversees the review of inpatient hospitalization and other acute care services
· Keeps current regarding prevalent treatment policies, guidelines and philosophies.
· Participates in the credentialing and privileging of psychiatric clinicians
· Liaison with Provider Services to include participation in Provider Credentialing, Oversight and Appeals Committees
At OptumHealth, you will perform within an innovative culture that's focused on
transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.
Qualifications
Qualifications:
- Medical degree with an active unencumbered license in the State of California
- Board certified in psychiatry
- Minimum of 10 years post-licensure experience, including experience in an organized healthcare setting as a senior clinician leader with responsibility for clinical standards, quality improvements and clinical supervision.
Additional Assets Preferred:
- Strong presentation skills
- Expertise in behavioral healthcare treatment modalities.
- Experience as a Medical Director in a managed behavioral health plan setting
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
