Job Description
Optum | A culture of Caring. Connecting. Growing together. Optum is hiring a Behavioral Medical Director to provide oversight and direction of the utilization management program and perform peer reviews as necessary for the New Jersey. 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. What you bring: MD or DO degree, board certification in Psychiatry Active, unrestricted medical license in New Jersey Minimum of 5 years of clinical practice experience Familiar with substance use disorder, ASAM and treatment modalities including medication assisted treatment MAT Why Join Optum? Career development and visibility within a Fortune 3 company Influence system-level change Work as part of a collaborative behavioral health team Remote flexibility - work from home Consistent weekday schedule Purpose-driven team culture