Behavioral Medical Director Licensed and Residency in ...

Optum delivers care, assisted by technology aimed at improving health outcomes. This Behavioral Medical Director role will directly impact health optimization at a global scale. 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. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Collaborate with the Utilization Management and Care Management teams to ensure delivery of cost"‘effective quality care that incorporates recovery, resiliency and person"‘centered services Partner with the internal UM and CM teams, Health Plan, NJ state and the Providers Responsible for 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. Required Qualifications: Doctor of Medicine or Osteopathy Current license to practice as a physician without restrictions in the state of New Jersey Board certified in Psychiatry Knowledge of post"‘acute care planning such as home care, discharge planning, case management, and disease management Demonstrated understanding of the clinical application of the principles of engagement, empowerment, rehabilitation and recovery Familiar with Substance Use Disorders, ASAM and treatment modalities including MAT (Medication Assisted Treatment) Computer and typing proficiency, Microsoft Outlook and Teams, and data analysis Currently reside in the state of New Jersey Preferred Qualifications: 3+ years of experience as a practicing psychiatrist post residency Managed care experience Experience in public sector delivery systems and experience in state specific public sector services Experience working with community"‘based programs and resources designed to aid the State Medicaid population *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Compensation for this specialty generally ranges from $268,000 - $414,000. 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. Equal Employment Opportunity: UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug"‘free workplace. Candidates are required to pass a drug test before beginning employment. #J-18808-Ljbffr

Created: 2026-04-20