Director of Neurology and Behavioral Health - Remote

** Requisition number:
** 2349748

** Job category:
** Medical & Clinical Operations

At United Healthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start  
** Caring. Connecting. Growing together*
* The  
** Clinical Program Director of Brain and Behavior
** is responsible for ideating, designing, and developing innovative specialty clinical programs focused on Neurological and Behavioral Health Conditions. This role aims to improve affordability, health outcomes, and member and provider experience. The Director manages a small team of program managers and works with healthcare analytics, clinical implementation technology, and medical management teams to develop and monitor Brain and Behavior focused Clinical Programs at United Healthcare.

The Director reports to the National Medical Director of Behavioral Health at United Healthcare Clinical Services. The ideal candidate combines clinical expertise, strategic thinking, a flexible mindset, and program development skills to create impactful solutions for members and providers.

You'll enjoy the flexibility to work remotely
* from anywhere within the U.S. as you take on some tough challenges.

*
* Primary Responsibilities:

*
* Clinical Program Ideation and Design:

+ Use clinical, claims and quality data and knowledge of emerging trends in the specialty care industry to identify key opportunities to design large-scale, enterprise-level clinical management programs that drive meaningful affordability, quality, and experience outcomes across diverse populations and lines of business

+ Leverage advanced analytics, including artificial intelligence (AI) and large language models (LLMs) when appropriate to enhance program design efficiency, automate insights, and identify innovative clinical pathways that support proactive and personalized care

+ Use clinical, claims, and quality data to identify high-impact cost drivers, utilization trends, and care variation at scale

+ Conceptualize new clinical programs that incorporate technology-enabled care models, digital engagement strategies, and modern decision-support tools for pre and post service medical management and value-based care

+ Build feasibility business cases and financial models to assess operational readiness and impact when implemented at scale

+ Incorporate evidence‑based medical policies, clinical guidelines, and a broad spectrum of actionable insights  -  including claims data, clinical outcomes data, utilization trends, quality metrics, member‑reported outcomes, digital engagement signals, market intelligence, provider performance patterns, and operational throughput data  -  gathered across markets, providers, and enterprise data sources

+ Foster stakeholder alignment and cross-functional collaboration to ensure programs are designed to support national scalability, operational sustainability, and continual innovation

Data-driven strategy:

+ Analyze claims utilization and variation, clinical, and quality data to identify opportunities for clinical program development and improvement

+ Use clinical insights and knowledge to inform program design and measure impact

+ Work with program managers and analytics teams to accurately model performance expectations to correlate the expected affordability to the operational reality of the program

+ Analyze appeal trends, overturn rates, peer-to-peer outcomes, and clinical documentation to develop targeted interventions, provider feedback loops, and continuous improvement plans

+ Collaborate with analytics teams to develop Key Performance Indicators and to build dashboards tracking program performance

Stakeholder Collaboration

+ Seek input from network teams, market teams and external vendors to develop program models

+ Build and maintain solid relationships with executive leadership across internal teams to ensure effective support and feedback loops and that deliverables are met

+…