Dell B.

About Dell B.

Excellent clinical skills- patient care, diagnostic skills and treatment planning, psychopharmacology. Experienced in evidence-based medicine, best practices, standards of care. Extensive utilization review and management skills, Frequent communication with physicians on national level, Excellent writing and speaking skills. Experienced in group presentations, sales support,\"subject matter expert\". Passion: medical-behavioral integration. Goals: Continue to do the work of a good psychiatrist, keep patients/members first, and synthesize these experiences and skills into leadership opportunity. Specialties and Accomplishments: good liaison between disciplines, medical and behavioral and departments therein.

Experience

1. Medical Director, Behavioral Health

   Elevance Health

   Sep 2013 — Present · Houston, TX, US

   Behavioral Health Medical Director for Texas Health Plan, mental health and substance use disorder treatment benefit administration. Diversified Business Group, Government Business Division, Medicaid. Serve as the BH Texas Clinical Lead for issues related to Health Plan. Consult with medical directors for all Western region states regarding program development and implementation. We are a member-centric organization. Duties include: utilization management via reviews and appeals, using evidence based clinical guidelines and standard of care; analysis of UM metrics; work closely with Behavioral Clinical Operations Team to maintain quality care for our members. Also work closely with Texas Health Plan and Corporate Leadership to provide behavioral health expertise for our integrated medical-behavioral care model. participate in complex case management rounds, specialty rounds including benefits for our members with high risk illnesses. Work closely with data analysts in several areas of operations, participate in new program design, implementation and operation. Current focus is on Population Health Management, Rural Access to Healthcare. Close interactions with Clinical Solutions Team, Healthcare Management, Provider Solutions/Relations/Experience, Contracting, Regulatory, Compliance, Quality Management and Pharmacy. Member of Anthem Behavioral Health Medical Advisory Committee (MAC) and Quality Management Committee, Texas; Medical Advisory Committee, Quality Management Committee and Credentialing Committee. Also work closely and collaboratively with other behavioral health medical directors in Texas and the Government Business Division, Anthem, nationally.

Education

• University of Houston

  Bachelor of Sciences, Cum Laude, Environmental Management, 3.86

  1978 — 1980

• The University of Texas Medical Branch at Galveston

  MD, Medicine, and General Psychiatry Residency

  1985 — 1989

• University of Houston

  Pre-Medicine/Pre-Medical Studies

  1983 — 1985