Medical Director

This is a fully remote position, open to applicants in Michigan.

📋 Description

• Offer clinical leadership and oversight for behavioral health programs, utilization management efforts, and quality initiatives.

• Deliver clinical oversight and medical management for behavioral health programs.

• Act as the primary clinical resource for intricate case reviews, utilization management decisions, and consultations with providers.

• Collaborate with health plans, providers, and internal stakeholders to promote evidence-based practices in behavioral health.

• Enhance member outcomes and broaden access to mental health and substance use disorder services.

• Propel initiatives related to behavioral health quality, utilization, and performance by overseeing clinical metrics, quality improvement programs, and evidence-based care standards.

• Evaluate clinical performance data and implement strategies to enhance access, quality outcomes, operational efficiency, and member experience.

• Ensure adherence to relevant regulatory, accreditation, and quality standards.

• Provide clinical consultation, education, and subject matter expertise to internal teams, health plan partners, and provider networks.

⛳️ Requirements

• Active, unrestricted Physician (MD or DO) license in the State of Michigan.

• Willingness and capability to obtain and maintain additional state licenses as necessary.

• Board certification in Psychiatry.

• A minimum of 5 years of experience as a practicing psychiatrist with expertise in behavioral health, mental health, and/or substance use disorder populations.

• At least 3 years of experience in a managed care environment and/or utilization management.

• Demonstrated experience in driving clinical outcomes, quality improvement, and operational performance.

• Experience in collaborating with multidisciplinary teams and external stakeholders, including health plans, providers, regulators, and community partners.

• Strong knowledge of healthcare regulations, accreditation standards, and quality improvement methodologies.

• Ability to travel up to 25%.

• Capability to pass a background check upon hire and throughout employment.

• High-speed internet service with a minimum download speed of 20 Mbps, upload speed of 5 Mbps, and maximum latency of 100 milliseconds.

• A quiet workspace with minimal background noise for calls.

• Extensive knowledge of evidence-based clinical practices, population health, quality metrics, and regulatory requirements.

• Strong clinical judgment, analytical thinking, and data-driven decision-making abilities.

• Capability to develop, optimize, and evaluate clinical programs, care models, and performance improvement initiatives.

• Strategic leadership and change management skills focused on innovation and operational excellence.

🏝️ Benefits

• Annual performance-based, discretionary incentive.

• Medical, dental, and vision coverage.

• 401(k) with a competitive employer match.

• Company-paid life and disability insurance.

• Paid parental leave and wellbeing incentives.

• Generous paid time off, including volunteer time.

• Flexible spending accounts for healthcare and dependent care.

• Opportunities for professional development and tuition reimbursement.

• Remote work flexibility (role-dependent).

• Company-provided equipment.

• Opportunities for meaningful personal and professional growth.