Medical Director

Accountabilities

• • Provide clinical leadership, oversight, and medical management for behavioral health programs and utilization management activities.
  • Serve as the primary clinical resource for complex case reviews, utilization management decisions, and provider consultations.
  • Partner with health plans, healthcare providers, and internal stakeholders to promote evidence-based behavioral health practices and improve member outcomes.
  • Support initiatives that expand access to mental health and substance use disorder services.
  • Oversee clinical metrics, quality improvement programs, utilization measures, and evidence-based standards of care.
  • Analyze clinical and performance data to identify opportunities and implement strategies that improve access, quality, operational effectiveness, and member experience.
  • Lead or contribute to behavioral health quality, utilization, and performance improvement initiatives.
  • Ensure clinical programs and practices remain compliant with applicable regulatory, accreditation, and quality standards.
  • Provide clinical consultation, education, and subject matter expertise to internal teams, health plan partners, and provider networks.
  • Monitor emerging behavioral health trends and incorporate relevant best practices into clinical programs and care models.
  • Collaborate with multidisciplinary teams and external stakeholders, including providers, regulators, health plans, and community partners.
  • Contribute to the development, optimization, and evaluation of clinical programs and performance improvement initiatives.
  • Support strategic change management and operational excellence across behavioral health services.
  • Travel as required, up to approximately 25%.

  Requirements

  • Active, unrestricted Physician (MD or DO) license in the State of Michigan, with the ability and willingness to obtain and maintain additional state licenses as required.
  • Board certification in Psychiatry.
  • At least 5 years of experience practicing as a psychiatrist, with expertise in behavioral health, mental health, and/or substance use disorder populations.
  • At least 3 years of experience in a managed care and/or utilization management environment.
  • Proven experience driving clinical outcomes, quality improvement, and operational performance.
  • Strong knowledge of evidence-based clinical practices, population health, quality metrics, healthcare regulations, accreditation standards, and quality improvement methodologies.
  • Demonstrated ability to collaborate effectively with multidisciplinary teams and external stakeholders.
  • Strong clinical judgment, analytical thinking, and data-driven decision-making skills.
  • Experience developing, optimizing, and evaluating clinical programs, care models, and performance improvement initiatives.
  • Strategic leadership and change management capabilities, with a focus on innovation and operational excellence.
  • Excellent communication, consultation, and relationship-building skills.
  • Ability to adapt effectively to a changing healthcare environment and respond with agility to evolving priorities.
  • Strong commitment to compassionate, empathetic, inclusive, and patient-centered care.
  • Ability to work independently while maintaining accountability, professionalism, and sound clinical judgment.
  • Ability to pass required employment screening and background verification processes.
  • Comfortable working remotely with company-provided equipment, a quiet workspace, and reliable high-speed internet.

  Benefits

  • Annual compensation of $270,000–$310,000, plus an annual performance-based discretionary incentive.
  • Comprehensive medical, dental, and vision coverage.
  • 401(k) plan with competitive employer matching.
  • Company-paid life and disability insurance.
  • Paid parental leave.
  • Generous paid time off, including volunteer time.
  • Employee wellbeing incentives.
  • Flexible spending accounts for healthcare and dependent care.
  • Professional development opportunities and tuition reimbursement.
  • Remote work flexibility.
  • Opportunity to contribute to behavioral health programs serving a broad member population.
  • Meaningful professional growth within a mission-driven healthcare environment.
  • Collaborative work with health plans, providers, clinical teams, and other healthcare stakeholders.