Medical Director

The Medical Director role is based in the United States and provides senior clinical leadership across behavioral health programs, utilization management, and quality improvement initiatives.

About the role

• 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.
• 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.
• Able to work independently while maintaining accountability, professionalism, and sound clinical judgment.
• Able 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.

How Jobgether Works

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!

Why Apply Through Jobgether?

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans.