Medical Director, Child and Adolescent Psychiatrist

Responsibilities

• Carry a clinical caseload of up to 50% (adjusted as administrative responsibilities evolve), providing psychiatric diagnostic evaluations and ongoing medication management to pediatric patients across multiple states.
• Own the psychiatry service line end-to-end: clinical quality, provider performance, care protocols, and alignment with Brightline's evidence-based care standards.
• Collaborate closely with peer service line owners in therapy, psychological testing, and coaching to ensure coordinated, multidisciplinary care delivery.
• Sign and maintain Collaborative Practice Agreements (CPAs) with nurse practitioners; partner with the CMO, Legal, and Compliance on the strategic framework governing CPAs across jurisdictions.
• Document work meticulously, including session notes, care plans, and progress in the electronic health record.
• Directly supervise and manage a psychiatry team composed primarily of nurse practitioners, as well as a pediatrician, with potential growth to include additional psychiatrists.
• Exercise hiring and personnel decision authority in collaboration with the CMO, including recruitment, onboarding, performance management, and when necessary, offboarding.
• Conduct regular 1:1s, case reviews, and clinical office hours to support the professional growth, clinical development, and accountability of team members.
• Foster a culture of psychological safety, high standards, and continuous learning within the psychiatry department.
• Develop and maintain clinical protocols, treatment pathways, and quality assurance processes for the psychiatry service line.
• Lead chart reviews and ongoing quality monitoring to ensure adherence to evidence-based care and Brightline's clinical standards.
• Identify and escalate systemic clinical risks, regulatory issues, and practice gaps, partnering with the CMO and Compliance to address them proactively.
• Contribute to organizational policies and procedures as they relate to psychiatry, controlled substance prescribing, and multi-state telehealth compliance.
• Co-manage the psychiatry department budget in collaboration with the CMO, providing input on resource allocation, staffing needs, and operational priorities.
• Monitor productivity and care delivery metrics to support service line efficiency and sustainability.
• Partner with Care Operations to optimize workflows, reduce clinician burden, and ensure smooth day-to-day function of the psychiatry team.
• Utilize AI tools to enhance clinical workflows, documentation quality, and care delivery within the psychiatry service line and in multidisciplinary collaboration.
• Provide clinical input on technology builds, including documentation tools, decision support features, and patient-facing enhancements.
• Evaluate new telehealth technologies and contribute clinical perspective to Brightline's broader AI strategy.
• Develop corporate-wide methods, techniques, and evaluation criteria for psychiatric care to ensure alignment with evidence-based practices.
• Resolve highly complex clinical and operational issues where standard field-specific principles may not fully apply, particularly at the intersection of telehealth and emerging regulations.
• Make critical decisions regarding clinical safety protocols and "Collaborative Practice Agreements" where the outcomes have a long-term impact on the success of the organization.
• Oversee the cross-licensing strategy to ensure the prescribing team can meet the demands of a rapidly growing, multi-state member base.

Requirements

• Board-certified Child and Adolescent Psychiatrist with proven expertise in conducting comprehensive psychiatric evaluations, diagnoses, and treatments for a diverse range of mental health concerns in pediatric patients.
• Ability to work collaboratively within a multidisciplinary team to incorporate a pathway-driven approach to delivering high-quality, evidence-based care to members and families.
• Multi-state licensed or willing and able to obtain cross-licensure, with administrative support and financial sponsorship provided.
• Demonstrated direct people management experience, including supervision, performance development, and personnel decisions — whether through a formal medical director role, chief residency, chief fellowship, or comparable leadership position.
• Experience supervising nurse practitioners and comfort supporting the clinical growth, development, and personnel management of a prescribing team.
• Ability to foster a culture of clinical excellence, psychological safety, and accountability.
• Innovation & Adaptability Approaches care delivery with fresh thinking; not rigidly anchored to traditional models or "how things have always been done."
• Comfort and demonstrated experience with AI tools, telehealth platforms, and digital health technologies.
• Thrives in fast-paced, ambiguous environments where building from scratch is the norm rather than the exception.
• Passionate about technology-driven care delivery models and committed to continuously improving care quality through innovation.
• Cross-Functional Collaboration Experience working collaboratively with cross-functional teams (Product, Engineering, Care Operations) to support technology-driven care delivery models.
• Clear and effective communicator in a fully remote setting, keeping team members informed, engaged, and aligned.
• Ability to translate clinical needs and priorities into actionable input for non-clinical stakeholders.

About the Role

Brightline is a therapy and psychiatry practice that delivers expert pediatric, teen, and parental mental health care to families and kids up to age 18. Brightline’s virtual and in-person outpatient services include diagnostic evaluation, therapy, psychiatry services (e.g. medication management), and psychological testing (to assess learning differences, school readiness, executive functioning difficulties [e.g. ADHD], and autism).

Qualifications

Willingness to travel periodically (a few times per quarter) to support leadership alignment, team engagement, and key organizational initiatives.

Benefits

• Medical, Dental, Vision, Long-Term Disability, Life Insurance, Flexible Spending Account, and 401k
• Company Holidays + Floating Holidays, Holiday Shutdown, Paid - Time Off, Parental Leave
• Health and Wellness Stipend, Home Office Reimbursement and Professional Development Reimbursement
• Stock Options