Medical Director – Behavioral Health

Medical Director – Behavioral Health

Location: Remote (U.S. Based)
Employment Type: Full-Time
Salary: $137.00 to $145.00 hourly

Position Overview

We are seeking an experienced Medical Director (Behavioral Health) to provide clinical leadership and oversight across behavioral health programs within a managed care environment. This role serves as a senior clinical advisor, supporting medical management functions including utilization review, quality initiatives, and care coordination.

The ideal candidate will bring a strong background in psychiatry, managed care, and behavioral health program development, with the ability to collaborate cross-functionally and influence clinical strategy.

Key Responsibilities

• Provide clinical leadership and oversight for behavioral health programs and initiatives

• Serve as a subject matter expert and consultant on behavioral health clinical matters

• Support utilization management, quality management, case management, and disease management functions

• Conduct medical necessity reviews and participate in peer-to-peer discussions with providers

• Collaborate with senior leadership and cross-functional teams to develop and implement integrated behavioral health strategies

• Review clinical cases, quality studies, and program outcomes to identify improvement opportunities

• Provide guidance and clinical support to internal teams and stakeholders

• Participate in committees, projects, and clinical advisory activities

• Contribute to process improvement initiatives and overall program effectiveness

Qualifications

Required

• MD or DO degree

• Board Certification in Psychiatry

• Active, unrestricted medical license in the United States

• U.S. Citizenship

• Ability to obtain and maintain a Department of Defense (DoD) clearance

• 5+ years of clinical practice experience

• 5+ years of medical management experience within a managed care environment

• Experience with:

  • Utilization Management (UM)

  • Quality Management (QM)

  • Case Management (CM)

  • Disease Management (DM)

Preferred

• Experience working with government healthcare programs (e.g., TRICARE, VA, or similar)

• Advanced training or certification in medical management

• Experience in behavioral health program development and clinical leadership roles

Core Competencies

• Strong knowledge of managed care, behavioral health practices, and quality improvement methodologies

• Familiarity with URAC standards, regulatory requirements, and HIPAA compliance

• Ability to operate effectively in a matrixed, cross-functional environment

• Excellent communication and stakeholder engagement skills

• Strong clinical judgment and decision-making capabilities

• Ability to influence and collaborate with clinical and executive leadership

Work Environment

• Remote, office-based work environment

• Standard business hours with flexibility for occasional extended hours as needed

• Minimal travel required

Additional Information

• Candidates must successfully complete a credentialing process, including verification of licensure, board certification, and professional standing

• Position requires the ability to obtain and maintain appropriate security clearance