Medical Director – Psychiatry

🔥 3 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $260k - $280k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Curative

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2020

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

Curative is an employer-focused health insurance company offering a next-generation group health plan that emphasizes affordability, engagement, and simplicity. Their plans promise $0 in-network copays, $0 deductibles, and a single competitive monthly premium, along with a broad provider network, telehealth, an extensive $0-preferred prescription formulary, care navigators, and the Curative Cash Card to eliminate out-of-pocket costs in many settings. Curative markets to employers and brokers while providing members with resources like a Baseline Visit, care programs, online portals, and pharmacy services, and holds an A- rating from AM Best and HITRUST r2 certification.

📋 Description

• Perform comprehensive prospective, concurrent, and retrospective medical necessity reviews for a wide range of healthcare services • Conduct prior authorization reviews aligned with clinical criteria, regulatory requirements, and contractual agreements • Lead peer-to-peer discussions with requesting practitioners, provide clinical rationales, facilitate dialogue, and seek alternative solutions • Issue medical necessity denials when warranted with compliant, well-documented rationales • Collaborate with Nurse Practitioners, Care Coordinators, and Operations to optimize utilization management and improve member outcomes • Contribute to developing, reviewing, and revising medical policies, clinical guidelines, and utilization management protocols • Participate in quality improvement initiatives, audits, and committee meetings • Maintain detailed documentation of review activities, decisions, and peer-to-peer interactions • Stay current on medical literature, healthcare trends, regulatory changes, and utilization management best practices • Champion a member-centric approach while balancing clinical efficacy and cost-effectiveness • Adapt to the fast-paced, evolving startup environment and proactively solve problems

🎯 Requirements

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited medical school • Board Certification in Psychiatry • Active and unrestricted Medical License in at least one state, with the ability to obtain additional state licenses as needed • Minimum of 5 years of clinical practice experience • Minimum of 2-3 years of experience in utilization management, medical review, or prior authorizations within an insurance or managed care organization • Demonstrated success in conducting peer-to-peer discussions with external practitioners • Excellent communication and interpersonal skills • Profound understanding of medical necessity criteria, evidence-based medicine, and healthcare utilization management principles • Strong analytical and critical thinking skills • Exceptional written and verbal communication skills • Proficiency with electronic health records (EHR) systems and utilization management software • Self-motivated and highly organized, with ability to manage a high volume of cases effectively in a remote work environment • A "roll up your sleeves" attitude and genuine excitement for contributing to a rapidly growing, innovative startup • No travel required for this position

🏖️ Benefits

• Curative Health Plan with 100% employer-covered medical premiums for you and 50% coverage for dependents on the base plan • $0 copays and $0 deductibles with completion of the Baseline Visit • Preventive and primary care built in • Mental health support • One-on-one care navigation • Chronic condition programs for diabetes, weight, and hypertension • Maternity and family planning support • 24/7/365 Curative Telehealth • Pharmacy benefits • Comprehensive dental and vision coverage • Employer-provided life and disability coverage with additional supplemental options • Flexible spending accounts • Flexible work options: remote and in-person opportunities • Generous PTO policy plus 11 paid annual company holidays • 401K for full-time employees • Up to 8–12 weeks paid parental leave, based on role eligibility • Curative will support additional state licensure processes

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume