Behavioral Health Medical Director – Clinical Architect (Virtual Primary Care)

Devoted Health • Waltham, MA

30d • $275,000 - $325,000 • Remote

About The Position

Devoted Medical seeks a Board-Certified Psychiatrist to serve as Behavioral Health Medical Director & Clinical Architect for our virtual-first, risk-bearing Medicare Advantage payer-provider practice. This is a high-impact, 50/50 hybrid leadership and practicing clinician role designed for a population health innovator. You will spend 50% of your time as a strategic builder designing a brand-new Serious Mental Illness (SMI) care paradigm (targeting schizophrenia spectrum, bipolar, and severe recurrent mood disorders) within a geriatric primary care model. The remaining 50% will be spent as a vanguard practitioner carrying an active clinical panel and serving as the primary prescriber for our highest-acuity members. Operating as our sole internal psychiatric leader, you will scale an integrated Behavioral Health Collaborative Care (CoCM) ecosystem built directly into our proprietary, AI-driven EMR, Orinoco.

Requirements

• Board Certification: Active Board Certification in Adult Psychiatry.
• Clinical Depth: Minimum of 2–3 years of active clinical experience, ideally managing high-acuity SMI, treatment-resistant mood disorders, or complex geriatric/D-SNP populations.
• Integrated Care Mastery: Practical experience working within, or designing, Collaborative Care (CoCM) or integrated behavioral health workflows.
• Virtual Operations: High comfort level with telehealth models and data-driven clinical registries.
• Licensing Agility: Licensed in (or willing to proactively obtain) multiple state licenses as we scale our virtual footprint nationally.

Nice To Haves

• You can pivot effortlessly from drafting a 3-year population-health roadmap to auditing individual clinical charts and shadowing virtual social work visits.
• You thrive on an island. You do not wait for hyper-directive governance; you work cross-functionally across a matrix to resolve operational gaps yourself.
• You are entirely comfortable testing innovative pilots, evaluating real-time data, and rapidly scrapping things that fail.
• You understand that your ultimate success is measured by how effectively you empower, mentor, and elevate your frontline social work team.

Responsibilities

• Clinical Architecture & Serious Mental Illness (SMI) Program Design: Invent the Paradigm: Act as the primary builder and subject matter expert designing our upcoming longitudinal Serious Mental Illness (SMI) care model.
• Value-Based Care Execution: Design clinical strategies optimized for Total Cost of Care (TCOC) reduction and ED diversion, completely liberated from the constraints of traditional fee-for-service billing codes.
• EMR & AI Product Partnership: Partner directly with our clinical operations and engineering teams to continuously build and optimize our proprietary, from-the-ground-up EMR (Orinoco), integrating generative AI tools to reduce clinician burden and simplify workflows.
• Quality & Outcomes Governance: Define and track the program’s ultimate scorecard utilizing advanced, population-health KPIs (symptom remission, 30-day psychiatric readmission rates, and member engagement).
• Direct-Care Delivery: Act as the primary, hands-on treating psychiatrist and prescriber for our most complex, medically fragile geriatric members during critical stabilization windows.
• Systemic Multi-Disciplinary Reviews: Direct structured, data-informed case reviews with your panel of behavioral health care managers, providing expert Medical Management advice.
• Primary Care Curbside Ecosystem: Scale our internal asynchronous psychiatry e-consult program, providing rapid, seamless diagnostic and psychotropic guidance to our wider network of Primary Care physicians and APPs.
• Clinical Supervision: Work closely with the BH social work manager to provide clinical oversight and serve as the key clinical escalation point for the behavioral health team.

Benefits

• Employer-sponsored health insurance and dental and vision plan with low or no premium
• Generous paid time off
• $100 monthly mobile or internet stipend
• Stock options for all employees
• Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
• Parental leave program
• 401K program

What This Job Offers

• Job Type: Full-time
• Career Level: Senior