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

Job Description A bit more about this role: 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 . Responsibilities: 1. 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: Because Devoted Medical is a full risk-bearing "payvider" entity, you will 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). 2. Vanguard Psychiatric Practice & Primary Care Interface 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. Attributes for Success: (The "Happy Warrior" Profile) You Sweat the Details: You can pivot effortlessly from drafting a 3-year population-health roadmap to auditing individual clinical charts and shadowing virtual social work visits. Startup Motor & Extreme Independence: 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. Wired for Learning and Change: You are entirely comfortable testing innovative pilots, evaluating real-time data, and rapidly scrapping things that fail. Servant Leadership: You understand that your ultimate success is measured by how effectively you empower, mentor, and elevate your frontline social work team. Skills & Experience 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. Salary Range: 275,000-325,000 base range plus performance based 10% bonus paid annually Employer-sponsored health insurance and dental and vision plan with low or no premium #LI-Remote The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes: Employer sponsored health, 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 And more.... *Our total rewards package is for full time employees only. Intern and Contract positions are not eligible. Healthcare equality is at the center of Devoted’s mission to treat our members like family.  We are committed to a diverse and vibrant workforce.  At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to