Medical Director, Child and Adolescent Psychiatrist (New York, Remote - Full time)

Responsibilities

Clinical Care & Service Line Ownership

• 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.

People Management & Provider Development

• 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.
• Approve timecards and manage scheduling for part-time direct reports.
• 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.

Clinical Quality & Risk Management

• 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.

Budgetary Collaboration & Operations

• 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.

Technology & AI-Enhanced Care

• Effectively utilize AI tools to enhance clinical workflows, documentation quality, and care delivery within the psychiatry service line and in multidisciplinary collaboration.
• Partner with Product and Engineering to provide clinical input on technology builds, including documentation tools, decision support features, and patient-facing enhancements.
• Actively engage with emerging telehealth technologies and help evaluate new tools for safety, efficacy, and clinical fit.
• Contribute clinical perspective to Brightline's broader AI strategy, owned by the CMO and executive leadership team.

Clinical Quality & Risk Management

• 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.
• Direct the development of new methods for chart reviews, quality assurance, and risk mitigation across multi-state jurisdictions.

Innovation & Product Integration

• Drive results by harmonizing views across Engineering, Product, and Care Ops to build state-of-the-art, technology-driven care models.
• Lead the clinical strategy for AI tooling and scalable telehealth innovations, balancing aggressive growth with rigorous patient safety.
• Oversee the cross-licensing strategy to ensure the prescribing team can meet the demands of a rapidly growing, multi-state member base.

Requirements:Clinical Expertise

• 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.

People Management Experience

• 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.

Nice to Have

• Willingness to travel periodically (a few times per quarter) to support leadership alignment, team engagement, and key organizational initiatives.
• Preference for New York licensure; candidates with licensure in other states and openness to cross-licensure are strongly considered.
• Prior experience building clinical protocols, care pathways, or quality frameworks in a startup or high-growth environment.
• Hands-on experience with AI-assisted documentation or clinical decision support tools.