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