Part-Time Contract Psychiatrist, Principal Illness Navigator (Peer Support)

About Accountable Accountable is a tech-enabled behavioral health company helping people recover from substance use and co-occurring mental health challenges through human connection, coaching, peer support, accountability, and evidence-informed care. We partner with individuals, families, health plans, and healthcare organizations to help members stay engaged in recovery and improve long-term outcomes. We are launching Principal Illness Navigation - Peer Support services for members with serious behavioral health and substance use conditions. We are seeking part-time contract psychiatrists to perform initiating visits, supervise peer support services, and support a compliant, high-quality care model. Role Overview Accountable is hiring part-time, remote psychiatrists as 1099 independent contractors. Candidates may be licensed in one or more of the following states: - Texas - North Carolina - Florida - Tennessee Candidates may be licensed in one state or multiple states. Multi-state licensure is preferred but not required. This is a flexible contract role focused on clinical initiation, medical necessity documentation, care plan oversight, supervision of peer support services, and clinical escalation when needed. This is not a traditional high-volume medication management position. The psychiatrist will serve as the initiating and supervising practitioner for assigned members in the state or states where they are licensed and credentialed. Key Responsibilities - Perform telehealth initiating visits for eligible members - Assess and document serious high-risk behavioral health or substance use conditions - Determine clinical appropriateness and medical necessity for Principal Illness Navigation - Peer Support services - Create, approve, or update member-specific care/navigation plans - Supervise peer support and care navigation services delivered by Accountable team members - Review documentation to support quality, compliance, and medical necessity - Be available for clinical consultation and escalation when needed - Participate in case reviews, audits, protocol development, payer meetings, or quality improvement work as requested - Collaborate with Accountable’s operations, compliance, billing, and peer support teams - Maintain timely, accurate, payer-appropriate documentation - Support a compassionate, recovery-oriented, human-centered care model Required Qualifications - MD or DO with board certification or board eligibility in Psychiatry - Active, unrestricted medical license in at least one of the following states: TX, NC, FL, or TN - Ability to provide telehealth services to members in the state or states where licensed - Medicare enrollment eligibility, with no sanctions, exclusions, or restrictions - Experience treating substance use disorders, serious mental illness, or co-occurring behavioral health conditions - Comfort working with peer support specialists, recovery coaches, care navigators, or similar team members - Strong documentation and communication skills - Ability to work independently in a remote, team-based care model - Commitment to ethical, compliant, patient-centered care Preferred Qualifications - Active licenses in multiple target states - Addiction psychiatry or addiction medicine experience - Experience with Medicare, care management, behavioral health integration, or peer support programs - Experience supervising interdisciplinary behavioral health teams - Familiarity with telehealth, payer-facing clinical programs, or value-based care - Experience working with individuals in recovery from substance use disorders - Interest in helping build and refine a scalable clinical program Compensation This is a 1099 independent contractor role with a guaranteed minimum monthly retainer. Compensation includes: - $1,000 minimum monthly retainer - $125 per completed initiating visit - $10 per active member per month for supervision and chart review - $250 per h