Important Requirement: This is a remote position. Candidates must hold an active, unrestricted Physician (MD or DO) license in the State of Michigan and be Board Certified in Psychiatry.What You Will Do - Essential FunctionsThe Medical Director (Behavioral Health) provides clinical leadership and oversight for behavioral health programs, utilization management activities, and quality initiatives. This role partners with health plans, providers, and internal stakeholders to improve access to mental health and substance use disorder services while driving quality outcomes and regulatory compliance.
- Behavioral Health Clinical Leadership
- Provide clinical oversight and medical management for behavioral health programs, serving as the primary clinical resource for complex case reviews, utilization management decisions, and provider consultations.
- Partner with health plans, providers, and internal stakeholders to support evidence-based behavioral health practices, improve member outcomes, and expand access to mental health and substance use disorder services.
- Quality, Outcomes & Performance Improvement
- Drive behavioral health quality, utilization, and performance initiatives through oversight of clinical metrics, quality improvement programs, and evidence-based standards of care.
- Analyze clinical performance data and implement strategies that improve access, quality outcomes, operational effectiveness, and member experience.
- Regulatory Compliance & Clinical Consultation
- Ensure compliance with applicable regulatory, accreditation, and quality standards while maintaining alignment with industry best practices and emerging behavioral health trends.
- Provide clinical consultation, education, and subject matter expertise to internal teams, health plan partners, and provider networks to support high-quality behavioral health care delivery
Who You Are- Required Qualifications
- Active, unrestricted Physician (MD or DO) license in the State of Michigan. Ability and willingness to obtain and maintain additional state licenses as required.
- Board certified in Psychiatry
- 5+ years of experience as a practicing psychiatrist with expertise in behavioral health, mental health, and/or substance use disorder populations.
- 3+ years of experience in managed care environment and/or utilization management.
- Proven experience driving clinical outcomes, quality improvement, and operational performance.
- Experience collaborating with multidisciplinary teams and external stakeholders, including health plans, providers, regulators, and community partners.
- Strong understanding of healthcare regulations, accreditation standards, and quality improvement methodologies as applicable.
- Ability to travel up to 25%.
- Ability to pass a background check upon hire and throughout employment which includes: County and Federal Criminal Records Search - felonies and misdemeanors ; InstaCriminal Multi-State Alias Search - National Sex Offender Registry, Multi-State Criminal Database, SSN validation and trace, and Most Wanted Lists (OFAC); Excluded Parties List System (EPLS)/SAM search - individuals/entities debarred, suspended, or otherwise excluded from receiving federal contracts, subcontracts, or federal assistance; Education Verification; Employment Verification; FACIS Level I - Sanctions or exclusions for federal and state healthcare programs; 10-panel drug screening; and E-Verify: Lucet does not use E-Verify to pre-screen applicants and complies with federal regulations prohibiting discrimination based on national origin or citizenship status.
- Living our Values:
- Serving everyone with compassion and leading with empathy.
- Stepping up and creating value by taking charge and acting when there is an opportunity.
- Adapting in a changing world by recognizing our responsibility to be agile and respond quickly.
- Nurturing growth and belonging by respecting and celebrating everyone for who they are.
- Competencies:
- Deep knowledge of evidence-based clinical practice, population health, quality metrics, and regulatory requirements.
- Strong clinical judgment, analytical thinking, and data-driven decision-making skills.
- Ability to develop, optimize, and evaluate clinical programs, care models, and performance improvement initiatives.
- Strategic leadership and change management capabilities with a focus on innovation and operational excellence.
- Working Conditions:
- Work is performed from home with company-provided equipment. Sitting for long periods of time is expected and use of fingers and hands for typing is necessary.
- A quiet workspace with minimal background noise for calls.
- High-speed internet service (cable or fiber optic) with minimum download Speed of 20 Mbps, Upload Speed of 5 Mbps, and Maximum Latency of 100 milliseconds (must be installed before starting).
We encourage applicants from a variety of backgrounds and experiences to apply, especially those who can demonstrate how their unique qualifications and skills align with the requirements of this role and support our mission to improve whole-person health.
This position will accept and review new applications and resumes no less than 5 business days after the original posting date and may remain open an extended period of time with no set end date based on the level of interest.
