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

Medical Director (Child and Adolescent Psychiatrist - Remote) We are searching for a board-certified Child and Adolescent Psychiatrist to serve as Medical Director of our psychiatry service line. Reporting directly to the Chief Medical Officer (CMO), you will own the clinical architecture of psychiatry at Brightline — ensuring excellence in care quality, provider development, regulatory compliance, and day-to-day operational execution. This is not a traditional medical director role. We are building something different: a hybrid virtual and in-person pediatric mental health practice that uses technology and data to deliver better care at scale. We are looking for someone energized by that challenge — who brings fresh thinking, genuine comfort with AI tools, and the clinical credibility to lead a team of NPs and prescribers. You will carry a clinical caseload of up to 50%, adjusted over time as administrative responsibilities grow. You will collaborate closely with peer service line owners in therapy, psychological testing, and coaching, and will report directly to the CMO. 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. - Pa