SUD Medical Director

Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they’re met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection—between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we’re expanding access to meaningful care and driving better outcomes from the comfort of home. As a rapidly growing organization, we're reaching more communities every day and building a team that’s redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we’d love to meet you. About the Role Substance use disorders (SUD) are a leading driver of suffering and early mortality among adolescents and young adults. Despite the urgency, most SUD treatment programs are fragmented, outdated, and fail to address the complexity of co-occurring mental health needs. The SUD Medical Director will serve as the founding clinician and operational architect of this work, ensuring that every patient engaged in SUD care receives transformational treatment, every therapist is properly supported, and the program meaningfully contributes to Charlie Health’s overall impact. We’re a team of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. If you’re inspired by our mission and energized by the opportunity to increase access to mental healthcare and impact millions of lives in a profound way, apply today. Responsibilities Clinical Strategy & Decision Architecture Design, audit, and continuously optimize the clinical decision trees that govern patient intake, acuity leveling, and transitions of care. Set the rigorous medical and psychiatric criteria for SUD program admissions, ensuring all virtual participants meet a high standard of safety and appropriateness. Integrate emerging evidence-based protocols (e.g., new MAT standards, digital biomarkers) into the care pathway to maintain our position as a market leader. Medical Monitoring & Clinical Oversight Oversee the daily operations of the medical monitoring teams, ensuring real-time response to "red-flag" clinical data or physiological alerts. Act as the final escalation point for complex "clinical clearance" cases, balancing patient access with medical risk mitigation. Use real-time analytics and chart reviews to audit treatment fidelity, medication adherence (MAT), and overall program efficacy. Define and oversee emergency protocols, including virtual crisis intervention and warm handoffs to higher levels of care when necessary. Operational Leadership & Integration Collaborate with Data Science and Product teams to automate clinical workflows and improve the predictive accuracy of our monitoring tools. Serve as the medical face of the program for payer audits and regulatory bodies, demonstrating our commitment to quality-driven, measurable outcomes. Supervise and mentor a multidisciplinary medical staff (NPs, RNs) fostering a culture of high-accountability and clinical specialization in SUD. Requirements MD or DO from an accredited medical school. Active, unrestricted medical license and a current DEA registration with the ability to obtain licensure in multiple states as needed. 7+ years of direct clinical experience treating complex substance use disorders, with a deep mastery of dual-diagnosis cases. 5+ years in a medical leadership role specifically designing clinical protocols, decision trees, or medical clearance w