Remote Medical Director - Psychiatry & Utilization

Curative, Inc.; Austin (TX); Remoto; USD 210.000 - 320.000; Tempo integral

Benefícios oferecidos por esta vaga

Employer-covered health premiums

No copays and deductibles (Basline IVE

Remote and in-person options

Generous PTO and paid holidays

401K for full-time employees

Paid parental leave (8–12 weeks)

Resumo da vaga

Curative, Inc. is seeking a board-certified Psychiatrist to serve as Medical Director. You will oversee utilization reviews, prior authorizations, and medical-necessity determinations, acting as a clinical expert and collaborating with practitioners to ensure evidence-based care.

This remote position supports cross-functional teams in a fast-moving startup, balancing clinical efficacy with cost-effectiveness while maintaining thorough documentation and peer-to-peer discussions.

Qualificações

• MD or DO degree from an accredited medical school.
• Board Certification in Psychiatry.
• Active and unrestricted Medical License in at least one state (Curative supports licensure in additional states).
• Minimum of 5 years of clinical practice experience.
• Minimum of 2–3 years in utilization management or prior authorizations within an insurance/managed care setting.

Responsabilidades

• Perform comprehensive medical necessity reviews (prospective, concurrent, retrospective).
• Conduct prior authorization reviews aligning with clinical criteria and contracts.
• Lead peer-to-peer discussions with practitioners and provide clear clinical rationales.
• Issue medical necessity denials with documentation.
• Collaborate with Nurse Practitioners, Care Coordinators, and Operations to optimize utilization management.
• Contribute to policy development and quality improvement initiatives.
• Maintain meticulous documentation of review activities and communications.
• Stay updated on medical literature and utilization management trends.

Conhecimentos

Analytical thinking

Communication

Peer-to-peer discussions

Remote work adaptability

Formação

MD/DO

Board Certification in Psychiatry

Ferramentas

EHR systems

Utilization management software

Descrição da vaga

Curative, Inc. is seeking a board-certified Psychiatrist to serve as Medical Director. You will oversee utilization reviews, prior authorizations, and medical-necessity determinations, acting as a clinical expert and collaborating with practitioners to ensure evidence-based care.

This remote position supports cross-functional teams in a fast-moving startup, balancing clinical efficacy with cost-effectiveness while maintaining thorough documentation and peer-to-peer discussions.