Behind every leading health system is K Health’s AI-powered virtual care engine. Esteemed health systems like Mayo Clinic, Cedars-Sinai, Mass General Brigham, Hackensack Meridian Health, and Hartford Healthcare partner with K Health to build and run modern primary virtual care clinics on their behalf. Our deeply integrated model modernizes the primary care loop by using AI to put humans first. For our patients, we offer clinical AI (i.e., PatientGPT) and unparalleled access to close care gaps around the clock. For our Providers, we deliver provider-serving agentic solutions (i.e., Perfect Note) to eliminate administrative overload and burnout. And for the health systems, we deploy our top-grade Virtualists in AI-powered virtual clinics 24/7 to capture the patients' care journeys at step one, retain the journey through the system for longitudinal care, and strengthen profitability. We’re founded in 2016, headquartered in New York City, and backed by nearly $400 million from leading investors.
Medical Director-Health System Partnerships
Location
New York
Posted
29 days ago
Salary
$265K - $285K / year
Seniority
Lead
No structured requirement data.
Job Description
Medical Director-Health System Partnerships
K Health
Role Description Join K Health as a pioneering clinical leader and play a key role in transforming healthcare delivery. At the forefront of innovation, our AI-powered tools are redefining standards for high-quality, efficient care. In collaboration with leading hospital systems across the country, we are expanding access to healthcare through state-of-the-art Virtual Comprehensive Care Clinics. We are looking for a dynamic clinical leader. Someone who is passionate about delivering exceptional patient care, embraces the use of cutting-edge technology, and possesses an entrepreneurial spirit. As the head of our next 24/7 virtual clinic, you will oversee a team providing fully remote, text, and video-based care—both scheduled and on-demand. Supported by K Health's clinical-grade AI, you will lead clinicians in delivering comprehensive care, including primary care, behavioral health, and acute care, for patients aged 3 and up. In this pivotal role, you will be the driving force behind our clinic’s success, providing medical leadership, guidance, and policy oversight. You will collaborate closely with our medical network and lead initiatives to expand access care and optimize the use of our services. This role offers the chance to work alongside executive and senior medical leadership, clinical teams, and external stakeholders to drive clinical excellence, quality improvement, and strategic growth. Join us in shaping the future of healthcare and making a meaningful impact on the lives of patients nationwide. Responsibilities and Essential Duties - Become an expert in our AI-based care delivery model, which uses data-driven models to provide quality care efficiently. - Develop a comprehensive understanding of our clinical practice within our consumer and partnership clinics. - Owner of clinical policy and regulatory oversight within Virtual Clinic. - Collaborate with Practice Manager to assess opportunities for continued operational improvement. - Participate in the customization, development, design, standardization, implementation, and review of medical operations, protocols, and data to ensure operational accuracy and efficiency. - Lead a partnership clinic, from development to launch, be accountable for the oversight and management of clinic operations and practicing clinicians. - Provide clinical expertise to both internal teams (operations, product, medical, regulatory, non-clinical, marketing, and data science) and external teams to ensure that clinical needs and business strategies are met. - Share regular updates and create presentations to the Medical Leadership Team as well as other key stakeholders. - Develop and deliver best-in-class training for all clinical team members, modifying as needed to meet the standards and requirements of each partner system. - Establish excellent communication and collaboration with cross-functional partners both internally and externally. - Responsible for timely delivery of high-quality clinical quality data and tools, working in concert with data science and analytics teams. - Support the establishment, maintenance, and communication of appropriate policies, procedures, and clinical practice guidelines. - Assist with planning, development, and modification of the clinical workflows and processes for each partnership. - Work with the operations team to develop and maintain scalable processes and procedures for the medical team. - Lead or assist in writing, reviewing, and/or approving clinical project deliverables such as scope definition documents, product integration, handbooks, manuals, QA monitoring plan and tools, patient safety management, close-out and handoff plans, and readiness plans. - As our clinic expert, you will assist with the development of media, presentations, and demonstrations. Additional Duties - Clinical hours will vary but anticipate 8-20 hours per week based on clinic need. - Demonstrated experience managing and mentoring team members. Effective leadership and critical thinking skills and proven ability to foster team productivity, unity, and cohesiveness. - Educate patients on appropriate treatments and care plans for their health needs. - Co-manage patients with external partners within our healthcare delivery model. - Manage patient follow-ups for chronic care programs. - Prescribe medication and refills as appropriate. - Elevate comprehensive remote care; provide compassionate and meaningful care. - Think on your feet to devise creative solutions to problems that arise or escalate, as appropriate. Qualifications - 5+ years of post-residency experience. - Must be Board Certified in Family Medicine. - Comfortable treating patients of all ages in a remote setting. - Comfortable with EMRs, MUST have EPIC experience. - Prior experience in a leadership role preferred but not required. - Experience in start-up environments and Telemedicine; however, other relevant experiences and skills may be considered by the hiring manager. - Effective leadership and critical thinking skills and proven ability to foster team productivity, unity, and cohesiveness. - Highly motivated self-starter who thrives working in fast-paced innovative environment while remaining flexible, agile, proactive, resourceful, and efficient. - Comfortable with technology and digital health. - Willingness to work clinically (25-50%). - Local to NY City area is preferred. - Some travel (domestic and international) up to 30%. Benefits - 18 vacation days, 5 sick days, and 2 personal days. - 9 company holidays. - Stock options for every full-time employee. - Paid parental leave. - 401k benefit. - Commuter Benefits. - Competitive health, dental, and vision insurance options. Company Description Behind every leading health system is K Health’s AI-powered virtual care engine. Esteemed health systems like Mayo Clinic, Cedars-Sinai, Mass General Brigham, Hackensack Meridian Health, and Hartford Healthcare partner with K Health to build and run modern primary virtual care clinics on their behalf. Our deeply integrated model modernizes the primary care loop by using AI to put humans first. For our patients, we offer clinical AI (i.e., PatientGPT) and unparalleled access to close care gaps around the clock. For our Providers, we deliver provider-serving agentic solutions (i.e., Perfect Note) to eliminate administrative overload and burnout. And for the health systems, we deploy our top-grade Virtualists in AI-powered virtual clinics 24/7 to capture the patients' care journeys at step one, retain the journey through the system for longitudinal care, and strengthen profitability. We’re founded in 2016, headquartered in New York City, and backed by nearly $400 million from leading investors including Valor Equity Partners, Claure Group, Mangrove Capital Partners, 14W, Notable Capital, Lerer Hippeau, Primary Venture Partners, Comcast Ventures, PICO Venture Partners, Max Ventures, and other strategic healthcare partners. We offer competitive compensation packages based on industry benchmarks for function, level, and geographic location. Offer amounts are determined by multiple factors such as a candidate's experience and expertise. We are proud to be an Equal Opportunity Employer and consider applicants for employment regardless of race, ethnicity, religion, color, national origin, ancestry, disability, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, sexual orientation, pregnancy, childbirth and breastfeeding, age, citizenship, military or veteran status, or any other class protected by applicable federal, state, and local laws. We’re deeply committed to building teams as diverse as the patients we serve and strive to cultivate an environment where everyone can bring their most authentic self to work. We depend on our differences to make our team stronger, our workplace more dynamic, and our product accessible to all of our users. We are committed to maintaining the integrity of our hiring process and ensuring a safe environment for all candidates. All communication for job offers from K Health will come from email addresses ending in @khealth.com. K Health will never ask you to provide financial information about yourself during the recruitment process. We will never use personal email accounts or other domains for official correspondence. Our official job postings are only listed on our official website and reputable job boards. Be cautious of job offers from sources other than these platforms.
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Behavioral Medical Director
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Title: Behavioral Medical Director - TX or AZ licensure - Remote Location: Houston United States Job Description: Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Behavioral Medical Director position is responsible for providing oversight to and direction of the Utilization Management Program and performing peer reviews as necessary. 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Medical Director (Remote) locations Remote - United States time type Full time job requisition id R0008007 Reporting to the VP of Software Engineering, the Medical Director will lead a team of UM RN Analysts responsible for producing Availity’s Auth AI platform. Specifically, the Medical Director will provide input and oversight of the interpretation of payer medical policy guidelines, the construction of NLP/AI–enabled attestation trees reflective of the medical necessity criteria and clinical validation of the platform. The role requires an in-depth knowledge of utilization management principles, the purpose and function of medical necessity guidelines and prior authorization adjudication practices. This person will work in a team environment and will be expected to perform complex tasks while collaborating with colleagues with clinical and engineering/programming backgrounds. The successful candidate will be detail oriented with strong analytic reasoning skills, demonstrate excellent communication and organizational skills while remaining open-minded, embracing change and the spirit of innovation. Sponsorship, in any form, is not available for this position. Location: Remote, US Education and Experience: - MD/DO with at least 8 years of clinical experience. - At least 5 years of experience in the healthcare revenue cycle roles including Utilization Management, prior authorization, claims appeals/denials, either with an insurer or with a healthcare provider. - Prior experience working in healthcare information technology and with cross-functional teams, while not essential, will enhance an application. 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This entails developing a working knowledge of a domain-specific programming language and use of development tools to assign coded medical constructs to attestation trees to facilitate automation of their responses. - Ensuring effective flow of all tasks related to the delivery of medical policy creation including tree creation, labeling, and MD validation. - Providing input to the NLP team to enhance validity and accuracy of the NLP outputs and to identify additional medical terms that should be added to the existing vocabulary of coded concepts. - Occasionally serve as clinical liaison to the medical policy teams at current customers, including serving as non-voting member of their medical policy committees. Availity culture and benefits: - Availity is a certified “Great Place to Work”, a “Best Workplaces for Technology Companies”, a “Best Workplaces for Women” and a “Best Workplaces for Millennials”! - Culture is important to us and there are many ways for you to make your mark here! - We have several Diversity & Inclusion teams and various ways to engage with fellow Availity associates. “AvaiLadies”, “Beyond Black”, “HOLA”, “Availity Pride”, “VetAvaility” a Young Professionals Group and “She Can Code IT” a group for women in tech are some of the groups you can get involved in. - Availity is a culture of continuous learning. We have many resources and experts in our tech stack and in our industry that can help get you there too! - We offer a competitive salary, bonus structure, generous HSA company contribution, healthcare, vision, dental benefits and a 401k match program that you can take advantage of on day one! - We offer unlimited PTO for salaried associates + 9 paid holidays. Hourly associates start at 19 days of PTO and go up from there with all the same holiday benefits. - Interested in wellness? We allow our associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc. - Interested in furthering your education? We offer education reimbursement! - Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents. - Want to work for an organization that gives back to the community? You’re at the right place! Availity partners with various organizations, both locally and nationally, to raise awareness, funds and morale as our staff members volunteer their time and funds to engage the organizations campaign. Next steps: After you apply, you will receive text/email messages thanking you for applying and then you will continue to receive more text/email messages alerting you as to where you are in the recruitment process. Interview process: - Manager resume review - Recruiter video interview - Manager video interview - Panel video interview - Senior leadership video interview

