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 Despite the urgency, most SUD treatment programs are fragmented, outdated, and fail to address the complexity of co-occurring mental health needs.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 workflows. Expert-level knowledge of MAT (Medication-Assisted Treatment) protocols, withdrawal management, and the integration of behavioral therapies (CBT, MI, etc.) within a medical framework. Strong familiarity with telehealth regulations and the unique challenges of conducting remote clinical clearance and virtual medical monitoring. Proven ability to use EMR data and real-time analytics to drive clinical quality improvements and manage population health. Proficiency in cloud-based tools (Google Suite, Slack, Zoom) and a high level of comfort navigating complex EMR systems and data dashboards. Authorized to work in the United States with native or bilingual English proficiency. Please note, pay will be determined on an individualized basis and will be impacted by location, experience, expertise, internal pay equity, and other relevant business considerations. Further, cash compensation is only part of the total compensation package, which, depending on the position, may include stock options and other Charlie Health-sponsored benefits. Connection: Care deeply & inspire hope. Congruence: Stay curious & heed the evidence. Commitment: Act with urgency & don’t give up. Please do not call our public clinical admissions line in regard to this or any other job posting. Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: https://www.charliehealth.com/careers/current-openings. Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent from @charliehealth.com email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services. Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals. At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people. Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation. By clicking "Submit application" below, you agree to Charlie Health's Privacy Policy and Terms of Service. By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.

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