Medical Director – Physical Health

Alliance Health

. Assist with development of service criteria and standards of care .

Posted 9/24/2026full-timeCharlotte • North Carolina • United StatesLead💰 $211,172 - $269,245 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Utilization Management, Quality Management, and Care Management, with a strong focus on medical necessity criteria and treatment evaluation. Possesses a comprehensive understanding of psychiatric practices, regulatory compliance, and effective collaboration with multidisciplinary teams.

Highest-signal resume keywords

M.D./D.O. DegreeBoard Certified by American Board of Psychiatry and NeurologyManaged Care and Utilization Management ExperienceClinical Medical ExperienceKnowledge of Diagnosis and Treatment of Medical Issues

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Necessity CriteriaUtilization Management Plan DevelopmentPatient Data AnalysisTreatment Procedure EvaluationPsychiatric DiagnosisRegulatory CompliancePolicy ComplianceWorkflow OrganizationConflict ResolutionPerformance Goal Setting

Soft Skills

CollaborationCoachingMentoringTrainingCommunication

Tools & Technologies

Microsoft Office

Certifications & Qualifications

North Carolina Medical LicenseBoard Certification in Psychiatry

Industry Keywords

Managed Care PrinciplesQuality ManagementCare ManagementPsychiatryMental Health

About the role

Key responsibilities & impact

Assist with development of service criteria and standards of care
Recommend application of medical necessity criteria for service eligibility, including type, amount, and duration
Help develop processes to assess and document medical necessity
Assist with development and implementation of the utilization management plan
Review approval and denial of service requests and care; ensure protocols and audits are completed by appropriately credentialed staff
Assist with Utilization Management, Quality Management, Care Management, peer reviews, appeals, and reconsiderations
Review and evaluate treatment procedures and outcomes of psychiatrists and other medical professionals
Analyze and evaluate patient data and test findings to diagnose mental disorders
Review consumer information and records, including social and medical history
Collaborate with physicians, psychologists, pharmacists, social workers, psychiatric nurses, and other professionals on treatment plans and progress
Provide consultation, training, and education to staff and community partners
May supervise members of the Medical Management team
Partner with Human Resources and the Medical Team to attract, maintain, and retain qualified staff
Ensure staff training, policy compliance, workflow organization, adequate resources, and regulatory compliance
Promote a positive, diverse, and inclusive working environment
Resolve conflicts, set performance goals, provide feedback, coaching, and mentoring
Encourage cross-team collaboration and partnership

Requirements

What you’ll need

Graduation from an accredited Medical School
M.D./D.O. degree required
Completion of approved training in general psychiatry, child psychiatry and/or addiction psychiatry
At least four (4) years of postgraduate clinical medical experience
Current, active, and unrestricted license to practice medicine in North Carolina or ability to obtain a North Carolina Medical License
Board certified by American Board of Psychiatry and Neurology
Two (2) or more years of managed care and utilization management experience preferred
Knowledge of diagnosis and treatment of medical issues, including symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures
Knowledge of laws, legal codes, court procedures, precedents, and government regulations
Knowledge of Managed Care Principles
Knowledge of recent developments in medicine
Microsoft Office skills
Ability to discuss treatment concerns, complex case issues, and best practice recommendations with colleagues
Weekend and holiday work may be required based on operational needs

Benefits

Comp & perks

Medical, Dental, Vision, Life, Long Term Disability
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave
Dress flexibility