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Two Chairs is building a new kind of mental health system based on the idea that the status quo isn’t good enough. Industry-best clinician experiences, better patient outcomes, groundbreaking innovation, and access to the highest quality care are how we’ll raise the bar for the entire industry. With that, we're excited and honored to have been recognized as a 2025 Great Place to Work, 2025 Fortune’s Best Workplaces in Healthcare, and 2024 Inc.’s Best in Business
One of our company values is "Embrace Differences," and diversity, equity, inclusion, and belonging are the principles guiding how we build our business and teams. We encourage interested candidates from all backgrounds to apply even if they don't think they meet some expectations of the role.
About The Role
We’re building an integrated behavioral health model, where therapists and psychiatric providers work hand-in-hand to deliver exceptional care. To deliver on this ambitious goal, we are seeking a Senior Medical Director, Psychiatry to lead the growth, clinical excellence, and impact of our new psychiatry program. You will own the clinical oversight strategy, guide our quality improvement initiatives to deliver exceptional outcomes, and foster the internal and external partnerships that drive growth.
This is an opportunity for a physician leader who thrives in a fast-paced, mission-driven environment and wants to directly shape the future of integrated behavioral healthcare at scale.
This position will begin as a part-time role (20 hours per week), with the possibility of transitioning to full-time in the future.
What You’ll Do
Clinical Leadership & Quality
•Lead clinical strategy and oversight for the psychiatry program to ensure ethical, evidence-based care.
•Influence the quality improvement program, setting clear metrics, monitoring performance, and implementing initiatives to consistently deliver exceptional results.
•Collaborate with the Innovation team to support the evolution of the care model.
•Serve as a trusted leader for supervising psychiatrists and providers, fostering a culture of clinical excellence, innovation, and collaboration.
•Serve as consultant and decision-maker for complex clinical cases.
Operations & Product Partnership
•Partner with Operations to streamline systems that improve provider efficiency and patient experience.
•Represent the psychiatrist voice in product development, serving as subject matter expert to ensure technology supports clinicians and patient care.
•Use data insights to guide program improvements and inform decision-making.
Growth & Relationships
•Partner with executive leadership to inform and refine the psychiatry roadmap, ensuring alignment with market trends, regulatory changes, and organizational growth goals.
•Cultivate external partnerships and referral networks with healthcare organizations, community stakeholders, and other collaborators to support program growth and access to care.
•Serve as an industry thought leader on behalf of Two Chairs in public forums, partner meetings, and industry events.
What Success Looks Like in The First 90 Days
•Develop foundational knowledge of the Two Chairs care model, ways of working and how your role fits within the company. You’ll build working relationships with key partners.
•Lead a team of Supervising Psychiatrists, offering real-time support, ongoing guidance, and begin to develop a strategy for ongoing supervision structures and needs.
•Provide input to shape and refine psychiatry roadmap.
We’re looking for someone with:
•MD or DO with Board Certification in Psychiatry.
•Active, unrestricted medical license in at least one state, multiple states preferred.
•7+ years of clinical experience, preferably in an outpatient setting or other integrated behavioral health setting.
•Proven expertise managing clinical crises, case consultation, navigating ethics issues, and providing great client care.
•4+ years of leadership experience, including 2+ years managing other physician leaders/managers.
•Exceptional communication, relationship-building, and influencing skills.
•Proficient with technology tools (Google Workspace, scheduling software, etc.).
•Deep knowledge of legal, ethical, and HIPAA standards, with a commitment to privacy, compliance, and high-quality care.
•Willingness to travel up to 10% per quarter, as needed.
Exceptional candidates will also have:
•Demonstrated success in growing clinical programs, leading quality initiatives, and building multidisciplinary teams across multiple states.
•Experience collaborating on healthcare technology or product solutions.
•Experience in the behavioral health payer environment and an understanding of the priorities for health plans, value based care and partner relations.
Compensation & Benefits
This is a part-time, hourly W2 role (20 hours/week) with the possibility of transitioning to full-time in the future. The hourly rate is $180 - 225/hour (equivalent to $187,200 - 234,000/year) and is dependent on place of residence, qualifications, and experience.
Additional perks and benefits:
•Paid sick leave
•Access to an employer-sponsored 401(k) retirement plan
•Merit-based raises
•Malpractice insurance
•Technology package including laptop, EHR system, HIPAA compliant video platform, and more
•Credentialing and cross-licensing support
Outreach Notice to Applicants
We are thrilled that you’re interested in joining our team! To ensure a consistent and equitable hiring process for all candidates, we kindly ask that you refrain from reaching out to current employees regarding the role, your application, or the interview process. Our talent acquisition team is committed to carefully reviewing all applications and will reach out directly if they decide to move forward.
All applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time
