Director of Medical Affairs

Summary

Join Hazel Health, a leading virtual provider of school-based healthcare, as their Director of Medical Affairs. This remote role leads quality assurance, provider support (onboarding, credentialing, licensing), and accreditation for telehealth services. You will ensure compliance with clinical guidelines and regulations, manage a team of credentialing and licensing professionals, and oversee payer enrollment. The position requires analyzing adverse occurrence reports, providing provider training, and collaborating with cross-functional teams. A competitive salary ($125,000-$175,000), 401k match, healthcare coverage, and paid time off are offered. The role is remote, with eligible states listed in the job description.

Requirements

• Bachelor’s degree required; Master’s degree in Healthcare Administration or related field  a plus
• Minimum of 8+ years of clinical leadership experience, with at least 3-5 years in telehealth or virtual care settings
• Experience in managing clinical operations, including compliance, credentialing, payer enrollment, and quality assurance in a telehealth or healthcare environment
• Familiarity with mental health and physical health services and how they are delivered via telehealth
• Strong operational and clinical oversight skills
• Knowledge of regulatory requirements for telehealth and healthcare services
• Ability to manage compliance, risk, and credentialing functions effectively
• Excellent communication and interpersonal skills
• Strong attention to detail, particularly in compliance and quality assurance
• Ability to work in a fast-paced, remote healthcare environment
• Strong problem-solving skills and the ability to address clinical challenges quickly and effectively

Responsibilities

• Implement quality assurance measures to monitor and enhance the delivery of Telehealth services
• Conduct regular audits to assess clinical care standards and ensure adherence to established protocols
• Work with clinical leaders to implement corrective actions and quality improvement
• Lead Team of Credentialing & Licensing Professionals. Directly supervise, lead and coach Credentialing, Licensing and Enrollment team.  Build scalable talent strategy to manage all licensing, credentialing and payer enrollment  requirements as Hazel grows, either developing in-house and/or outsourcing
• Ensure all Telehealth providers are properly licensed in relevant states where services are offered.  Develop process to streamline licensing for providers for both new and renewal applications
• Oversee the initial and ongoing credentialing processes for Telehealth providers, ensuring they meet industry standards and are compliant with state and federal regulations, including meeting the standards for delegated credentialing
• Maintain up-to-date knowledge of licensure and credentialing requirements and legislation for Telehealth services across multiple states
• Manage the fingerprinting & background screening processes including licensing and school district requirements
• Oversee timely individual provider enrollment for state Medicaid, Medicaid Managed Care, and commercial payers
• Utilize data to identify payer enrollment blocks and delays
• Lead process improvement and system implementation initiatives to ensure payer enrollment keeps pace with provider, payer, and new state growth
• Partner with the Compliance Team to address and mitigate any regulatory risks associated with Telehealth delivery
• Stay current on state and federal Telehealth regulations and integrate those into operational workflows and provider onboarding and training requirements
• Lead the process of obtaining and maintaining accreditation for Telehealth services, including ensuring compliance with standards set by accrediting bodies such as The Joint Commission, URAC, or NCQA
• Drive the preparation of accreditation applications, supporting documents, and ongoing compliance audits
• Coordinate internal audits and quality improvement initiatives to ensure the organization maintains its accreditation status
• Collaborate with senior leadership and relevant departments to align policies and procedures with accreditation standards
• Analyze clinician-reported adverse occurrence reports and quality incident reports to identify patterns or recurring issues within telehealth services
• Collaborate with clinical teams to investigate root causes of reported incidents and implement improvements to reduce future occurrences
• Work with the clinical care delivery teams to develop strategies for mitigating risks and improving the clinical care process based on reported trends
• Provide regular reports on adverse occurrences and quality incidents to leadership, offering actionable insights for process improvement
• Provide ongoing support, training, and resources for Telehealth providers to ensure they are comfortable with telehealth technologies and clinical guidelines
• Monitor provider performance, offer feedback, and encourage continuous improvement in clinical care
• Provide regular reports on clinical performance, compliance, and operational challenges to senior leadership
• Document and track any incidents or complaints related to clinical care, ensuring appropriate follow-up and resolution
• Provide product and technology teams input to ensure Telehealth platforms support clinical workflows and provide a smooth experience for providers and patients
• Partner with support teams to ensure appropriate billing and documentation for Telehealth visits
• Develop a functioning relationship with the President of the Professional Corporation

Benefits

• Total compensation for this role is market competitive, with a base salary range of $125,000 - $175,000
• 401k match
• Healthcare coverage
• Paid time off
• A broad range of other benefits and perks