FreshRemote.Work

Director of Medical Affairs

Remote

Hazel Health is the nation's largest virtual provider of school-based healthcare services, and has been recognized by Fast Company asone of the world’s most innovative places to work in 2023. 

By partnering with districts and health plans across the country, Hazel transforms schools into the most accessible front door to physical and mental healthcare. Today, Hazel's diverse team of licensed providers deliver therapy and medical services virtually (in school or at home) to over four million K-12 students — regardless of their insurance status or ability to pay. Hazel aims to remove all barriers to the mental and physical health care that children need to thrive: in school, at home, and in life.

Helping students and their families feel better takes a team of smart, dedicated people. As an integral member of the Hazel team, you will

  • Make an Impact: Work with a team that is increasing equitable access to quality health care experiences for students and their families.
  • Enable Scale: Work with a team that is building and professionalizing a high growth high impact social enterprise.
  • Feel Valued: Work with a team that is being compensated competitively, developed professionally, and celebrated frequently for making a meaningful difference.

Check us out at Hazel Health Careers

The Role:

The Director of Medical Affairs will lead the quality assurance, provider support (notably onboarding, credentialing, and licensing), and accreditation processes for both mental health and physical health services provided through telehealth platforms. This role ensures that Telehealth services are delivered in accordance with clinical guidelines, regulatory standards, and best practices, with a focus on maintaining high standards of patient care and safety. In Hazel’s national telehealth environment, cross-state licensing is a key strategic driver for our business and therefore, an efficient, scalable and compliant licensing and credentialing process is critical to Hazel’s growth and sustainability.  You will own this process to ensure our mental and physical health providers are able to serve students in multiple states, and that we are appropriately reimbursed for our credentialed providers.  You will also audit and monitor trends in clinician-reported adverse occurrence reports and quality incidence reports to identify and address areas of clinical risk.

Location: Remote

What You’ll Do:

  1. Quality Assurance & Clinical Audits:
    • 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
  2. Licensing & Credentialing Compliance and Management:
    • 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 
  3. Payer Enrollment and 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
  4. Regulatory Compliance & Risk Management:
    • 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.
  5. Accreditation Management:
    • 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.
  6. Monitoring Trends in Adverse Occurrences & Quality Incidents:
    • 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.
  7. Provider Support & Training:
    • 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.
  8. Reporting & Documentation:
    • 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.
  9. Collaboration with Cross-functional Teams:
    • 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

Minimum 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.

If you’re excited about this role but your past experience doesn’t align with every qualification in the job description, we encourage you to apply anyway.

Total compensation for this role is market competitive, with a base salary range of $125,000 - $175,000, a 401k match, healthcare coverage, paid time off, and a broad range of other benefits and perks. Review our benefits at Hazel Health Benefits.

We believe talent is everywhere, and so is opportunity. While we have physical offices in San Francisco and Dallas, we have embraced working remotely throughout the United States. While some roles may require proximity to our San Francisco or Dallas offices, remote roles can sit in any of the following states: AZ, CA, CO, DC, DE, FL, GA, HI, IA, IL, ME, MD, MA, MI, MO, NE, NV, NJ, NM, NY, NC, OR, PA, RI, SC, TN, TX, VT, VA, WA and WI. Please only apply if you live and work full-time in one of the states listed above or plan to relocate to one of these states before starting your employment with Hazel. State locations and specifics are subject to change as our hiring requirements shift.

We are committed to creating a diverse, inclusive and equitable workplace. Hazel Health values the minds, experiences and perspectives of people from all walks of life. We are proud to value diversity and be an equal opportunity employer. Hazel will consider qualified applicants with an arrest or conviction record for employment in accordance with state and local laws and "fair chance" ordinances. For all Hazel positions, a criminal background check is required following a contingent offer of employment. Learn more about working with us at Hazel Health Life.

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