Medical Director (Physician/Psychiatrist) | Behavioral Health & Addiction Medicine
Listed compensation
$290k
The week · per this posting · weekdays assumed
Ask the employer about the work setting, weekend coverage, nights and shift pattern and time off.
Job Description
Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes our family of brands as respected leaders in addiction treatment, mental health recovery and eating disorder treatment modalities.
Pyramid Healthcare offers comprehensive behavioral healthcare defined by supportive environments that offer patients the strength they need to overcome life’s challenges. We offer behavioral healthcare services – psychiatry, addiction recovery, mental disorder treatment, etc. – that allow clients at all stages of recovery or rehabilitation to reclaim health and well-being.
- Medical Director
- VA / NC Based | Regional Travel Required
- Full-Time | Executive Leadership
- Behavioral Health | Psychiatry | Addiction Medicine | ACTT Programs
Compensation
The starting compensation for this role is $290,000 per year; final compensation will be determined based on skills, experience, and qualifications.
Lead Clinical Excellence. Transform Lives. Drive Growth.
Pyramid Healthcare is seeking an accomplished and compassionate Medical Director to provide executive clinical leadership across our behavioral health and substance use treatment programs.
This is an exceptional opportunity for an experienced MD or DO who wants to combine leadership, strategy, and patient impact within a respected and growing healthcare organization.
As Medical Director, you will oversee medical services, guide provider teams, strengthen quality outcomes, ensure regulatory excellence, and collaborate with operational leaders to elevate care delivery across residential, outpatient, inpatient, and community-based programs.
- Why Physicians Choose Pyramid Healthcare
- Executive-Level Leadership Role
- Mission-Driven Organization Changing Lives Daily
- Strong Administrative + Clinical Balance
- Growth-Focused, Multi-State Organization
- Collaborative Interdisciplinary Leadership Teams
- Opportunity to Shape Clinical Strategy & Outcomes
Location & Travel Requirements
- Preferred candidate residence is Virginia/ North Carolina or close to it.
- Regional travel to Pyramid Healthcare facilities is required
- Must be available for on-site leadership presence, clinical support, and operational collaboration as needed
Core Responsibilities
- Provide leadership and oversight of all medical services
- Ensure safe, compliant, evidence-based patient care
- Supervise physicians, nurse practitioners, physician assistants, and medical staff
- Partner with executive leadership on strategy, planning, and growth
- Develop and improve medical policies, procedures, and standards
- Support integrated care alongside behavioral health, nursing, and clinical teams
- Lead quality assurance, documentation excellence, and performance improvement
- Assist with provider recruitment, credentialing, and onboarding
- Provide consultation for complex medical and psychiatric cases
- Psychiatry / ACTT Leadership Opportunities (When Applicable)
- Psychiatric evaluations and ongoing medication management
- Collaborate with Assertive Community Treatment Teams (ACTT)
- Supervise psychiatric APP providers
- Participate in treatment planning and interdisciplinary care meetings
- Serve as medical liaison with external agencies and payors
Qualifications
- MD or DO required
- Active unrestricted medical license required
- Candidate must hold or be willing to obtain medical licensure in North Carolina and/or Virginia
- Board Certified / Board Eligible in Psychiatry, Addiction Medicine, Internal Medicine, or related specialty preferred
- Leadership experience in behavioral health, psychiatric, or addiction treatment settings preferred
- Strong executive presence, communication, and clinical judgment
About Pyramid Healthcare
Pyramid Healthcare is a leading national provider of behavioral healthcare and substance use disorder treatment services. Our mission is to improve lives through compassionate, high-quality, evidence-based care delivered by exceptional professionals.
If you are ready to lead meaningful clinical change while advancing your career in executive healthcare leadership, we would love to connect with you.
Pyramid CORE Values
We are committed and proud to live our CORE values and use them to inspire those around us. Our employees are expected to align with these values, behaviors, and standards.
We are held accountable for upholding these CORE Values: INTEGRITY is striving to be honest, transparent, and ethical when dealing with clients, staff, and the community. DEDICATION is demonstrating an unwavering commitment to always provide exceptional care and support to those we serve is needed daily.
COLLABORATION is a steadfast, team-focused approach; working together to achieve excellence. PASSION is genuine, compelling, and relentless desire to improve lives and support Pyramid Healthcare’s mission.
Total Rewards for Full-Time Positions
- Medical, Dental, and Vision Insurance
- Flexible Spending Accounts
- Life Insurance
- Paid Time Off
- 401(k) with Company Match
- Tuition Reimbursement
- Employee Recognition Programs
- Referral Bonus opportunities
- And More!
Want to Know More?
To learn more about Pyramid Healthcare, and how you can achieve personal and professional growth, visit us at: bit. ly.
Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer.
Key Responsibilities
The Medical Director will provide executive clinical leadership, overseeing medical services and guiding provider teams across multiple behavioral health programs. They are responsible for ensuring regulatory excellence, developing medical policies, and collaborating with operational leaders to drive clinical quality and growth.
Qualifications
- Education
- Doctoral or professional degree (postgraduate degree)
- Experience
- 10+ years of experience
Certifications
Key Skills
Addiction Medicine — Physician Career Context
Physician pay on WeekdayDoc is up 4.9% vs. the prior quarter (through Sep 2026).
The cost-of-living index for Virginia is 101.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$290k midpoint carries the purchasing power of roughly $287k in an average-cost state. 61.1% of Virginia clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
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