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Spero Health
Cookeville, Tennessee

Medical Director

Addiction MedicineNo weekendsFull-Time

Compensation

Pay not listed

The week · per this posting · Monday – Friday

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 2h ago · Verified live

Job Description

Spero Health is seeking a Medical Director to join our teams in Cookeville, TN and Crossville, TN!

This Is a Full-time, On-site Position (Monday - Friday)

  • This position is for a Medical Director with the ability to prescribe buprenorphine to join our team to fulfill its mission of "Saving Lives, Instilling Hope, and Restoring Relationships" to those suffering from substance use disorder. We provide local and affordable outpatient care primarily to those suffering from opioid addiction, and we operate as one of the largest Office Base Opioid Treatment (OBOT) providers in the country.

Spero Health utilizes an innovative evidenced-based integrated care model that combines both physical and behavioral healthcare services under one roof to treat the whole patient. We offer medication-assisted treatment along with counseling and case management within our facilities in order to bring the most comprehensive level of care to the patients that we serve while our community-based approach to treatment allows patients to continue working and caring for their families as they overcome addiction.

Requirements

Essential Duties and Responsibilities

  • Provide supervision and clinical oversight to providers.
  • Provide initial evaluation, diagnosis, treatment and ongoing support for individuals with complex addiction and substance related health conditions
  • Complete full and appropriate documentation to support professional billing for services

Provide education regarding illness and prognosis to assist with clarification of patient and family goals of care and support development of a comprehensive care plan

Provide oversight and supervision on clinical initiatives and processes Interpreting test results to diagnosis any health issues and provide feedback to patients

  • Educating and Counseling patients regarding medication compliance
  • Work with an interdisciplinary team of professionals to administer the best care for those patients that need not only medical therapy but behavioral health services as well
  • Patient follow-up visits regarding patients' progress with medication and/or treatment
  • Contacts patient's PCP and/or specialist(s) when necessary
  • Maintains required licensure, certifications, and CME credits
  • Reviews and oversees progress and treatment plans, including making any adjustments and reviewing 10% of charts.
  • Must be physically present onsite 25% of the time the facility is open to the public.

Minimum Qualifications

  • Active and unrestricted medical license as a physician within the applicable state.
  • Experience providing addiction medicine services for both medically and socially complex populations; Experience managing complex substance use disorders.
  • Ability to develop relationships with network and community physicians and other providers.
  • Current, active DEA licensure and prescriptive authority in state(s) where applicable.
  • Ability to work on-site with diverse care teams in a variety of settings.
  • Effective time management and communication skills.
  • Computer literate and experience with Electronic Medical Records.

Benefits

  • Medical, Dental, and Health Savings Account
  • Vision, Life and Disability insurance (100% Company Paid)
  • Generous PTO and paid holidays
  • 401(k) retirement program with company match
  • Wellness Programs (Fitness Reimbursement & Smoking Cessation)
  • Employee Assistance Program (EAP)
  • Discounts via Tickets at Work

Key Responsibilities

The Medical Director provides clinical oversight, diagnosis, and treatment for patients with substance use disorders while supervising other providers. They also manage interdisciplinary care teams and ensure compliance with medical documentation and billing standards.

Qualifications

Education
Professional certificate or licensure
Experience
5+ years of experience

Certifications

DEA License

Key Skills

Buprenorphine prescriptionSubstance use disorder treatmentPatient diagnosisTreatment planningInterdisciplinary team leadershipPatient counselingClinical supervision

Addiction Medicine — Physician Career Context

Physician pay on WeekdayDoc is up 4.7% vs. the prior quarter (through Sep 2026).

The cost-of-living index for Tennessee is 91.9 (US average = 100; BEA Regional Price Parities (2024)). 58.6% of Tennessee clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Tennessee has no state income tax, which can significantly increase take-home pay compared to high-tax states.

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Work-life snapshot

median 3.9this job 3.9
Better work-life than 50% of Addiction Medicine listings

Listing-based score, 0–10, across 116 comparable listings. Shaded area = the share scoring below this one.

  • No weekends

Living in Cookeville

Typical 3-bedroom home value
$328k
Typical market rent
$1,463/mo
Residents’ average commute
19 min
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

City-level figures. Not a cost-of-living guarantee.

Spero Health logo

About Spero Health

Medical Practices
Brentwood, Tennessee
201-500 employees

Benefits & Perks

Medical, Dental, and Health Savings Account
Vision, Life and Disability insurance (100% Company Paid)
Generous PTO and paid holidays
401(k) retirement program with company match
Wellness Programs (Fitness Reimbursement & Smoking Cessation)
Employee Assistance Program (EAP)
Discounts via Tickets at Work