H-1B Visa Medical Director Psychiatry Jobs
Medical Director Psychiatry roles qualify as H-1B visa specialty occupations, requiring at minimum a psychiatric residency and board certification. Health systems, academic medical centers, and behavioral health networks sponsor H-1B petitions for this title, and many file premium processing given the clinical urgency of filling leadership vacancies.
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About Curative
Curative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Backed by our recent $150M in Series B funding and valuation at $1.275B, Curative is scaling rapidly and investing in AI-powered service, deeper member engagement, and a smart network designed for today’s workforce.
Our north star guides everything we do: healthcare only works when people can actually use it. That belief drives every decision we make: from how we design our plan, support our members, to how we collaborate as a team.
If you want to do meaningful work with a team that moves fast, experiments boldly, and cares deeply, Curative is the place to do it. We’re growing fast and looking for teammates who want to help transform health insurance for the better.
Job Summary:
Curative is seeking an enthusiastic and highly skilled Medical Director to join our growing team. To qualify for this position, you must be board certified in Psychiatry. This pivotal role will be responsible for overseeing and performing utilization reviews, prior authorizations, and making crucial medical necessity determinations. The Medical Director will serve as a key clinical expert, ensuring appropriate resource utilization, promoting evidence-based care, and fostering positive relationships with practitioners through effective peer-to-peer discussions. This is a remote position requiring a 'roll up your sleeves' attitude and a genuine excitement for the dynamic and collaborative environment of a startup.
Key Responsibilities:
- Perform comprehensive medical necessity reviews (prospective, concurrent, and retrospective) for a wide range of healthcare services, applying clinical expertise, established medical policies, and evidence-based guidelines.
- Conduct thorough prior authorization reviews, ensuring alignment with clinical criteria, regulatory requirements, and contractual agreements.
- Lead and conduct effective peer-to-peer discussions with requesting practitioners, providing clear clinical rationales for determinations, facilitating open dialogue, and seeking alternative solutions when appropriate.
- Issue medical necessity denials when warranted, providing comprehensive and well-documented rationales in compliance with all relevant regulations and appeal processes.
- Collaborate closely with internal teams, including Nurse Practitioners, Care Coordinators, and Operations, to optimize utilization management processes and improve member outcomes.
- Contribute to the development, review, and revision of medical policies, clinical guidelines, and utilization management protocols.
- Participate in quality improvement initiatives, audits, and committee meetings as required.
- Maintain meticulous documentation of all review activities, decisions, and peer-to-peer interactions.
- Stay abreast of current medical literature, healthcare trends, regulatory changes, and industry best practices in utilization management.
- Champion a member-centric approach while balancing clinical efficacy and cost-effectiveness.
- Embrace the fast-paced, evolving nature of a startup environment, demonstrating adaptability and a proactive approach to problem-solving.
Qualifications:
- Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited medical school.
- Board Certification in Psychiatry.
- Active and unrestricted Medical License in at least one state, with the ability to obtain additional state licenses as needed (Curative will support additional licensure processes).
- Minimum of 5 years of clinical practice experience.
- Minimum of 2-3 years of experience in utilization management, medical review, or prior authorizations within an insurance or managed care organization.
- Demonstrated success in conducting peer-to-peer discussions with external practitioners, with excellent communication and interpersonal skills.
- Profound understanding of medical necessity criteria, evidence-based medicine, and healthcare utilization management principles.
- Strong analytical and critical thinking skills, with the ability to synthesize complex clinical information and make sound medical decisions.
- Exceptional written and verbal communication skills, capable of explaining complex medical decisions clearly and empathetically.
- Proficiency with electronic health records (EHR) systems and utilization management software.
- Self-motivated, highly organized, and able to manage a high volume of cases effectively in a remote work environment.
- A "roll up your sleeves" attitude and a genuine excitement for contributing to a rapidly growing, innovative startup.
- No travel required for this position.
Perks & Benefits:
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Curative Health Plan (100% employer-covered medical premiums for you and 50% coverage for dependents on the base plan.)
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$0 copays and $0 deductibles (with completion of our Baseline Visit)
- Preventive and primary care built in
- Mental health support
- One-on-one care navigation
- Chronic condition programs (diabetes, weight, hypertension)
- Maternity and family planning support
- 24/7/365 Curative Telehealth
- Pharmacy benefits
- Comprehensive dental and vision coverage
- Employer-provided life and disability coverage with additional supplemental options
- Flexible spending accounts
- Flexible work options: remote and in-person opportunities
- Generous PTO policy plus 11 paid annual company holidays
- 401K for full-time employees
- Generous Up to 8–12 weeks paid parental leave, based on role eligibility.
See all 925+ H-1B Visa Medical Director Psychiatry Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Medical Director Psychiatry
Verify your credentials meet ECFMG requirements early
If you trained outside the U.S., ECFMG certification and USMLE passage are prerequisites before any employer can file your H-1B petition. Confirm your documentation is complete before targeting roles, since gaps delay the filing window significantly.
Target health systems with cap-exempt H-1B eligibility
Nonprofit hospitals affiliated with universities and certain research institutions can file H-1B petitions outside the annual cap at any time. Prioritizing these employers removes the lottery risk entirely and lets you start sooner.
Search LCA filings filtered for psychiatry leadership roles
Use Migrate Mate to filter employers by LCA filing history for Medical Director and psychiatry-related job codes, so you're only applying to organizations with a documented record of sponsoring this specific role type.
Request premium processing before your offer expires
Standard H-1B adjudication can run several months. Ask the employer to file with premium processing, which commits USCIS to a 15-business-day decision and protects you if you're transitioning from another nonimmigrant status.
Confirm the prevailing wage tier before contract negotiations
Look up the Level III or Level IV wage for your SOC code and work location using the OFLC Wage Search before finalizing any offer. The LCA must certify at or above that figure, so knowing it in advance prevents last-minute contract revisions.
Clarify board certification scope in the specialty occupation letter
Employers' H-1B support letters must establish that the Medical Director role specifically requires a board-certified psychiatrist. Ensure your offer letter and the attorney's specialty occupation analysis reference your ABPN certification explicitly, not just a general physician license.
H-1B Visa Medical Director Psychiatry: Frequently Asked Questions
Does a Medical Director Psychiatry role qualify as an H-1B specialty occupation?
Yes. USCIS recognizes Medical Director Psychiatry as a specialty occupation because it requires at minimum a medical degree, psychiatric residency completion, and typically board certification through the American Board of Psychiatry and Neurology. The role's theoretical and applied knowledge base satisfies the specialty occupation standard. Your employer's attorney will document this in the H-1B petition's support letter.
Which types of employers sponsor H-1B visas for psychiatry medical director positions?
Academic medical centers, nonprofit hospital systems, federally qualified health centers, behavioral health networks, and large multispecialty groups are the most active sponsors for this title. Many of these are cap-exempt, meaning they can file outside the annual lottery. Use Migrate Mate to identify employers with verified LCA filings for medical director and psychiatry job codes in your target region.
How does the H-1B cap lottery affect my job search as a psychiatry medical director candidate?
If the sponsoring employer is a for-profit organization without a qualifying cap-exempt affiliation, your petition enters the annual lottery with an April 1 filing date and an October 1 start date. Cap-exempt employers, including nonprofits affiliated with universities and certain research hospitals, can file year-round. Targeting cap-exempt health systems eliminates lottery timing risk and allows earlier start dates.
Can I transfer my H-1B to a new employer if I change medical director roles?
Yes, through H-1B portability. Your new employer files an H-1B transfer petition before your current authorization ends, and you can begin the new role once USCIS receives the petition, without waiting for approval. The receiving employer must file a new LCA certified at the prevailing wage for your new location and job code before submitting the transfer.
Does a Medical Director Psychiatry role support an EB-1 or EB-2 NIW green card path?
Both pathways are viable depending on your profile. An EB-1B outstanding researcher or professor category suits physicians with a strong publication record and institutional research role. A National Interest Waiver, or NIW, under EB-2 is increasingly used by psychiatrists serving underserved populations, where the national benefit of your work can satisfy the waiver standard without requiring employer PERM sponsorship.