Medical Director, Clinical AI

🏢 Pelago · 📍 New York, NY 💰 $275,000 - $275,000 / yr

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Position Summary & Responsibilities

Pelago is the leading specialty substance use care provider, built on the belief that effective treatment means matching care intensity to what each member actually needs rather than defaulting to the most expensive intervention. Our programs guide members through every stage of the substance use spectrum, from unhealthy habits to active use disorders, delivering personalized treatment for tobacco, alcohol, opioid, cannabis, and stimulant use based on individual health, habits, genetics, and goals.

With Sona, our voice-first AI Mental Health Specialist, Pelago now applies that same clinically-driven model to mental health, pairing deep clinical expertise with technology to expand access without compromising care quality. We believe technology should make clinical care more precise and more human, not replace the judgment behind it.

Pelago has scaled to helping hundreds of employers and health plans and has already helped more than 750,000 members better manage their substance use. If you're passionate about AI and making an impact on the health of others, join us and make it happen!

Overview of the Role:

This is a senior leadership role that sits at the intersection of clinical medicine and AI product development. We're looking for a physician-leader who can serve as Pelago's clinical backbone — setting and owning clinical standards across our care programs — while serving as the embedded clinical authority for Pelago's AI-powered care platform.

You'll work closely with our VP of Care Delivery, Chief Scientific Officer, and cross-functional teams across Product, Engineering, Clinical Research, and Growth to ensure Pelago's care is safe, effective, and scalable — and that our AI products are grounded in rigorous clinical judgment. This role requires a leader who can hold the clinical line with integrity while thriving in a fast-moving, mission-driven environment and speaking the language of both medicine and machine learning.

This is a hybrid role with a high-collaboration rhythm (3 days/week in our NYC office).

In This Role You Will Own:

Clinical Leadership & Oversight

Own clinical

🎯 Candidate Preparation Guide For Pelago Applicants

Key Role Competencies & Evaluation Highlights

Key Role Focus:

Interviewers strictly assess your commitment to evidence-based digital health, clinical safety, and empathetic member engagement.

📋 Preparation Priorities (Key Areas to Clarify):

1. Treating digital health like a superficial consumer app without respecting clinical outcomes
2. Ignorance of HIPAA, employer health plan dynamics, and health insurance structures
3. Lack of empathy for vulnerable populations struggling with substance use disorders

✨ Recommended Role Alignment Hook:

I scale digital health solutions that prove rigorous clinical efficacy while delivering undeniable ROI to self-insured employers.

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