Job Description

Pelago is the world’s leading virtual clinic for Substance Use Management. Our program provides guidance, support and treatment for members seeking to overcome their tobacco, alcohol and opioid use. From unhealthy habits to active substance use disorders, Pelago delivers a personalized solution based on individual health, habits, genetics, and goals, providing care for members wherever they might be on the substance use spectrum.
Pelago's suite of virtual services ranges from education, to cognitive behavioral therapy (CBT) to comprehensive medication-assisted treatment (MAT). Pelago enables employers and health plans to deliver accessible, affordable, and effective treatment for substance misuse.
Pelago has scaled to helping hundreds of employers and health plans and has already helped more than 750,000 members manage their substance use better. We have recently closed our Series C and raised over $151m from leading global investors. If you are passionate about making an impact on the health of others, join us and make it happen!

of the Role:

Pelago is seeking a mission-driven, board-certified Addiction Medicine Physician with deep expertise in Substance Use Disorder (SUD) treatment to join our clinical team. In this role, you'll provide direct member care via telehealth, delivering evidence-based SUD treatment to help individuals overcome addiction and achieve lasting recovery.

This is a unique opportunity to make a meaningful impact in digital SUD care delivery, working with cutting-edge telemedicine technology to reach members who need specialized psychiatric support. You'll be part of a collaborative, interdisciplinary team dedicated to transforming addiction treatment through innovative, accessible care.

This is a remote and part-time role, averaging approximately 10 hours per week, open to candidates located in the United States Multi-state licensure is strongly preferred.

In this role you will…

• Provide comprehensive SUD care to Pelago members via virtual visits, including thorough assessments, diagnosis, and medication management for SUD and co-occurring conditions.
• Prescribe and monitor Medication Assisted Treatment (MAT), including naltrexone, Suboxone, and other evidence-based pharmacotherapies, in close collaboration with our member operations team.
• Address concurrent mental health issues, such as mild to moderate anxiety, depression, sleep disorders, and other conditions frequently found with SUD, in collaboration with the clinical team.
• Work within Atlas, Pelago's AI-native EHR, which automates session documentation, surfaces real-time evidence-based guidance during calls, and prepares clinical context before each session — so your time stays focused on member care, not administrative lift.
• Collaborate with counselors, coaches, and member operations to deliver optimized, coordinated care that enhances the member experience and supports recovery.
• Contribute to clinical excellence through participation in case reviews, journal clubs, grand rounds, and peer reviews to maintain high-quality, evidence-based care.
• Develop personalized treatment plans and offer referrals based on clinical assessments and individual member needs.
• Maintain accurate and up-to-date clinical documentation, supporting quality assurance and compliance efforts to ensure the best patient outcomes.
• Educate patients in a way that is tailored to their unique needs, abilities, and recovery goals.
• Collaborate on cross-functional projects with counselor, growth, and product teams to improve care delivery and member outcomes.
• Help refine and implement clinical protocols, treatment standards, and policies to enhance overall care quality.
• Commit to 10 hours per week supporting our patients.

The background we are looking for…

• Board-certified physician (MD or DO) in one of the following:
  • Psychiatry (ABPN or AOA), with significant SUD treatment experience; Addiction Psychiatry subspecialty preferred, or
  • Internal Medicine, Family Medicine, or other ABMS/AOA primary specialty, with Addiction Medicine subspecialty certification (ABPM) or board eligibility
• Active licensure in at least one U.S. state; multi-state licensure strongly preferred. Must be willing to obtain additional state licensure as needed (Pelago will sponsor this).
  • OK or PA preferred to support current patient demand
• DEA registration (or in process) and current state-controlled substance license (or in process).
• Comfort working in an AI-augmented care environment; openness to adopting AI-assisted tools that support documentation, member communication, and clinical decision-making.
• Experience in telemedicine, with advanced comfort level using digital platforms and electronic health records (EHRs).
• A passion for patient-centered care, innovation in addiction medicine, and continuous quality improvement.
• Strong communication skills, with the ability to collaborate effectively across teams and organizations.

Preferred Qualifications:

• IMLC (Interstate Medical Licensure Compact) participation
• Previous experience in digital health or telemedicine environments

Note: At this time, we are unable to offer visa sponsorship for this position. There may be a 5-10% travel requirement in states requiring in-person assessments.

The provided range reflects our US target hourly range for this part-time or contract position. Individual pay within the range will vary based on a variety of factors like role-related experience and education, internal pay equity, and other relevant business factors.

Pay Range $175—$215 USD