Medical Director

Salary Range: 250000 to 300000 (Currency: USD) (Pay period: per-year-salary)

Key Responsibilities

• 1. Provider Network Performance & Capacity
• Capacity Planning: Forecast clinical demand, identify constraints before they become blockers, and ensure we have the right providers in the right markets at the right time.
• Provider Utilization: Monitor and optimize how effectively our network operates. Identify underutilization, address burnout risks, and balance load across providers.
• Recruitment & Retention: Partner with HR to attract high-quality providers. Create an environment where clinicians want to stay and grow.
• Compensation Model Ownership: Design, implement, and standardize provider compensation models that attract and retain great clinicians while fitting within our economic constraints (provider comp must work within ~50% of revenue share). You'll own this end-to-end : structure, rollout, and ongoing refinement.
• Multi-State Operations: Navigate the complexity of operating across California, Minnesota, Maryland, Kansas, Michigan, and future markets.


2. Clinical Quality & Governance
• Standards of Care: Develop, implement, and continuously refine clinical policies, protocols, and pathways grounded in evidence-based medicine and best practices in obesity and metabolic health.
• Provider Performance: Directly manage supervising physicians. Conduct structured 1:1s. Give clear, actionable feedback. Address performance gaps quickly and fairly.
• Quality Metrics: Define and monitor clinical outcomes and safety indicators. Drive improvement through data, not anecdote.
• Regulatory Compliance: Ensure we meet all federal, state, and local requirements. Maintain audit readiness.


3. Operational Efficiency & Cross-Functional Partnership
• Workflow Optimization & Resource Stewardship: Identify where clinical processes create drag. Partner with Ops to fix them. Contribute clinical perspective to staffing models, budgeting, and capacity planning to ensure cost-effective care without compromising quality.
• Technology & Tooling Needs: You don't need to architect our products, but you need to clearly articulate what clinicians need to deliver care efficiently at scale. Be the voice of clinical reality in product conversations.
• Documentation & Coding Integrity: Ensure documentation practices support clinical excellence, regulatory compliance, and accurate billing. Partner with revenue and operations teams to close gaps proactively.


4. Clinical Leadership & Team Accountability
• Cultural Leadership: Serve as a role model for Enara’s clinical culture. Foster high standards of care, psychological safety, and continuous improvement across the provider network.
• Physician Management & Mentorship: Directly manage supervising physicians with structured monthly 1:1s, provide timely, actionable feedback and coaching, address performance gaps with clarity, fairness, and support, ensure providers understand how their daily clinical decisions connect to patient outcomes and Enara’s broader mission
• Grounded Clinical Practice & Communication: Maintain an active patient panel with a minimum of 10 hours per week of direct patient care to stay closely connected to patient experience, clinical workflows, and the realities of care delivery that inform leadership decisions. Act as the primary clinical voice to executive leadership, translating frontline realities into strategic insight and operational priorities.

Qualifications:

• Medical Credentials:
• MD or DO with active, unrestricted medical license in good standing.
• Clinical Leadership Experience: Prior experience as a Medical Director, Associate Medical Director, or similar leadership roleDemonstrated success managing and mentoring physicians or advanced practice providers
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• Patient Care Commitment: 
• Ability and willingness to provide a minimum of 10 hours per week of direct patient care as part of ongoing clinical leadership responsibilities.
• US Healthcare System Fluency:Deep practical knowledge of US clinical operations, reimbursement, documentation standards, and regulatory frameworks.
• Systems Thinker:You understand that great care depends on more than good clinicians—it requires well-designed systems, workflows, and tools.
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• Communication & Translation:
• You can speak fluently across clinical, operational, and executive contexts—aligning diverse stakeholders around shared goals.
• Network & Capacity Management: Proven track record in clinical workforce planning, including forecasting demand and optimizing provider utilization across distributed or multi-state networks.
• Financial & Unit Economic Literacy: Experience managing or designing provider compensation models. You should be comfortable working within a "cost of care" framework (e.g., managing provider costs relative to revenue share) and understand the levers of a P&L.
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• Scaling Experience: Prior leadership in a high-growth, venture-backed, or tech-enabled clinical setting (Series A through C). You have successfully helped a clinical organization scale from "hand-crafted" processes to standardized, repeatable systems.
• Workflow Design: Experience partnering with Product or Operations teams to build, test, and iterate on clinical workflows within an EMR or proprietary platform to reduce administrative "drag."
• Data-Driven Decision Making: Ability to use data (not just intuition) to identify bottlenecks, monitor clinical quality metrics, and hold providers accountable to performance standards.
• Multi-State Regulatory Fluency: Practical experience navigating the operational complexities of multi-state professional entities (PC/MSO models), including cross-state licensing, supervision requirements, and corporate practice of medicine (CPOM) compliance.

Qualities That Will Make You Successful Here

• Empathy: You lead with humanity, for patients changing their lives and for providers navigating complex care.
• Ownership: You take responsibility for clinical outcomes, provider performance, and the integrity of the care model.
• Grit: You are willing to engage deeply in difficult clinical, operational, or performance conversations when necessary.
• Proactivity: You anticipate clinical risks, regulatory changes, and care model constraints before they become problems.

Why Join Enara?

• Mission-Driven: Improve and extend human life through compassionate, evidence-based care
• Influence: Shape the clinical foundation of a growing, technology-enabled healthcare company
• Impact: Directly affect patient outcomes, provider experience, and the future of obesity care