National Medical Director

As National Medical Director, you own clinical outcomes for every Mira patient, and we'll measure you by the numbers. The job isn't treating diseases one at a time. It's finding what is actually driving decline, like the fall, the medication burden, the missed follow-up or the cognitive change nobody caught. Then you fix it for every patient, and fast.

You'll get a lot of autonomy and no handholding. If a number is moving the wrong way, you'll be the first to know and the one who turns it around.

Who You Are

* You've been the CMO at a telehealth company and moved hard numbers. You lowered readmission rates, cut avoidable ER use or improved another outcome you can name, with the before and after.

* You think like a geriatrician: in terms of function, goals and the whole patient, not single-disease guidelines.

* You move first and refine as you go. You'll make a good decision today rather than a perfect one next month.

* You treat every problem in your area as yours, clinical or not. You don't wait for permission, a full spec or another meeting.

* You're energized by real urgency and ambiguity. Your best work has come when the answer was unclear and the stakes were high.

* You write clearly, stay in the details and hold yourself and others to a high bar.

What You'll Do

* Pick the outcomes that matter most, starting with hospital readmissions, ER visits and falls, and own them. You'll set the target, build the fix and report the number every week.

* Design root-cause programs through a geriatric lens. Use the 5Ms (Mind, Mobility, Medications, Multicomplexity, what Matters Most) to target polypharmacy, cognitive decline, frailty and avoidable admissions.

* Ship programs in weeks, not quarters. Launch a first version, measure it, fix it and scale what works.

* Turn those programs into protocols our clinicians and Care Advocates run every day.

* Set the clinical standard for visits, care plans and documentation. Sign off on the clinical content in our product, including AI-assisted workflows.

* Work with operations and billing so care is documented accurately and meets CMS requirements.

* Be Mira's clinical voice with payers and regulators.

Qualifications

Required

* MD from a top U.S. medical school.

* Former CMO at a telehealth startup, with a documented record of moving outcomes such as hospital readmission rates.

* Board certified in Internal Medicine or Family Medicine, with Geriatric Medicine certification or fellowship.

* A track record of building programs that addressed the root causes of disease in older adults, with measured results.

* Active, unrestricted medical license.

Preferred

* Experience with Medicare and Medicare Advantage, including value-based care.

* Experience running care-management programs (CCM, APCM, CHI, PIN).

* Experience setting clinical guardrails for AI tools.

The Arrangement

This is a remote, full-time W-2 role with benefits.