Role Description
We are seeking a Medical Director, AI Safety that will own the safety of Avo's AI-generated clinical content. That means deciding what "safe enough to ship" means for a discharge summary, a pre-visit summary, or a decision-support module, building the tests that enforce it, and signing off before it reaches a clinician. You will design the grading rubrics, run the evaluations, classify failures by clinical severity, and turn the findings into changes the Studio and engineering teams make.
Roughly 85% of your time goes to safety. The remaining 15% splits two ways:
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Building clinical modules yourself in Avo's Studio, so your safety judgments are grounded in how the content is actually produced.
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Joining sales and customer conversations as the physician who can explain how we test and why a CMIO should trust the output.
You report to the CMIO, with a dotted line to the Chief Commercial Officer.
What You'll Do
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AI safety (core of the role)
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Define the safety standard for each product line: what counts as a hallucination, an omission, or a clinically material error, and how severe each is.
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Design and run evaluation protocols for clinical AI modules, including hallucination detection, omission analysis, and accuracy checks against source records and evidence-based guidelines.
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Build and maintain a clinical harm taxonomy and grading rubric (NCC MERP-style severity scoring) and apply it across benchmark sets.
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Review AI-generated clinical content directly, and grade the automated graders so we know when to trust them.
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Own the release gate: write the go/no-go safety assessment for new modules and major prompt or model changes.
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Investigate reported clinical errors from customers, trace root cause, and drive the fix through Studio and engineering.
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Write the safety reports, validation summaries, and white papers that buyers and their clinical governance committees ask for.
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Track the regulatory and standards landscape for clinical AI (FDA, ONC, CHAI, Joint Commission) and translate it into internal requirements.
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Clinical builder (~5-10%)
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Build or revise clinical modules in Avo's Studio, applying evidence-based guidelines and your own practice experience.
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Feed what you learn from building back into the safety protocols, and vice versa.
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Sales-forward clinician (~5-10%)
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Join prospect calls and pilot evaluations as the physician who can speak to how Avo's content is validated.
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Present the safety program to CMIOs, CIOs, and clinical quality leaders, and answer their hardest questions about failure modes.
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Challenge the status quo in the room: name where legacy documentation and CDS workflows fail patients, and show how a tested AI alternative does better.
Qualifications
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Active clinical license (MD/DO, NP, or PA) with hands-on patient care experience.
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3-7 years of clinical practice; you can read a discharge summary and spot the missed anticoagulation plan in under a minute.
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Experience with or strong interest in clinical AI, CDS, or health informatics.
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A testing mindset: you like designing the rubric, arguing about edge cases, and finding the error nobody else caught.
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Ability to write a clear, defensible safety report for a clinical governance committee.
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Comfort presenting to C-suite clinical leaders and answering pointed questions about AI failure modes.
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Willingness to define the role's scope as the product and company grow.
Requirements
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Some travel expected for customer meetings and demos, up to 10%.
Nice to Have
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Experience with EHR systems (Epic, Meditech, Athena).
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Background in clinical informatics, quality improvement, or patient safety.
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Prior experience in a sales engineering, solutions, or customer-facing clinical role.
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Familiarity with AI/LLM evaluation methodologies.
Benefits
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Generous Time Off: Flexible and generous PTO.
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Comprehensive Health Plans: Medical, dental, and vision coverage for you and your family.
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401K Matching: Contribution matching to help invest in your future.
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Personal Device Allowance: Tax-free funds for personal device usage.
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Compensation and Equity: $175,000 - $200,000 OTE and equity.