[Hiring] National Medical Director @Mira Mace

Role Description

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.
• Set the target, build the fix and report the number every week.
• Design root-cause programs through a geriatric lens using 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

• 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.

Benefits

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