National Medical Director

Mira Mace

8d•Remote

About The Position

The National Medical Director owns clinical outcomes for all Mira patients, with performance measured by outcomes such as hospital readmissions, emergency room visits, and falls. The role focuses on identifying and addressing root causes of decline in older adults, including falls, medication burden, missed follow-up, and cognitive changes. The director has significant autonomy and is expected to act quickly, make decisions in ambiguous and urgent situations, and take responsibility for issues across their area. The director selects key outcomes, sets targets, develops and measures interventions, and reports results weekly. They design root-cause programs using the geriatric 5Ms framework, launch and refine programs quickly, and turn effective approaches into protocols for clinicians and Care Advocates. The role also sets standards for visits, care plans, and documentation; approves clinical content in the product, including AI-assisted workflows; works with operations and billing to meet CMS requirements; and represents Mira with payers and regulators.

Requirements

MD from a top U.S. medical school.
Former CMO at a telehealth startup, with a documented record of improving outcomes such as hospital readmission rates.
Board certification in Internal Medicine or Family Medicine, with Geriatric Medicine certification or fellowship.
Track record of building programs addressing root causes of disease in older adults and demonstrating measured results.
Active, unrestricted medical license.

Nice To Haves

Experience with Medicare and Medicare Advantage, including value-based care.
Experience running care-management programs such as CCM, APCM, CHI, and PIN.
Experience setting clinical guardrails for AI tools.

Responsibilities

Choose priority clinical outcomes, initially hospital readmissions, emergency room visits, and falls; set targets, develop interventions, and report results weekly.
Design root-cause programs through a geriatric lens using the 5Ms: Mind, Mobility, Medications, Multicomplexity, and what Matters Most.
Address issues such as polypharmacy, cognitive decline, frailty, and avoidable admissions.
Launch initial program versions quickly, measure results, refine them, and scale effective approaches.
Develop protocols for clinicians and Care Advocates to use in daily care.
Set clinical standards for visits, care plans, and documentation.
Approve clinical content in the product, including AI-assisted workflows.
Work with operations and billing to ensure accurate documentation and compliance with CMS requirements.
Represent Mira as its clinical voice with payers and regulators.