Medical Director, Clinical Excellence & Care Catalyst

About Enara

At Enara, we are building a new model for sustainable weight loss and metabolic health. We don’t just treat symptoms—we build long-term partnerships between patients and providers to drive durable, life-changing outcomes. We partner with clinics to deliver whole-person obesity care through a distributed provider network spanning multiple states.We're post-product-market-fit with strong unit economics and in exciting build mode. We need clinical leadership that can unlock capacity, remove bottlenecks, and help us grow.

Team Values
1. Empathy (First) - Every patient’s journey is unique, and we approach each with compassion and understanding, always treating patients with dignity.
2. Empowerment (Through Partnership) - Patients are partners in their health journey. We strive to educate, motivate, and support them at every step.
3. Respect for Diversity - We embrace and honor the unique backgrounds, cultures, and identities of every individual, fostering an environment of inclusion and understanding.
4. Innovation (for Change) - We’re committed to challenging the status quo in healthcare, advancing technology and protocols to create sustainable health outcomes.
5. Service - Heart of Service - With humility and purpose, we dedicate ourselves to serving others, putting compassion and commitment at the heart of everything we do.

The Role: A Catalyst for Clinical Growth and Execution

We have 100+ multi-disciplinary providers across 10+ clinic partners. We have a care model that works and patients who stay with us through life's hardest moments.

Your primary job is to grow capacity.

You'll do this by:
- Building and optimizing a provider network that can scale
- Eliminating operational friction that slows care delivery
- Ensuring our clinical team can absorb growth without breaking
- Holding the line on quality while pushing for efficiency

You'll sit at the intersection of clinical excellence and operational execution. You need to be comfortable in ambiguity, willing to dig into problems personally, and energized by building something, not just overseeing something.

Patient-Facing Clinical Practice (Required)
This is a hands-on clinical leadership role. The Medical Director is expected to maintain an active patient panel and provide a minimum of 10 hours per week of direct patient care.

This patient-facing commitment ensures that clinical leadership remains grounded in real-world care delivery, patient experience, and the practical realities of our care model. Insights from direct care are expected to inform clinical decision-making, protocol development, provider mentorship, and cross-functional collaboration with Product and Operations.

The Medical Director at Enara operates with a unique duality.

You are both:
- The clinical authority responsible for medical quality, safety, and regulatory integrity
- A Care Catalyst who shapes how care is delivered across a modern, technology-enabled clinical ecosystem

You will sit at the intersection of clinical outcomes, operational execution, and product evolution, ensuring that our care model is evidence-based, scalable, and deeply human.

This role requires a leader who can set a clear clinical bar, hold teams accountable with empathy, and translate medical judgment into systems, protocols, and workflows that serve our three core stakeholders: Patients, Providers, and the Organization.

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