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Medical Director, Rheumatology

join9am

Remote
IT Governance Human Resources

Job Score

90 pts
On-site model (+70) IT Governance (+10) Human Resources (+10)

About 9amHealth

9amHealth is an AI-enabled virtual specialty care platform focused on managing high-cost chronic conditions at scale. The company partners with employers, health plans, and pharmacy benefit managers to deliver comprehensive, cost-effective medical care for individuals living with obesity, diabetes, hypertension, and dyslipidemia. Members receive access to specialized clinicians, including endocrinologists, obesity medicine specialists, and clinical pharmacists, at-home lab testing, prescription medications, and lifestyle support.

9amHealth was founded in 2021 and is backed by leading healthcare investors like Define Ventures, SemperVirens, 7Wire Ventures, and The Cigna Group Ventures.

Role Summary

The Supervising Medical Director, Autoimmune Program, provides clinical leadership, direct patient care, and program oversight for 9amHealth's autoimmune care offering. This physician will deliver direct consultative care to members, set clinical protocols, supervise and support the multidisciplinary care team, ensure clinical quality and safety across the member experience, and serve as the senior clinical authority for questions and escalations related to autoimmune and inflammatory conditions.

This role begins with direct consultative patient care, delivered via synchronous and asynchronous visits, comprising approximately 50% of time, balanced with clinical leadership and program-building responsibilities. Over time, as the program grows, responsibility will shift toward staffing, supervising, and growing a team of clinicians — including rheumatologists, physicians, and advanced practice providers (APPs).

Key Responsibilities

Direct Patient Care (~50% of role, initially)

  • Provide direct consultative care to members with autoimmune and inflammatory conditions, including initial and follow-up visits as needed

  • Deliver expert clinical guidance on member questions related to autoimmune disease management, in coordination with the member's existing rheumatologist and/or PCP

  • Serve as a clinical touchpoint for members with complex or higher-acuity needs

Team Building & Clinician Management (increasing responsibility over time)

  • Build staffing models, clinical workflows, and supervision structures to support a growing clinical team

  • Develop and implement training for physicians, APPs, and other care team members on the management of the autoimmune population

  • Supervise APPs and physicians in accordance with applicable state supervision and collaboration requirements

  • Recruit, hire, and onboard additional clinicians, including rheumatologists, as the program scales

  • Transition direct-care responsibilities to the growing team over time while maintaining oversight of clinical quality and management of clinicians.

Clinical Oversight

  • Serve as supervising physician of record for the Autoimmune Program, providing medical oversight consistent with applicable state and federal regulations

  • Develop, review, and maintain clinical protocols and escalation criteria for autoimmune and inflammatory conditions

  • Provide clinical review and guidance on complex or ambiguous member cases escalated by the care team

  • Ensure alignment between program protocols and current rheumatology standards of care

Program Quality & Strategy

  • Partner with clinical leadership, product, and operations teams to shape and improve the autoimmune program

  • Monitor clinical quality metrics and member outcomes; identify opportunities for improvement

  • Support development of member-facing and internal educational content on autoimmune disease management

  • Provide client success and commercial teams with clinical support for new sales and existing clients.

Compliance & Safety

  • Ensure the program operates within applicable scope-of-practice, telehealth, and licensure requirements across states served

  • Maintain clear boundaries between program support and the member's existing rheumatology/PCP relationships

  • Participate in chart review, quality assurance, and risk management processes as required

Qualifications

Required

  • MD or DO with active, unrestricted medical license(s); board certification in Rheumatology (ABIM)

  • Significant clinical experience managing patients with autoimmune and inflammatory conditions

  • Experience supervising or collaborating with multidisciplinary care teams (nursing, coaching, nutrition)

  • Strong understanding of virtual/telehealth care delivery models and comfort with innovative models of care delivery, including use of AI.

  • Excellent written and verbal communication skills; comfortable translating clinical protocols into clear, actionable guidance for non-physician team members

Preferred

  • Prior experience in a medical director, supervising physician, or clinical leadership role

  • Experience with digital health, remote patient monitoring, or chronic condition management programs

  • Multi-state licensure or willingness to obtain additional state licenses

What Success Looks Like

  • Clinical protocols and escalation boundaries are current, clear, and consistently followed by the care team

  • Members receive safe, high-quality support that appropriately complements (rather than duplicates or conflicts with) their existing rheumatology care

  • Care team members have a reliable, responsive source of clinical guidance for complex cases

  • Program clinical quality metrics meet or exceed targets

  • A capable, well-supervised clinical team (rheumatologists, physicians, and/or APPs) is successfully recruited and built out as the program scales

What you can expect at 9amHealth

At 9amHealth, you'll join the exciting environment of a startup with the stability of highly experienced founders that have successfully built a business from scratch. We foster a collaborative learning mindset and a passion for improvement. You'll work with a brand-new product alongside a small, flexible team of people eager to shape technology, infrastructure, and culture.

Our team members are spread across the globe, with physical sites in San Diego, California, and Vienna, Austria, but we value your culture regardless of where you work.

We offer a comprehensive benefits package, including health, dental, and vision insurance, along with flexible PTO and work from home options. We provide a professional development budget and support continuing education, empowering our team to grow alongside the company. Team members have the opportunity to make a meaningful impact on chronic disease management and patient outcomes while contributing to a collaborative, mission driven culture focused on improving healthcare accessibility and affordability.

Our commitment to diversity and inclusion

Diabetes disproportionately impacts BIPOC (black, indigenous, and people of color) communities. We are committed to creating a workforce that reflects our patients and creating a positive healthcare experience for them. We welcome applications from people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, and foreign born residents.

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About IT Governance

IT Governance is the area responsible for ensuring that information technology resources are used strategically, efficiently, and in compliance with standards and regulations. IT governance professionals ensure that technology supports business objectives in a secure and reliable manner.

Key skills include IT service management (ITIL), IT audit and compliance, risk management, business continuity, disaster recovery, metrics and indicators (SLAs, KPIs), and strategic alignment between IT and business. Frameworks like COBIT, ITIL, ISO 27001, and compliance standards are essential.

IT Governance professionals in technology companies are highly valued, especially those who master ITSM, IT audit, and risk management. The field offers opportunities from governance analyst to CIO/CTO, with a focus on efficiency, compliance, security, and business value.

About Human Resources

The Human Resources area is responsible for all people management in organizations, from attracting and selecting talent to developing, retaining, and ensuring employee well-being. HR professionals are fundamental to building strong organizational cultures and engagement.

Key skills include recruitment and selection, compensation and benefits management, learning and development (L&D), organizational climate, employee engagement, labor law, labor relations, and HR tools (Workday, SAP SuccessFactors, Bamboo HR). Knowledge of people analytics and data-driven HR is a differentiator.

HR professionals in technology companies are highly valued, especially those who master employer branding, people analytics, and talent retention strategies. The field offers opportunities from HR analyst to Chief People Officer, with a focus on culture, engagement, and people growth.

Discover Other Areas

Understand the scope of work, key skills, and tools used in different career areas.

About Engineering

Software Engineering goes beyond traditional development, focusing on scalability, performance, and system architecture. Software engineers are responsible for designing infrastructures that support millions of simultaneous users.

Skills include microservices architecture, DevOps, cloud computing, application security, and performance optimization. Knowledge of containerization (Docker, Kubernetes) and CI/CD is increasingly required.

Senior software engineers are rare and highly compensated professionals, with opportunities at major global tech companies.

About Customer Success

Customer Success is the area responsible for ensuring clients achieve their goals when using the product or service. It is a strategic function for retention, expansion, and customer satisfaction.

Key skills include account management, churn analysis, NPS, onboarding, upsell, and cross-sell. Knowledge of CS tools like Gainsight, Totango, and ChurnZero is a differentiator.

CS is becoming increasingly strategic in SaaS companies, with professionals directly contributing to recurring revenue growth (MRR/ARR).

About Automation Analyst

The Automation Analyst is the professional responsible for identifying process optimization opportunities and developing automated workflows (RPA, scripts, or integrations). They map manual and repetitive tasks across various company areas and build automation solutions using low-code/no-code platforms (such as Zapier, Make, Power Automate, n8n) or RPA tools (such as UiPath), driving operational efficiency and error reduction.

About Fullstack

Fullstack developers are versatile professionals capable of working on both frontend and backend of web and mobile applications. They master multiple technologies and can build complete products end-to-end, from the user interface to server infrastructure.

Key skills include proficiency in at least one complete stack (React/Vue/Angular + Node.js/PHP/Python/Java), databases (SQL and NoSQL), REST/GraphQL APIs, Git versioning, CI/CD, and basic infrastructure knowledge (Docker, cloud). Clean architecture, DDD, and testing are important differentiators.

Fullstack developers are highly valued in startups and companies that need versatile and autonomous professionals. The field offers opportunities from junior developer to software architect, with a focus on complete delivery, holistic product vision, and ability to work across multiple application layers.

About Social Media

The Social Media area is one of the most dynamic and constantly evolving fields in digital marketing. Social media professionals are responsible for creating, managing, and optimizing brand presence on digital platforms, building engagement and community with the target audience.

Key skills include social media management (Instagram, TikTok, LinkedIn, Facebook, YouTube), social media content creation, community management, paid social media (Meta Ads, LinkedIn Ads, TikTok Ads), metrics analysis, and strategic planning. Tools like Hootsuite, Sprout Social, Buffer, Later, and analytics platforms are essential.

Social media professionals in technology companies are highly valued, especially those who master paid social, social media analytics, and content strategies for different platforms. The field offers opportunities from analyst to head of social media, with a focus on growth, engagement, and return on investment.

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Communication Career Guide

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Tech & Remote Glossary

Stop getting lost in interviews and job descriptions

The job market, especially within tech and global companies, has developed its own dialect. Not understanding these acronyms can make you lose valuable opportunities or poorly negotiate your contract. To end this problem, we created the Definitive Glossary for the Remote Professional.

🏢 Work Models & Routine

Async (Asynchronous Work)
A communication model where responses don't need to be immediate. Instead of back-to-back meetings, the team relies on well-structured documents, threads, and messages. It's the gold standard for global companies spanning multiple time zones.
Sync (Synchronous Work)
The opposite of Async. It requires the team to be online and available at the same time for meetings, live chats, and real-time collaboration.
Daily / Stand-up
A quick daily meeting (usually 15 minutes) common in Agile (Scrum) methodologies. The team answers three questions: What did I do yesterday? What will I do today? Are there any blockers?
All-Hands / Town Hall
A company-wide meeting involving all employees. Usually led by the founders (C-Levels) to present results, new goals, and answer team questions.
1:1 (One-on-One)
A recurring individual meeting between a professional and their direct manager. It is used for career alignment, feedback, and problem-solving, not just for project status updates.

💰 Contracts, Benefits & Compensation

PTO (Paid Time Off)
Instead of strict, categorized leave policies, modern US companies usually offer a flexible pool of days (e.g., 20 days of PTO, or even "Unlimited PTO") that you can use for vacations, sick days, or personal matters, while receiving your regular compensation.
Equity / Stock Options
Company ownership. The startup offers you the right to buy shares at a heavily discounted strike price in the future. If the company grows, goes public, or is acquired, these shares can be highly lucrative.
Vesting (Vesting Schedule)
The rule that controls your Equity. It usually lasts 4 years. You don't get all the shares on day one; you "earn" them gradually as you stay with the company. A "1-year Cliff" means you must stay for at least one year to receive your first batch of shares.
RSUs (Restricted Stock Units)
Unlike Stock Options (where you have the right to buy the stock), RSUs are actual shares the company grants you as a bonus or part of your compensation package, following a strict Vesting schedule.
Independent Contractor (1099 / B2B)
The most common international hiring model for global talent working for US companies. You act as a service provider (business-to-business), receiving the gross salary (often six-figure compensation) without standard local payroll tax deductions at the source.

🤖 Recruitment & Hiring Process

ATS (Applicant Tracking System)
The "robot" that reads your resume. Software like Greenhouse, Ashby, and Workday are used to filter candidates by keywords before a human even looks at the document. (Pro tip: this is why your resume must be clean, semantic, and have the right keywords).
JD (Job Description)
The document that lists the responsibilities, technical requirements, and benefits of the open position.
Cultural Fit
The interview stage that evaluates if your core values, communication style, and worldview align with the company's culture. This is the ultimate test of your Soft Skills.
Onboarding
The integration process. It's the period of your first few weeks at the company, where you get your access credentials, learn about the culture, study the internal documentation, and understand how the product works.

🚀 How to use this to your advantage?

The secret isn't just knowing what these acronyms mean, but using them actively. If during an interview for a premium tech role you ask, "How does your PTO policy and Vesting schedule work?", the recruiter will immediately perceive you as a high-level professional, familiar with the global market standards.

The remote job market requires preparation. And having the right vocabulary is the first big step to securing six-figure proposals and standing out among thousands of applicants.

Expert Tip

The Current State of the Cloud & DevOps Market

By Mondywork | The ultimate guide for tech professionals looking to level up their careers, land global remote roles, and master modern infrastructure.

The End of the "SysAdmin" and the Rise of Platform Engineering

If you've been tracking the most sought-after roles at startups and Fortune 500 companies, you've probably noticed a drastic shift. The Cloud Computing and DevOps market is no longer just about "keeping the app online." Today, companies demand extreme resilience, automation, and cost optimization (the famous FinOps).

DevOps culture has evolved. We are now in the era of Platform Engineering, where infrastructure teams build internal platforms to grant developers full autonomy (Self-Service). For those aiming for global remote roles with six-figure compensation, understanding this transition isn't just a plus—it's a strict requirement.

"Elite DevOps teams deploy code 973 times more frequently and boast a Mean Time To Recovery (MTTR) that is 6,570 times faster than low-performing teams."

— State of DevOps Report (DORA / Google Cloud)

What Do Recruiters and ATS Systems Really Look For?

Automated filters (ATS platforms like Greenhouse, Ashby, and Workday) are hardwired to scan for a very specific set of skills in Cloud/DevOps resumes. Simply listing 20 tools won't cut it anymore; you must demonstrate culture and real-world impact.

  • Infrastructure as Code (IaC): Forget clicking around the AWS console. Declarative tools like Terraform, Pulumi, and Ansible are the true industry standards.
  • Container Orchestration: Mastery of Docker and, above all, Kubernetes (K8s) is practically mandatory for premium roles.
  • CI/CD Culture: Building automated pipelines (GitHub Actions, GitLab CI, ArgoCD) that guarantee continuous and secure deployments.
  • Cloud Providers and Architecture: Proficiency in at least one major public cloud provider (AWS, Google Cloud, or Microsoft Azure), with a strong focus on Serverless, microservices, and system resilience.

How to Transition: The Roadmap to Success

Many Back-End developers, support analysts, and network professionals want to pivot to Cloud and DevOps. If that's your goal, follow this market-validated roadmap:

  1. Master the Basics (Linux and Networking): Modern DevOps runs on Linux. Understanding permissions, processes, bash scripting, and the fundamentals of TCP/IP, DNS, and Load Balancers is your foundation.
  2. Learn to Code: A DevOps engineer doesn't need to be a Senior Developer, but you must know how to automate tasks. Python and Go (Golang) are currently the most highly valued languages in this ecosystem.
  3. Are Certifications Worth It? Yes, especially to get past the initial HR screening. Certifications like the AWS Certified Solutions Architect – Associate or the CKA (Certified Kubernetes Administrator) carry massive weight in the global market.
  4. Build a Real Portfolio: Publish a project on GitHub where you provision infrastructure via Terraform, set up a CI/CD pipeline using GitHub Actions, and deploy a simple app to a Kubernetes cluster. Practical projects always beat theoretical resumes.

Essential References and Study Links

To stay up-to-date, we highly recommend following official organizations and annual market reports:


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