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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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Key skills include requirements gathering and analysis, process modeling (BPMN), data modeling, technical and functional documentation, system integration (APIs, microservices), and knowledge of ERPs and CRMs. Tools like Jira, Confluence, Visio, and project management platforms are essential.

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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 New Paradigm of Digital Marketing and Social Media

The New Paradigm of Digital Marketing and Social Media: Impact, Opportunities, and the Future of the Market

By Mondywork Team | 6-minute read

The Evolution: From "Just Posting" to True Revenue Engines

There was a time when digital marketing was viewed as a secondary department, heavily focused on vanity metrics like likes and follower counts. That era is officially over. In today's global market, Digital Marketing and Social Media Management are the beating heart of customer acquisition, acting as literal Revenue Engines.

Top-tier US startups, unicorns, and global B2B/B2C enterprises have realized that consumer attention is the most expensive asset on the internet. It's no longer just about creativity; it's about merging authentic communication with ruthless data analysis and Artificial Intelligence integrations.

How Does This Market Impact Global Companies?

The impact of modern marketing on the corporate world is absolute. According to the HubSpot State of Marketing report, companies that closely align their digital strategies with sales see a 20% higher revenue growth.

  • CAC Reduction and LTV Focus: Companies rely on marketing professionals to lower Customer Acquisition Cost (CAC) through organic traffic and social media, while simultaneously increasing Lifetime Value (LTV) through retention strategies.
  • Community-Led Growth: Brands don't just want consumers anymore; they want raving fans. Social media has evolved into a community-building channel, where engagement breeds brand advocates who buy repeatedly.
  • Global and Borderless Presence: Digital marketing has shattered geographical borders. A startup in Silicon Valley can easily scale its sales in Europe using campaigns managed by a strategist based in Brazil, Portugal, or anywhere else, working 100% remote.

The 2026 Landscape: What Do Companies Expect?

The digital marketing job market has never been more technical and demanding. The era of the "jack-of-all-trades" generalist is making way for hyper-focused experts and strategists with a systemic vision—the highly sought-after "T-Shaped" professionals.

"Marketing has transitioned from an art based purely on intuition to a science driven by data, predictability, and hyper-segmentation."
— eMarketer Digital Trends

The barrier to entry has risen significantly due to the integration of Artificial Intelligence. Tools that generate copy or images in seconds (like ChatGPT and Midjourney) haven't replaced the professional; they've raised the bar. The market now seeks talent who can "pilot" these AIs to craft strategies, automate workflows using tools like n8n or Zapier, and analyze Business Intelligence (BI) dashboards in Looker Studio.

Golden Opportunities: The Hottest Roles

Highly qualified professionals are being fiercely fought over, especially on platforms like Mondywork, where international companies seek remote talent offering six-figure compensation and global remote flexibility. The areas with the highest demand include:

  1. Growth Marketer / Hacker: The professional focused on rapid experimentation across the marketing funnel (Pirate Metrics - AARRR). They blend marketing, data analysis, and a bit of product engineering to find scalable growth levers.
  2. Performance Manager (Paid Media): The traditional traffic manager has evolved. Today, this professional manages multi-million dollar budgets across Google Ads, Meta Ads, and LinkedIn Ads (essential for B2B), with an absolute focus on ROAS (Return on Ad Spend).
  3. Social Media Strategist & Community Manager: Going far beyond scheduling posts, this talent understands internet culture, dominates short-form formats (TikTok, Reels, Shorts), and knows how to convert a social audience into qualified leads within the company's sales funnel.
  4. SEO & Content Architect: With shifting search algorithms and the impact of AI (Search Generative Experience), the SEO professional who masters search intent, information architecture, and Core Web Vitals is indispensable for long-term organic acquisition.
  5. Marketing Operations (Marketing Ops): The architect behind the curtain. They manage CRMs (Salesforce, HubSpot), email automations, and ensure the entire marketing data infrastructure is flawless.

Is It Worth Entering or Transitioning into This Field?

Absolutely. If you are an analytical, curious professional who understands human behavior and isn't afraid of data spreadsheets, digital marketing offers one of the most promising and flexible career paths in the modern world.

To stand out in rigorous international recruitment systems (ATS like Greenhouse and Ashby), it is crucial that your resume and portfolio showcase real results. Forget generic descriptions; US tech recruiters and Heads of Marketing want to read hard metrics: "Increased organic traffic by 150% in 6 months" or "Managed $500k in ad spend while maintaining CAC 20% below target".

The global market is vast, decentralized, and pays incredibly well for those who know how to turn clicks and views into predictable revenue.