Clinical Director

Remote | Full-Time | Hybrid Leadership & Clinical Role

Midi is a fast-growing virtual care company delivering high-quality, whole-person women’s health care through a modern, tech-enabled platform. Our distributed clinical workforce operates at scale in a highly regulated environment, supported by strong clinical governance, clear standards, and operational discipline.

Midi is seeking a Clinical Director to lead care delivery across a defined pod of clinicians and assigned care delivery pillars. This is a hybrid role combining senior clinical leadership and operational ownership with direct patient care.

The Clinical Director is primarily accountable for people leadership, clinical performance, and care delivery execution, while also maintaining an active clinical schedule (including patient panel, emergency, and recovery visits). Direct patient care ensures clinical calibration, escalation readiness, and alignment between standards and real-world delivery.

This role leads through a Senior NP Manager, owns escalation and governance decisions, and partners closely with cross-functional leaders to ensure safe, consistent, and scalable care delivery. The role reports to the Medical Director, IWC, with a dotted-line relationship to the Chief Clinical Operations Officer.

• Set and uphold expectations for clinical quality, professionalism, and performance across a large clinician workforce.

• Lead accountability for scheduling, coverage, utilization, and clinical readiness through the Senior NP Manager.

• Own escalation pathways and clinical decision support to ensure safe, timely, and consistent care.

• Enforce standards for protocol adherence, scope of practice, and documentation; address repeated variance through leadership action.

• Identify readiness gaps and route onboarding, education, or remediation needs to appropriate program owners.

• Maintain a defined clinical schedule, including patient panel, emergency, and recovery visits.

• Deliver care in alignment with established guidelines, protocols, and scope of practice.

• Use direct care experience to inform clinical decision-making, escalation support, quality review, and care model improvements.

• Serve as the accountable clinical owner for assigned care delivery pillars (e.g., supply funnel, care encounter, practice liaison, marketing liaison, Midi store liaison).

• Own pillar OKRs, decisions, and outcomes; delegate execution and drive adoption through leadership channels.

• Partner with peer Clinical Directors to ensure alignment and consistency as care delivery changes are implemented.

• Contribute to the development of guidelines, protocols, and care pathways and ensure consistent adoption across teams.

• Operationalize Medical Director–defined standards into clear, enforceable clinical expectations.

• Provide expert clinical consultation for complex cases and escalations.

• Participate in and lead clinical committees, including chair responsibilities where appropriate.

• Participate in operational and clinical leadership forums; ensure timely, accurate communication cascades through managers to clinicians.

• Partner closely with clinical ops, operations, product, quality, compliance, legal, finance, marketing, and commercial teams to execute priorities.

• Support implementation and sustainment of quality and safety measures across the clinical workforce; retain accountability for standards and decisions.

• Lead clinical review and decision-making when risk signals arise, applying Just Culture principles.

• Participate in peer review and performance management processes.

• Partner with quality and education teams to identify learning gaps and improve outcomes.

• Partner on staffing, capacity, and utilization planning; proactively surface risks and constraints.

• Provide budget inputs tied to care delivery performance and efficiency.

• Design and maintain a scalable workforce structure aligned with care delivery needs.

• Optimize scope of practice across license types to ensure the right work is done by the right clinician.

Required

• NP/APRN with active, unencumbered license and board certification.

• Experience providing direct patient care in a telehealth or virtual-first environment.

• 2+ years of telehealth experience in a regulated clinical setting.

• 5+ years of people leadership experience, including managing managers and leading large clinical teams.

• Strong clinical governance instincts and comfort with escalation management and performance accountability.

• Demonstrated ability to execute operationally in a fast-paced, scaling organization.

• Strong cross-functional leadership and communication skills.

Preferred

• Multi-state licensure or ability to obtain and maintain additional licenses.

• Experience in women’s health and/or high-growth virtual care organizations.

• Background in quality improvement, peer review, or Just Culture–informed review practices.

This role is designed for a clinical leader who wants real ownership—of people, performance, and care delivery—while staying grounded in patient care. You’ll help shape how care is delivered today while building systems that scale for tomorrow.

Reporting to: Medical Director

Employment Type: Full time (1.0 FTE), exempt

Compensation Range: $190,000 - $200,000 annually

Location: Remote (U.S.-based only). Work may not be performed outside of the United States.