Location: Austin, Texas

Classification: Exempt, Full-Time

Reports To: Director of Clinical Operations / Chief Medical Officer

Clinical/Administrative Split: Approximately 80% Patient Care / 20% Administrative Leadership

Position Overview

A mission-driven nonprofit healthcare organization in Texas is seeking an experienced Medical Director to provide clinical leadership and direct patient care within a specialized sexual health and wellness program.

The organization is dedicated to expanding access to high-quality, culturally affirming healthcare and has particular expertise serving LGBTQIA+ individuals and people impacted by HIV. Its clinical programs emphasize health equity, reducing barriers to care, and creating a safe, supportive, and stigma-free healthcare environment.

The Medical Director will serve as both a practicing physician and clinical leader, with approximately 80% of the role dedicated to direct patient care and 20% to administrative and leadership responsibilities. This individual will oversee clinical quality and provider performance, supervise physicians and Advanced Practice Providers (APPs), and partner closely with the Chief Medical Officer and operational leadership to advance clinical quality, efficiency, and patient outcomes.

This is an excellent opportunity for a physician who wants to remain highly engaged in patient care while taking an active leadership role within an innovative, mission-focused healthcare organization.

Key Responsibilities

Clinical Leadership

• Provide clinical leadership for physicians, Advanced Practice Providers, nurses, medical assistants, and other members of the clinical team.
• Oversee the quality of healthcare delivery, clinical performance, and adherence to evidence-based standards of care.
• Establish expectations for clinical performance and coordination of services in partnership with medical and operational leadership.
• Provide direct clinical supervision, consultation, mentorship, and performance feedback to designated providers.
• Partner with operational leadership to improve clinical efficiency, workflows, policies, and overall clinic performance.
• Identify and mitigate potential risks related to patient care and medical practice.
• Participate in provider performance evaluations, peer review, and performance improvement initiatives.
• Support provider recruitment, onboarding, development, engagement, and retention.
• Foster a collaborative, inclusive, and high-performing clinical environment.

Direct Patient Care

• Maintain an active clinical practice, with approximately 80% of the position dedicated to direct patient care.
• Provide evidence-based care across the organization's clinical scope, which includes HIV prevention and treatment, PrEP and PEP, STI testing and treatment, sexual health, and gender-affirming care.
• Conduct comprehensive patient examinations, including medical history reviews, physical assessments, and diagnostic evaluations.
• Diagnose and manage acute and chronic medical conditions and develop appropriate treatment plans.
• Order and interpret laboratory, imaging, and other diagnostic testing.
• Coordinate referrals to specialists and ancillary services to ensure continuity of care.
• Collaborate closely with nurses, case managers, patient advocates, and other members of the interdisciplinary care team.
• Maintain timely and accurate clinical documentation and follow-up.
• Provide clinical coverage and consultation when other providers are unavailable.
• Provide leadership during clinical emergencies and urgent patient-care situations.

Provider Supervision & Development

• Provide supervision and clinical guidance to Advanced Practice Providers in accordance with Texas Medical Board requirements.
• Maintain appropriate availability to supervised providers for clinical questions, consultation, and escalation of patient care.
• Conduct regular chart reviews and clinical documentation audits.
• Meet regularly with supervised providers to provide coaching, feedback, and professional development.
• Monitor clinical performance and ensure providers practice within established policies, clinical guidelines, and delegated authority.
• Participate in performance improvement planning when clinical concerns are identified.
• Support clinical education, residency, and provider development initiatives as assigned.

Quality Improvement & Operations

• Lead and participate in clinical quality improvement and performance improvement initiatives.
• Monitor clinical quality measures and identify opportunities to improve patient outcomes and the patient experience.
• Partner with clinical quality and operational leaders to implement evidence-based practices and improve care delivery.
• Participate in the development and revision of clinical policies, procedures, protocols, and standards.
• Support staff training and competency development.
• Promote responsible utilization of clinical resources while maintaining high standards of care.
• Work with leadership to identify and reduce health inequities and barriers to accessing care.
• Participate in community engagement and outreach initiatives as appropriate.

Qualifications

Education & Licensure

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited institution.
• Active, unrestricted license to practice medicine in the State of Texas.
• Active board certification in primary care or an applicable medical specialty.
• Active DEA registration.
• Current BLS certification or ability to obtain and maintain required certification.

Experience

• Minimum of five years of clinical experience, including demonstrated leadership within a healthcare setting.
• Previous experience supervising Advanced Practice Providers required.
• Experience providing care to diverse and underserved patient populations.
• Experience with HIV care, HIV prevention/PrEP, LGBTQIA+ health, and/or gender-affirming care strongly preferred.
• Experience developing or implementing clinical policies, quality initiatives, or performance improvement programs preferred.
• Experience working within interdisciplinary models of care strongly valued.

Ideal Candidate

The successful candidate will be a physician leader who is passionate about health equity, culturally affirming care, and improving access for populations that have historically experienced barriers within the healthcare system.

This individual should be equally comfortable seeing patients, mentoring providers, and collaborating with operational leadership. The Medical Director will be visible and accessible to the clinical team and should bring a leadership style that combines strong clinical judgment with approachability, accountability, and collaboration.

Strong candidates will demonstrate:

• Expertise or a strong clinical background in sexual health, HIV prevention and treatment, and/or LGBTQIA+ healthcare.
• A commitment to providing affirming, patient-centered, and stigma-free care.
• Strong clinical judgment and commitment to evidence-based medicine.
• Experience coaching, mentoring, and developing physicians and Advanced Practice Providers.
• Ability to identify opportunities for clinical and operational improvement.
• Strong written and verbal communication skills.
• Experience collaborating effectively across interdisciplinary healthcare teams.
• Commitment to health equity and addressing social determinants of health.
• Cultural sensitivity and experience serving diverse and historically underserved populations.
• Strong organizational and time-management skills.
• Comfort working in a dynamic and evolving healthcare environment.

The Opportunity

This position offers a unique opportunity to combine hands-on patient care with meaningful physician leadership at a nonprofit healthcare organization working to expand access to culturally affirming care across Texas.

The Medical Director will play an important role in clinical quality, provider development, operational improvement, and the continued advancement of equitable, evidence-based care for LGBTQIA+ communities and people impacted by HIV.