ABOUT BOULDER Boulder Care is an award-winning digital clinic for addiction medicine, recognized for both innovation and high quality of patient care. Founded in 2017 by CEO Stephanie Strong, our mission is to improve the lives of people with substance use disorders through compassionate, evidence-based care. We provide Boulder patients with a fully virtual, multidisciplinary care team—including medical providers and peer recovery specialists—who deliver personalized treatment, including medication for opioid use disorder (MOUD) and ongoing support. Our approach is grounded in clinical excellence, patient-centered care, and a commitment to reducing barriers to recovery. Boulder partners with leading health plans, employers, and community organizations to ensure that our services are accessible and covered for the people who need them most. Named by Fortune as one of the Best Workplaces in Healthcare, we foster a culture of kindness, respect, and meaningful work that delivers outstanding patient outcomes and moves the addiction medicine industry forward. ABOUT THIS ROLE The Medical Director serves as a physician leader within Boulder Care’s Medical Affairs organization, helping ensure the delivery of high-quality, evidence-based, and scalable substance use disorder treatment across a growing multi-state clinical platform. This role combines deep addiction medicine expertise with systems thinking, quality leadership, and cross-functional partnership. The Medical Director will help shape Boulder’s clinical standards, quality strategy, service line evolution, and clinical governance structures while partnering closely with Clinical Services, Product, Operations, and executive leadership. The ideal candidate is an experienced physician leader who has helped scale clinical programs, developed clinical leaders, and translated evidence-based care into operationally sustainable systems. The Medical Director reports to the SVP & Head of Medical Affairs and works closely with the VP of Clinical Care and Clinical Services leadership. SUCCESS IN THIS ROLE Within the first 12–18 months, the Medical Director will help strengthen Boulder’s clinical quality systems, advance clinical governance and protocol development, support leadership development across the clinical organization, contribute to service line expansion, and help build the infrastructure necessary to support Boulder’s continued growth as a national leader in substance use disorder care. WHAT YOU’LL DO  CLINICAL QUALITY & GOVERNANCE * Serve as a senior clinical leader and addiction medicine subject matter expert across the organization. * Partner with Clinical Services leadership to strengthen clinical quality, consistency, and patient safety across Boulder’s care delivery model. * Lead routine review and refinement of clinical protocols, formulary standards, and evidence-based practice guidelines. * Support quality assurance activities, chart review processes, and clinical audits to identify opportunities for improvement. * Provide consultation and guidance on complex clinical cases and emerging clinical issues. * Ensure Boulder’s clinical standards remain aligned with current evidence, regulatory requirements, and payer expectations. CLINICAL LEADERSHIP DEVELOPMENT * Partner with Clinical Services leadership to strengthen clinical leadership capabilities across the organization. * Provide mentorship, coaching, and support to clinical leaders and clinicians navigating complex clinical and operational challenges. * Help establish and reinforce standards of clinical excellence, professional growth, and evidence-based practice. * Contribute physician leadership and oversight to clinician education, onboarding standards, and ongoing clinical development programs. * Support the development of systems that promote accountability, consistency, and continuous improvement across the clinical organization. CLINICAL OPERATIONS & PROCESS IMPROVEMENT * Translate quality findings, operational priorities, and emerging evidence into scalable clinical workflows and care delivery standards. * Identify gaps in clinical processes, policies, and infrastructure and partner across teams to implement solutions. * Support implementation of new clinical initiatives and ensure clinical best practices are operationally viable and consistently applied. * Drive adoption of new clinical workflows, protocols, and care models across a distributed clinical workforce. SERVICE LINE DEVELOPMENT & INNOVATION * Partner with Medical Affairs and Clinical Services leadership to evaluate and support expansion into new service lines and care models. * Assess clinical readiness, staffing considerations, protocol requirements, and quality implications for new programs. * Ensure new services are designed with appropriate clinical governance, quality standards, and outcome measurement strategies. * Contribute clinical expertise to Boulder’s long-term vision of comprehensive substance use disorder care. CROSS-FUNCTIONAL PARTNERSHIP * Serve as a clinical liaison to Product, Operations, Analytics, and other cross-functional teams. * Translate clinical priorities into product requirements, workflows, and operational processes. * Provide clinical input on care delivery technology, clinical decision support tools, AI-enabled workflows, and platform enhancements. * Ensure operational and product changes are evaluated through the lens of patient safety, clinician experience, clinical effectiveness, and quality. WHAT YOU BRING  * Board Certification in Addiction Medicine with active medical license in good standing. * Minimum 5 years of clinical experience caring for patients with substance use disorders. * Demonstrated experience leading clinicians, clinical programs, or multidisciplinary healthcare teams. * Experience building or scaling clinical programs, quality initiatives, care delivery models, or healthcare teams in a growing organization. * Experience developing and implementing clinical protocols, workflows, and evidence-based standards across multiple clinicians or sites. * Demonstrated success leading change and driving adoption of new clinical practices or operational processes. * Experience using data and quality metrics to identify opportunities and improve clinical performance. * Exceptional communication, coaching, and relationship-building skills. * Ability to influence across functions and lead through partnership in complex organizations. PREFERRED EDUCATION & EXPERIENCE * Experience in telehealth, digital health, or technology-enabled care delivery. * Experience serving Medicaid and other publicly insured populations. * Experience partnering closely with Product, Operations, Analytics, or Engineering teams. * Familiarity with AI-enabled clinical workflows, clinical decision support tools, or healthcare technology innovation. * Experience developing clinical leaders and supporting leadership growth within healthcare organizations. * Multi-state clinical leadership experience. Work environment * This is a fully remote role but we are currently only hiring candidates located in the following states: AZ, CA, CO, FL, GA, ID, IL, KY, MA, NC, NJ, NY, OH, OR, PA, SC, TN, TX, UT, WA, or WV. * Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time. * Office Requirements: Boulder teammates working with sensitive information must have a dedicated, private workspace with a lockable door and high-speed internet to maintain a secure, distraction-free environment, ensuring compliance with HIPAA and confidentiality standards * Boulder Care employees are free to use our river-front HQ located in Portland, OR whenever they would like Travel Domestic travel is expected 2-3x per calendar year for this position. Expected hours of work This is a full-time remote position expected to work 40 hours between Monday-Friday during standard business hours.  Hiring process  1. First Round - Hiring Manager 2. Second Round - Clinical Leadership Panel  3. Clinical Case Study  4. Final Interview and Case Study Presentation- Executive Leadership Note: As part of our hiring process, all final candidates will be required to undergo background checks and provide professional references. By applying, you acknowledge and consent to these checks, which may include employment history, criminal records, education/licensing verification, and professional references. We are committed to transparency and confidentiality throughout this process and will inform you in advance should any further information be required. Compensation  The starting pay range for this position is $200,000 - $240,000 annually; base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. The total compensation package for this position may also include other elements in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave).  PERKS AND BENEFITS * Contribute to meaningful, life-saving work! * Comprehensive medical, dental, vision, and short-term disability benefits designed to take care of our employees and their families  * Mental Health Services via insurance coverage, including Talkspace and EAP for continuous care * Supplemental mental health services through Talkspace for care needed following tough patient visits * 4 weeks of vacation accrued per calendar year with a tenured increase to 5 weeks at 2 years of employment * Sick leave accrued at 1 hr for every 30 hrs paid * 9 Paid Holidays per year * 12 weeks of 100% paid parental leave for the birth or adoption of a child (after 6 months of employment) * 401(k) retirement savings * Remote friendly with hardware provided to complete your work duties OUR VALUES * Patients always come first * Our opportunity is also our duty * Move the industry forward, follow the data * Facts to change minds, empathy to change hearts * Turn bold ideas into even bolder action * Strong individuals, stronger together * Boulder Care recognizes the value that lived experience can provide to our organization, community, and patients. Applicants with lived experience and/or training as a peer recovery specialist are encouraged to apply. Boulder Care believes the people who manage our product and team should be representative of those who use the platform. This includes people from backgrounds that are historically underrepresented in the industry. We celebrate differences and are committed to equal employment opportunities regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, citizenship, marital status, disability, gender identity or veteran status. If you are a qualified person with a passion for what we do, please apply!