Position Summary

The Assistant Medical Director plays a key role in supporting the Medical Director in overseeing clinical quality, staff development, and patient care standards. This position is open to qualified Physician Assistants (PA), Nurse Practitioners (NP), or Physicians with strong leadership, communication, and mentoring skills.

Reports to: CMO
Employment Type: Full-time, Benefited

Hours & Compensation

Hours

• Full-time position (40 hours per week), calculated as 2080 hours per year.

• Roughly 50/50 clinical and administrative obligations.

• Clinical Hours: 20–22 hours per week on the provider schedule (“a shift”).

• Administrative Hours: 18–20 hours per week.

Compensation:

• Composition of compensation mirrors that of the CMO, which is a combination of a base rate and performance-based bonus paid out monthly and quarterly.  

• Base rate: $75 / hour (APP)

• Performance-based bonus is calculated identical to CMO and will be a percentage of the CMO’s bonus.

• Monthly bonus: 

• Organizational KPIs: RVU/hr, NPS, Google reviews

• Operational performance of clinics in aggregate

• Quarterly bonus:

• Based on an agreed goal with the CEO and CMO.

• Example compensation under 2025 performance:

• Bonus would add ~$30 per hour for a total of $105 total pay, with a projected annual salary of $218,400.  

• For reference, in 2025 30% of the CMO’s total compensation is from bonus, as would be the case for this position. 

• Benefited position - includes Health, Vision, Dental, 401k with 3% matching after 1 year of employment, CME days with a ramping budget based on seniority and free urgent care for you and your immediate family in our clinics.

Extra work 

• Clinical shifts beyond the contracted 22 hours will be compensated as additional PTO.

• Wage OT rules apply.

• No additional pay for administrative work beyond 18 hours unless an exceptional case arises.

Clinical Expectations

Up to 22 hours of clinical shifts per week (generally 2 full shifts).

• Shifts will primarily occur on weekdays.

• Primary focus as a second provider, including:

• Supporting clinic operations

• Training and mentoring new providers

• Collaborating with the provider scheduler to determine optimal shift structure (e.g., 3×7 or 2×11-hour shifts)

• Backfill a single-coverage shift when necessary if all other coverage efforts have failed (also a responsibility of CMO).

• No call obligations.

Training and Ramp up Plan - First 90 days

For the first three months, focusing on clinical work will be necessary to learn the clinic flow, EMR, and operations sufficiently well to perform in a leadership/coaching role. 

• Goal 30 clinical hours per week, 10 administrative hours.

• Mix of solo and support provider shifts

• Most shifts will be in Oregon

• Obtain DOT license (if not currently certified) within 60 days of hire

Administrative Expectations

• Collaborate with the provider scheduler to maintain provider coverage and optimize scheduling.

• Meet regularly with clinic managers to ensure alignment with organizational goals, vision, and clinical quality standards.

• Work with the provider coordinator on new provider onboarding, with emphasis on clinical training.

• Assist the Medical Director in:

• Urgent care (UC), workers’ compensation (WC), and procedural training

• Individual 1:1 meetings and performance coaching

• Participate as a member of the extended executive leadership team, contributing to:

• Organizational initiatives

• Operational improvements

• Strategic planning

• Assist the Occ Med director in service provisioning, QA, and client liaisons.  With closure of Gohealth and Providence occ med, this is a major area of growth for AFC in 2026 and will need a dedicated clinical leader.

• Act as a clinical coach for providers experiencing burnout or efficiency challenges.

• When available, serve as a phone consultant or monitor provider chat (no formal POD shift requirement).

Qualifications

• Licensed PA, NP, or Physician in good standing.

• Oregon and Washington licensure
  Minimum 2–3 years of clinical experience in urgent care, primary care, or emergency medicine preferred.

• Demonstrated leadership ability with experience coaching, mentoring, or teaching clinicians.

• Strong organizational, communication, and interpersonal skills.

Commitment to fostering a culture of teamwork, quality, and continuous improvement.