Careers @ Fresh Clinics

Director, US Clinical Operations

About the role

Fresh Clinics is scaling fast across the US, and our clinical operations infrastructure needs a builder, not a caretaker.


You'll be joining at a stage where foundational pieces are in place, and there's real room to build, enhance, and scale what's here into something more robust. This isn't a role where you inherit a finished system and maintain it. You'll be designing and strengthening it as we grow, without a playbook already written for you or a leader above you clearing the path.


Patient safety and core compliance requirements are always non-negotiable. Beyond that baseline, this role calls for someone who brings strong judgment to what to prioritize, when, and how fast, working alongside our General Counsel and CMO to build a regulatory operating system that keeps pace with a fast-growing business.

What you'll do

Clinical Strategy, Roadmap & Vision

  • Shape Functional Strategy for Clinical: Shapes the function's strategy by understanding the business objectives and dependencies across immediate peer teams (e.g., Product, Growth) and proactively influencing their priorities to align with the clinical roadmap.
  • Own the Portfolio Roadmap: Owns the portfolio roadmap for the Clinical Operations unit, driving the annual planning process, challenging commercial assumptions, and ensuring strategic initiatives (like Good Faith Exams, complication management, and Medical Director sourcing) are adequately scoped and funded each planning cycle. This includes identifying and building the key clinical infrastructure that sustains our competitive advantage around quality and scale.

Clinical Governance & Operational Excellence

  • Build the clinical governance framework with the CMO: Partners with our CMO to establish the protocols, documentation standards, and consent processes that govern how clinical care is delivered and documented across the business. Designs the systems and processes that support operational stability and quality as we scale.
  • Stand up incident management end to end: Builds the full incident management process, from adverse event reporting and root cause analysis through remediation, so issues are caught, understood, and resolved consistently across the business.
  • Design credentialing and licensing infrastructure: Builds the systems for multi-state license tracking, supervision agreements, and re-verification cadence, so every provider is properly credentialed and compliant as we scale across states.
  • Construct the regulatory operating system with General Counsel: Partners with General Counsel and clinical leadership (e.g., CMO) to build the state requirement mapping, risk tolerance frameworks, and leadership review cadence that keep us ahead of evolving regulatory demands. Facilitates sessions with senior leadership to set our risk tolerance.

Member Clinical Experience & Quality

  • Own the Member and MD Experience: Owns the Member and Medical Director clinical experience for the entire function, driving systemic enhancements in core interactions (e.g., Good Faith Exam quality, Medical Director service quality, complication service quality) and championing the “voice of the Member” in clinical decision-making.

People Leadership & Resourcing

  • Develop and Own the Team: Coaches and develops other people leaders and individual contributors within the clinical function, and is accountable for the overall performance, operational output, engagement, and capability planning for the US clinical team.
  • Capacity Planning: Leads the forecasting, capacity planning, and operational modelling for Clinical roles in the function (NP/MD hiring, resourcing, and rostering) and is responsible for implementing major structural changes to process or tooling to unlock efficiency at scale.


We'd love you to have

You must have

  • Builder Mindset: You've stood up clinical or compliance infrastructure where limited systems and processes exist today, building the framework and the path forward without waiting for someone to hand you structure. You bring a strong track record of designing and implementing major structural changes to process or tooling that unlocks organizational efficiency and scale.
  • Senior Leadership Experience: Proven experience in a Senior Manager or Director-level capacity, successfully shaping the strategy and leading the delivery for a large, complex operational domain.
  • Regulated Healthcare Experience: Deep, proven experience in clinical operations or health service delivery, ideally in a regulated, multi-jurisdictional environment. Bonus points if this includes experience in the Medspa industry.
  • Governance Expertise: Demonstrated ability to define and own compliance frameworks and lead the management of clinical risk and regulatory adherence, while balancing business velocity against regulatory exposure.
  • Judgment at Speed: You know which things are truly non-negotiable: patient safety, core compliance requirements, and where good judgment means phasing a solution over time rather than solving everything at once. You make sound calls in ambiguous, fast-moving situations without waiting for a rulebook to catch up.
  • Influence & Alignment: Exceptional ability to build alignment and manage expectations with senior functional leaders, influencing cross-functional strategy and resourcing decisions.
  • Dynamic Problem Solver: Ability to prioritize, assess, and solve complex problems at a high velocity and ensure solutions are embedded across the organization.

Why Fresh

  • Redefining Healthcare Delivery: We're disrupting how hybrid healthcare is delivered
  • Ground-floor US expansion: You won't be inheriting a mature function. You'll be building something.
  • Real ownership: Your roadmap, your infrastructure, your wins. We trust our people to perform and give them the autonomy to do it.
  • Work That Fits Your Life: We're remote-first and outcomes focused
  • Profitable & Built to Last: We're profitable and focused on building a long-term sustainable growth model
  • A culture that means it: Be Kind. Stay Humble. Work Smart. Hustle Hard. These aren't words on a wall; they're how we actually work.


Perks and Benefits

Flexible Work

  • Remote-first culture with flexible work arrangements
  • Work-from-anywhere travel policy
  • Returning to work support for parents


Look after yourself

  • Wellness Days: Quarterly days off to help you re-set and re-charge
  • Fresh Minds: Our global, proactive approach to mental health (EAP) with unlimited therapy available
  • Staff treatments & skincare perks (we’re Fresh Clinics, after all)
  • Discounted healthcare & women's health programs


Parental Support

  • 14 weeks paid primary carer, 6 weeks secondary carer
  • Support for every stage of your parenting journey including Ask Yawn access


Feel good about your future

  • Superannuation salary packaging
  • Freshie tech-at-home voucher
  • 401k plan (US only)


🔗 Discover more here

Are you ready?

Apply now and tell us why you could be our next Freshie.


Your Perspective Matters

At Fresh, we believe that a diverse team is an innovative team. We are focused on creating an inclusive environment where people from all backgrounds, identities, and experiences feel they belong and can thrive.


We strongly encourage you to apply, even if your past experience doesn’t perfectly align with every qualification listed. Your unique skills and passion could be just what we’re looking for, for this role or another.

We're building the future of Hybrid Healthcare and it starts with people like you.


Fresh Clinics empowers nurses and doctors to run thriving, compliant, and modern healthcare practices through our native iOS App, medical oversight, and human support behind them.


We're Australian founded, and in 7 years grown to 170+ Freshie's and support +2000 clinicians across Australia, and now scaling fast in the USA; all whilst staying true to what matters most: building safe, sustainable hybrid healthcare.


We're proud finalists in Deloitte’s Tech Fast 50 three years in a row and our culture is as bold as our mission: We work smart, hustle hard, stay humble, and lead with kindness.


If you’re looking for a workplace that celebrates our people, drives real-world impact, and champions innovation - welcome home.


Clinical

Remote (United States)

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