Chief Medical Officer

Xenios Health Job type: Full-time Location: Remote, United States, with periodic collaboration in Austin, Texas Base salary: $300,000–$400,000 per year Equity: Negotiated separately, with a potential co-founder pathway Commitment: Founding leadership role requiring substantial availability beyond a conventional 40-hour week, including critical evenings and weekends Start date: By mutual agreement Build The Medical Foundation Of a Proactive-health Company. Xenios Health is building a connected approach to proactive health that brings appropriate clinician-led care together with coaching, nutrition, fitness and dependable support. We are seeking a physician leader who wants to build and lead the company alongside the founder. You will shape our medical strategy, recruit clinical talent, establish quality standards and turn the vision into working services. We are an early-stage startup and actively fundraising. We will discuss the company’s resources, hiring timeline and operating needs transparently during the interview process. How We Work At Xenios Health We have ambitious goals, limited resources and demanding work ahead. We want people who choose that challenge deliberately. Across the company, we expect ownership, urgency, resourcefulness and an obsessive commitment to doing the work well. Identify problems, propose solutions, take initiative and follow through. Be willing to work beyond your immediate responsibilities and help teammates move the company forward. Building this company will involve uncertainty, difficult periods, long hours and personal tradeoffs. We want people who understand those demands and are deeply invested in what we are building. We value results, honest communication, fast learning and dependable execution. Raise problems early, accept feedback and take responsibility for correcting mistakes. Our intensity must support sound judgment, patient safety and trust. Responsibilities, working expectations and compensation will be agreed upfront. Your role as a founding medical leader You will work directly with the founder on the company’s clinical direction and execution. We want someone who stays close to the daily work, builds effective teams and takes responsibility for delivering results. For the right long-term partner, this role offers a potential co-founder pathway. Any founder designation, equity, vesting and governance rights will be agreed in writing. What You Will Own Define the initial clinical services, eligibility criteria, exclusions and escalation pathways.Establish clinical protocols, patient-safety processes and quality reviews.Recruit, evaluate and onboard qualified healthcare providers.Build credentialing, provider coverage and clinical-readiness systems with operations and counsel.Evaluate pharmacy and laboratory relationships, quality documentation and backup arrangements.Review proposed care programs, patient education and marketing claims against the evidence.Guide responsible use of AI in clinical and operational workflows.Work with the founder on hiring, partnerships, resource allocation and the service roadmap.Develop practical operating processes, train the team and report measurable results.Identify problems early and personally help resolve them. Who We Are Looking For MD or DO with an active, unrestricted US medical license appropriate to the agreed responsibilities.A substantial record of clinical practice and accountable clinical leadership.Experience building or materially improving a care program, clinical service or provider organization.Strong evidence appraisal, prescribing judgment and patient-safety leadership.Demonstrated ability to recruit qualified people and develop effective professional partnerships.Strong communication, operational judgment and cross-functional execution.Comfort making decisions with incomplete information while recognizing when clinical uncertainty requires further review.Willingness to make a substantial, long-term commitment to an early-stage company. Board certification in a relevant specialty is preferred. Experience in primary care, preventive or metabolic health, telehealth, physician recruiting, pharmacy partnerships or clinical informatics is particularly valuable. First 90-day priorities Days 1–30: Review current services and claims, establish clinical decision rights, identify priority protocols and document service/state readiness. Define provider standards, escalation rules and immediate hiring needs. Days 31–60: Implement agreed pilot workflows, provider onboarding and weekly quality reviews. Test customer, clinical and fulfillment handoffs and address gaps. Days 61–90: Review actual quality, capacity and service performance. Improve the operating model and recommend the next supported expansion. Compensation And Ownership The annual base salary range is $300,000–$400,000, with placement based on relevant experience, demonstrated operating results and the agreed scope. Equity participation and a potential co-founder arrangement will be discussed separately. Any equity grant, vesting, founder designation and governance rights require written agreement and applicable company approvals. Equity involves substantial risk and has no guaranteed financial return. Clinical independence Patient-care, medical-director or practice-ownership responsibilities will be documented separately through the appropriate clinical entity, preserving independent physician judgment. Care decisions will not be tied to sales quotas. How To Apply Apply through Indeed with your CV and answers to the screening questions. Include a brief example of a clinical program you built or improved, describing your responsibilities and results. References may be requested later. Please do not submit patient records or confidential information from another employer. Xenios Health provides equal employment opportunities and reasonable accommodations during the application process. Pay: $300,000.00 - $325,000.00 per year Application Question(s) Do you hold an MD or DO degree?Do you currently hold an active, unrestricted US medical license?Have you held responsibility for a clinical team, care program or medical organization?Have you built or launched a clinical service from the ground up?Have you developed clinical protocols and patient-safety processes?Have you recruited and onboarded licensed healthcare providers?Have you helped operate a telehealth or multistate care program?Have you evaluated pharmacy or laboratory partners for clinical quality?Are you willing to commit to a full-time founding leadership role requiring substantial availability beyond a conventional 40-hour week, including critical evenings and weekends?Are you interested in building an early-stage company alongside the founder, with a potential co-founder pathway and equity terms negotiated separately? Willingness To Travel 25% (Preferred) Work Location: Hybrid remote in Austin, TX 78702