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Fractional Medical Director — Remote, $90/h inc equity at Fella & Delilah (YC W20/S21). Remote Location: Canada. About Fella & Delilah. Fella & Delilah is the direct-to-patient clinic for busy families to get to a healthier weight.. Fella is optimized for busy bigger guys who want a no-nonsense solution to getting healthier. Delilah is built for strong women in their prime who want a sustainable solution to feel their best.. We use affordable, effective weight loss medication to solve our customers’ most pressing healthcare need, then aim to remain their core healthcare provider for the rest of their life — expanding to hormonal health, mental health, longevity, and primary care.. GLP-1 medications are a f*ing big deal. We’re in a remarkable & rapid period of change which will radically reshape the patient & cash flows in the healthcare system.. Our mission is to accelerate the global take-up of GLP-1 medications among busy families to help solve obesity worldwide. From this, we’ll become the world’s leading consumer healthcare brand.. We’ve grown >1000x since Aug 2021, >100x since Aug 2022, >10x since Aug 2023. . We’re >$50M ARR. We’ve been cashflow positive for the last 24mo. We’re >10,000 customers with high NPS.. Almost all of this has so far been through Fella. Delilah is still very new.. We’re a young startup and we’re just getting started. This is still Day 1 and all our work is ahead of us.. You can read more about working at Fella & Delilah here:. . Working at Fella & Delilah. . https://fella.notion.site/Working-at-Fella-Delilah-14a2ac8575d34d148d009bb410387af4. We're backed by top healthcare & consumer investors:. Y Combinator. Global Founders Capital — backed Facebook, Slack, LinkedIn, Revolut, Rocket Internet. AngelList Early Stage Fund (backed by Naval Ravikant). BrandProject (venture-builder behind 2 unicorns). The founders of Indeed, Curative (unicorn), Alan (unicorn), Kaia Health (>$300mil valuation), Vouch Insurance (>$500mil valuation), Not Boring (Packy McCormick). On being a Fractional Medical Director at Fella & Delilah. As our first Medical Director in Canada, you’ll help define what safe, scalable, and compliant care looks like for Canadian Fellas. You’ll serve as the responsible physician providing oversight for our clinical model and medical providers, helping us deliver high-quality async care while navigating Canada’s regulatory frameworks.. This is a part-time, remote contractor role (5-10hrs/month to start) with room to grow as our Canadian operations expand.. This isn’t just a clinical role — it’s a chance to shape Fella’s Canadian care model from the ground up. We’ve scaled rapidly in the U.S., and Canada is our next major market. You’ll be our Fractional Medical director, and you’ll help define what great care looks like here.. You’ll work closely with our future Nurse Practitioner, Clinical Ops Lead, and founder. You’ll also help us shape protocols, workflows, and our overall clinical experience in Canada.. Key Responsibilities. Right away:. Serve as the . Responsible Physician. for reviewing and signing off on Fella’s protocols, patient safety practices, and medical SOPs in Canada.. Review and approve . clinical protocols. for GLP-1 prescribing and other medical care in alignment with provincial guidelines and College standards.. Provide . oversight and escalation support. for complex clinical cases or edge scenarios, including adverse events and prescription eligibility edge cases.. Work cross-functionally with the Ops, Product, and Regulatory teams to ensure . compliance with medical legislation. and licensing frameworks in each province.. Build and document . defensible medical justifications. for our asynchronous and low-touch care model (e.g. rationale for async, patient triage logic, low visit frequency).. Help us navigate . interprovincial medical leadership rules. , including supervision requirements and medical delegation if needed.. Over time (as Canada scales):. Oversee or delegate oversight of additional NPs and physicians as we . scale province by province. .. Audit and continuously refine medical decision-making in our workflows (e.g. prescribing logic, escalation pathways, lab result thresholds).. Advise on local . prescribing policies, controlled substance management. , and pharmacy relationships as our care offering expands (e.g. longevity, testosterone, or future adjunct meds).. Need to Have. Licensed MD or DO, active, unrestricted license in at least 3 Canadian provinces (BC, ON, AB). Eligible to serve as . Medical Director / Responsible Physician. per College regulations.. Comfortable providing oversight for . asynchronous and low-touch care models. , especially in primary care or obesity medicine.. Experience with . GLP-1s, TRT, or other chronic condition prescribing. .. Willingness to . create protocols, respond to edge cases. , and help document our medical rationale for compliance.. Strong understanding of . clinical ethics, medical liability. , and regulatory frameworks in Canada.. Strong documentation and process-thinking skills — you like . building systems. and protocols, not just practicing medicine.. Nice to Have. Experience as a . Medical Director or supervising physician. in a virtual care or startup setting.. Familiarity with . obesity medicine, endocrinology, or men’s health. .. Interest in . longevity medicine. or familiarity with treatments like metformin, NAD+, or peptides.. Experience interacting with . College regulatory bodies. , insurance carriers, or pharmacists.. Our cultural standards. These are the core cultural standards to which we hold ourselves & our team-members at Fella:. Belief in the mission. : We will have served 100 million patients by the end of 2035 and we transform the life of most patients who join. We have a lot of work to do. We are obsessed with our patients and are dedicated to the mission.. Unwavering integrity. : We are at the frontier, so we often live in ambiguity with no trodden path. When we can’t look to others for guidance, we must maintain impeccable ethics and unwavering integrity.. Only the paranoid survive. : Bad sh*t is coming. By joining us, you’re choosing to sail straight towards the storms with unhesitating conviction. However much we’ve already done, however far we’ve already come — it’s still Day 1 and all our work is ahead of us.. Your life’s work. : This will be your most challenging, most rewarding role of your life. You’ll be shocked how capable you are & how much you can achieve.. If we’re average we fail. : We are only interested in “insanely great”, a focus on the quality of our execution that in everyday life would be considered pathological. We have a dedication to excellence and reject incompetence.. Commitment to candor. : That which can be destroyed by the truth should be. You get full transparency from the company and the company expects full transparency from you. We never say anything about someone that we wouldn’t say to them directly. We give feedback with love and do not need to protect people from fleeting physical sensations.. A maniacal sense of urgency. : We execute at an intensity that most people think is impossible. Speed is critical and we need things done yesterday. We all work very hard and in such a competitive world there really is no other way to win.. Enduring frugality. : We are frugal. We hate being wasteful and we are anti-luxury. A culture of cheapness keeps us young. We spend our cash wisely & carefully — in a way that would make our grandmas proud.. Bulldozing barriers. : The world is malleable and we shape it. We truly believe this and act accordingly. We are relentlessly resourceful and are at the mercy of no-one but ourselves.. Keep your head down. : We’re boring people doing exciting work. We don’t chase short-term status — we ignore short-term dopamine hits and focus on what matters. Outsiders will underestimate us and we revel in that.. The power of focus. : We live in a world of power laws and we cannot overestimate the unimportance of practically everything. Know your One Thing, and nail it.. 🎯 . “You just build a f. ing amazing experience. Make each step amazing. Make every decision in the long term interest of the customer. Give the customer massively more value than you take.”*. Compensation & Benefits. Compensation. : $90/h inc equity. Vacation. : generous time-off with a yearly minimum. Remote. : our team is fully distributed across the world and functions fully remotely. Professional development. : budget for books, courses, coaching ($600/yr). Personal wellness. : budget for gym, health apps ($600/yr). What are we missing?. We're still early so you get to shape our culture.. How to apply. Apply on Ashby or the platform you are in.. Email . [email protected]. with:. Resume. LinkedIn