Description

Location: Rochester, NY (Clinic-based, in-person)

Schedule: Full-time

Compensation: $130,000–$160,000 base salary, plus eligibility for bonus, comprehensive benefits including medical, dental, vision, 401(k), PTO, and $3,000 CME

About Town Square Health

Town Square Health is a value-based, multi-specialty, provider-owned practice with a bold vision: to create the gold standard for how we experience healthcare in the United States. Our model was built by David Buchanan, prior Oak Street Health executive and practicing internal medicine physician with 25 years of experience in value-based care serving Medicare and Medicaid patients.

Our breakthrough care model for Medicare patients combines relationship-driven primary care and specialty care into simultaneous visits. Each patient is supported by a dedicated Medical Assistant – a concierge partner who builds long-term trust, eases caregiver burden, and leverages AI-enabled workflows to improve chronic disease outcomes.

The Opportunity

Town Square Health is hiring a Medical Director (Nurse Practitioner (NP)) in the Rochester area to serve as both a clinical leader and a practicing provider in our Medicare-focused, value-based care environment. This is a unique opportunity to help launch and grow our first market — combining hands-on patient care with meaningful leadership responsibilities.

As Medical Director, you will lead our provider team, serve as a key liaison to central clinical leadership, and play a pivotal role in building the relationships and clinical culture that will define Town Square Health's presence in the Rochester community. You'll also help develop our provider pipeline by identifying and engaging clinical talent in the local market.

This is a clinic-based role with the time, team support, and resources to practice comprehensive medicine: patient panels smaller than the national average, 20–40 minute visit lengths based on patient needs, and a team-based care model with two Medical Assistants paired to each provider.

Leadership Responsibilities

Serve as the clinical leader for the Rochester center, holding overall accountability for care quality, provider performance, and clinical culture
Directly supervise and support staff providers, serving as their primary point of escalation and professional development resource
Act as the key connector between the Rochester clinic and Town Square Health's central clinical leadership team
Lead the growth of our first market — building and nurturing relationships with local health systems, specialists, community organizations, and referral partners
Partner with operations and recruiting to build a strong local provider pipeline, actively engaging clinical talent in the Rochester market
Contribute to clinical protocol development and continuous quality improvement initiatives
Leverage data and analytics to drive clinical quality, including Stars and HEDIS measure performance and accurate risk documentation
Clinical Responsibilities

Deliver high-quality primary care to a Medicare patient panel in a clinic-based setting
Coordinate care across the team, including Medical Assistants and specialist colleagues
Help shape and continuously improve a care model designed for better outcomes and patient experience
Maintain excellent documentation and compliance standards
Direct patient care 3.5 days per week (28 hrs)

Requirements

Qualifications

Nurse Practitioner (NP), DNP or equivalent experience strongly preferred
National certification in at least one of the following specialties:
Family Nurse Practitioner
Adult-Gerontology Primary Care Nurse Practitioner
Adult Nurse Practitioner
Gerontological Nurse Practitioner
Minimum 3-5 years experience as an NP
Minimum 1-2 years experience as a clinical leader
Active New York State Nurse Practitioner licensure in good standing or must obtain prior to start date
Applied for DEA registration prior to hire/start date
Must meet all applicable employer and payer credentialing requirements
Ability to meet post-offer requirements, including drug screen and health assessment
Compliance with all New York State health requirements
 What We Offer

Competitive base salary: $130,000–$160,000, plus eligibility for bonus
Comprehensive benefits package including medical, dental, vision, and 401(k), PTO, $3,000 CME
A leadership role at the ground floor of a fast-growing, mission-driven healthcare company
A care model designed for quality: small panels, longer visits, AI scribes, and team-based support
The chance to help build a high-performing clinic culture and care model from the ground up
Mission-driven work focused on delivering a better healthcare experience for seniors