Demo

Medical Director - Texas Licensed

Pellegrin Health Management Group
Austin, TX Full Time
POSTED ON 4/6/2026
AVAILABLE BEFORE 9/30/2026

Company Description

Pellegrin Health Management Group (PHMG), based in Texas, is a Management Services Organization that supports physician owned practices through operational infrastructure and strategic management expertise. The organization partners with physicians across a range of healthcare services including primary care, endocrinology, medical aesthetics, esthetics, and additional medicine specialties as the platform continues to grow.


PHMG focuses on enabling providers to deliver high quality patient care while the organization supports operations, financial management, compliance, marketing, and staffing. The goal is to create an environment where physicians can practice efficiently and participate in scalable growth if desired.


Role Description

Pellegrin Health Management Group is seeking a Texas licensed physician MD or DO to serve as Medical Director for a physician owned PLLC supported by the MSO.


This role is designed to be flexible and can accommodate a physician currently in practice. The level of involvement may vary based on availability, interest, and the needs of the organization.


The Medical Director will provide clinical oversight, support delegation and supervision of providers, and ensure compliance with Texas Medical Board regulations and applicable standards of care.  


This role offers the opportunity to be involved in a growing multi specialty platform that includes primary care, endocrinology, medical aesthetics, and additional medicine specialties.


Structure Overview

MSO Pellegrin Health Management Group

  • Provides operational, administrative, and business support to the practice
  • Participation in MSO level strategy or ownership may be available depending on mutual interest


PLLC Medical Director

  • Serve as the supervising physician for the medical entity and provide appropriate clinical oversight


Core Responsibilities

Clinical Oversight

  • Serve as supervising physician and provide appropriate delegation and supervision
  • Establish and maintain clinical protocols across applicable medicine specialties
  • Supervise Nurse Practitioners and Registered Nurses
  • Conduct periodic chart review and quality oversight
  • Ensure compliance with Texas Medical Board regulations and applicable laws
  • Be available for consultation as needed during operating hours
  • Participate in periodic onsite visits based on practice needs


Optional Involvement

  • Provide input on new service development or clinical expansion
  • Participate in provider training or onboarding as needed
  • Engage in strategic discussions related to growth


MSO vs. PLLC Responsibility Matrix

Clinical Care

  • MSO: No
  • PLLC: Yes

Hiring Clinical Staff

  • MSO: Administrative support
  • PLLC: Yes

Protocols and Delegation

  • MSO: No
  • PLLC: Yes

Marketing and Branding

  • MSO: Yes
  • PLLC: No

Billing and Administration

  • MSO: Yes
  • PLLC: Clinical oversight

Facility and Equipment

  • MSO: Yes
  • PLLC: No

Revenue Collection

  • MSO: Yes
  • PLLC: No

Compliance Oversight

  • MSO: Operational
  • PLLC: Clinical and regulatory


Qualifications

Required

  • MD or DO from an accredited institution
  • Active unrestricted Texas medical license in good standing
  • DEA registration or ability to obtain
  • Understanding of Texas Medical Board supervision and delegation requirements


Preferred

  • Experience in primary care, endocrinology, or other medicine specialties
  • Exposure to medical aesthetics or wellness services is a plus but not required
  • Previous Medical Director or supervisory experience
  • Interest in healthcare operations or practice growth


Compensation

  • Monthly compensation based on level of involvement and scope of responsibilities
  • Equity ownership stake
  • Optional participation in additional compensation or ownership structures may be available but is not required


What We Offer

  • Primary Medical Director title, authority, and clinical leadership of the PLLC
  • Performance-based compensation tied to platform growth and revenue milestones
  • Flexible structure that accommodates physicians currently in practice
  • Operational and administrative support through the MSO
  • Opportunity to participate in a growing multi specialty platform
  • Collaborative environment with experienced operational leadership
  • Ability to engage at a level that aligns with your availability and interests


Work Authorization

Applicants must be authorized to work in the United States. We do not sponsor employment visas, work permits, or any other form of immigration sponsorship now or in the future.

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