Diagnexia is building a differentiated, remote, AI-empowered digital pathology service in the US, and we're looking for a Medical Director to lead it from the ground up. This is a genuine opportunity to shape a novel model of pathology practice — not step into a fixed, pre-built role.

You'll serve as our named Laboratory Director across US operations, working closely with Diagnexia's senior clinical leadership, including our CMO, to build a service that puts technology at the centre of better patient care. If you want meaningful clinical and regulatory leadership, direct client engagement, and the chance to genuinely build something — without giving up your existing practice — this role is designed for exactly that.

The role

• Independent contractor position approximately 10 hours per week on average, with natural week-to-week variation (occasional heavier weeks around inspections or major projects, lighter weeks otherwise). A minimum commitment of 8 hours per week and up to 25 hours per week by agreement.
• Remote-based, with a working base at or near Naperville, IL to meet on-site presence requirements (1 day per week), plus periodic travel for compliance visits.

Why this role

• Build a service from the ground up and put your own stamp on it, this isn't a maintenance role, it's a founding one.
• Work with state-of-the-art digital pathology and AI tools as part of a genuinely novel operating model.
• Direct engagement with clients and with Diagnexia's wider clinical leadership as much or as little day-to-day contact as suits you, though we value close collaboration.
• Room to grow: as the US business scales, there's a credible path for this role to expand.
• Flexible, self-directed hours that work alongside an existing practice, ideal for someone in private practice with the capacity to take this on.

What you'll do

• Serve as the named Laboratory Director of record on our CLIA certificates, CAP accreditation, and state laboratory permits.
• Own quality oversight: QC/QA programs, proficiency testing, competency assessments, and validation of new test methods.
• Perform peer review of Diagnexia US pathologists' cases (target: 2–3% of cases undergo internal quality assessment).
• Provide remote clinical consultation to our US pathology team, including availability for urgent clinical queries during agreed business hours.
• Maintain a working base at or near our Naperville, IL laboratory to meet on-site presence requirements, with periodic travel to satisfy Pennsylvania and other state requirements.
• Build genuine working knowledge of the Diagnexia platform, tools, and processes.
• Engage with clients and prospective partners, and work closely with Diagnexia's broader clinical and executive leadership, including regular engagement with the CMO.
• Represent Diagnexia at pathology conferences and company events, with occasional travel to Ireland and the UK to connect with our wider clinical teams (reasonable expenses reimbursed).
• Participate in laboratory permit applications, state inspections, and accreditation activity as Diagnexia expands into new jurisdictions.

What you'll need

• Active, unrestricted medical licensure in Illinois, New York, and Pennsylvania (or eligibility to obtain promptly)
• New York State CLEP Certificate of Qualification (CQ), or eligibility to obtain one
• Experience as a CLIA/CAP Laboratory Director (multi-state experience a strong plus)
• Comfort with a remote-first, technology-driven digital pathology model
• Willingness to travel for periodic on-site compliance visits
• Professional liability (malpractice) insurance at the minimum coverage level specified in the agreement
• Willingness to bear the cost of obtaining and maintaining all required licences and credentials (except Company-approved reimbursable fees)
• Comfort maintaining confidentiality of patient information and proprietary business information in accordance with HIPAA and applicable law
• Nice to have: cytology competency and willingness to perform on-site microscopic review of specimens that cannot be read digitally (e.g. GYN cytology, FNAs, body fluids)