Executive Medical Advisor

One Together Solutions (OTS) is a majority Native-owned Managed Services Organization headquartered in Boulder, Colorado. We partner with federally recognized tribes to develop, operate, and sustain opioid treatment programs (OTPs) under Tribal 638 self-determination agreements, with clinic sites across California and Washington. Our model is built on the belief that Indigenous communities deserve whole-person, culturally grounded care delivered with excellence — and that the infrastructure supporting that care must be equally strong.

The Executive Medical Advisor serves as the senior physician strategist and clinical advisor for One Together Solutions, shaping the integrated practice model through which OTS delivers sovereign, whole-person care to the communities it serves. Operating under the Tribal 638 self-determination model in partnership with federally recognized tribes, OTS treats Opioid Treatment Program services as the foundation of a continuous care relationship that opens onto urgent care, dental care, behavioral health, housing support, and the broader social determinants of wellness.

OTP is not a stand‑alone service line  is the trusted entry point that establishes the patient relationship and creates the platform for a fuller continuum of care.

The Executive Medical Advisor carries administrative responsibility for the Site Medical Directors across the OTS supported clinics, including administrative oversight of program participation, performance of administrative duties, professional development, monitoring provider productivity and staffing levels and adherence to system-wide clinical infrastructure. Site Medical Directors retain full independent clinical authority over patient care and clinical decision‑making at their respective sites, consistent with applicable Corporate Practice of Medicine requirements.

The role is structured as full-time, 30 hours a week, with flexible structure of work. This structure may be evaluated and altered over time as needs change.

• MD or DO degree from an accredited medical school
• Board certification in Addiction Medicine (ABPM) or Addiction Psychiatry (ABPN), or board certification in a primary specialty (Family Medicine, Internal Medicine, Psychiatry, Emergency Medicine) with Addiction Medicine subspecialty certification
• Active, unrestricted medical license in at least one state with willingness to obtain additional state licensure if required
• Active DEA registration in good standing
• Minimum of five years of direct clinical experience in an Opioid Treatment Program (OTP) setting, with demonstrated expertise in methadone and buprenorphine treatment for opioid use disorder
• Minimum of three to five years of progressive medical leadership experience, including roles such as Medical Director, Associate Medical Director, or comparable physician advisory or executive positions
• Demonstrated experience designing or leading integrated clinical programs that bridge addiction treatment with primary care, behavioral health, or other adjacent services
• Demonstrated experience leading clinical quality, peer review, and accreditation processes

• Prior experience serving in a senior physician leadership role within a multi‑site OTP, federally qualified health center, Indian Health Service facility, tribal health program, or integrated addiction care delivery system
• Experience working with tribal health programs operating under the Indian Self‑Determination and Education Assistance Act (Public Law 93‑638) or with IHS‑funded care delivery models
• Master's Degree in Public Health, Healthcare Administration, or Business Administration
• Experience with EHR systems used in behavioral health…