Senior Medical Advisor, HIV Street Medicine

Description

OUR MISSION

Wellness Equity Alliance is a national multidisciplinary health organization that designs and delivers integrated, community-based care for populations most impacted by health inequities. We do this through mobile and field-based models, providing medical care, behavioral health services, substance use treatment, harm reduction, and care coordination in nontraditional settings such as encampments, schools, reentry sites, and rural communities as well as with sovereign tribal nations. Grounded in trauma-informed, culturally responsive, and data-driven practices, WEA combines clinical expertise, lived experience, and advanced population health analytics to reduce barriers to care, improve continuity, and strengthen local systems. We have partnered with more than 60 public agencies, managed care plans, and community-based organizations across the U.S. to implement scalable, sustainable programs that are advancing health equity and improving outcomes for historically marginalized populations  

We are known as Renegades, Rebels, Disruptors and Dreamers. If that sounds like you we want you on our team.

Purpose of the position

The Senior Medical Advisor, HIV Street Medicine provides clinical leadership, strategic guidance, and programmatic oversight for HIV-focused street medicine and mobile health initiatives serving people experiencing homelessness, housing instability, substance use disorders, serious mental illness, and other barriers to traditional care. This physician leader will help design, implement, and scale evidence-based, trauma-informed, low-barrier HIV care models across multiple states, with an initial focus on California, Maine and other exploratory areas. 

This role partners closely with executive leadership, street medicine teams, behavioral health, case management, public health agencies, and community-based organizations to advance high-quality, equitable, and compliant care delivery for highly vulnerable populations. The Senior Medical Advisor will serve as a subject matter expert in HIV medicine, harm reduction, outreach-based care, and interdisciplinary clinical operations.

Key Responsibilities

Clinical Leadership

• Provide medical leadership and subject matter expertise for HIV-related street medicine, mobile care, and community-based outreach programs.
• Guide development and implementation of clinical protocols, care pathways, and quality standards for HIV prevention, diagnosis, treatment, retention, and re-engagement in care.
• Provide TA to field-based clinical teams in delivering low-barrier, person-centered care to individuals in encampments, shelters, respite settings, transitional housing, and other nontraditional care environments.
• Advise on management of complex HIV cases, including co-occurring behavioral health conditions, substance use disorders, viral hepatitis, sexually transmitted infections, and chronic medical comorbidities.
• Promote best practices in antiretroviral therapy initiation and management, rapid start models, adherence support, PrEP/PEP access, opportunistic infection management, and linkage to specialty care.

Program Development and Strategy

• Partner with senior leadership to shape strategy for HIV street medicine services across current and emerging markets across the US with the goal of adopting HIV street medicine as a core principle of innovative care delivery for HIV medicine.
• Help design scalable models for integrated HIV care, including collaboration with primary care, psychiatry, addiction medicine, pharmacy, and social services.
• Inform expansion into new states and geographies by aligning clinical models with local regulations, payer requirements, public health priorities, and community needs.
• Support development of partnerships with state and local health departments, Ryan White-funded programs, federally qualified health centers, hospitals, correctional re-entry programs, and community-based organizations.
• Contribute to business planning, care model innovation, and grant/program development related to HIV outreach and street medicine.

Quality, Compliance, and Risk Management

• Ensure clinical programs adhere to applicable federal and state requirements, including standards related to HIV care, documentation, privacy, prescribing, infection prevention, and quality oversight.
• Support compliance with California and multi-state regulations, including Maine, as applicable to scope of practice, telehealth, controlled substances, and mobile/community-based care delivery.
• Participate in clinical governance, peer review, quality improvement, utilization management, and case review processes.
• Monitor clinical outcomes and quality metrics such as viral suppression, retention in care, linkage to care, PrEP uptake, medication adherence, and avoidable ED/hospital utilization.
• Advise on incident review, risk mitigation, and continuous performance improvement efforts.

Interdisciplinary Collaboration

• Collaborate with operations, nursing, outreach, social work, care management, and behavioral health leaders to ensure coordinated care delivery.
• Provide clinical consultation and education to interdisciplinary teams caring for people with HIV in street medicine settings.
• Foster strong working relationships with external HIV specialists, infectious disease clinicians, public health officials, and referral partners.
• Support culturally responsive care delivery for LGBTQ+ communities, people who inject drugs, communities of color, immigrants, and other disproportionately impacted populations.

Education and Training

• Develop and deliver provider education on HIV medicine, harm reduction, trauma-informed care, homelessness medicine, and community-based outreach.
• Mentor clinicians and advanced practice providers working in street medicine and HIV programs.
• Support onboarding, competency development, and ongoing clinical training for field-based and virtual teams.
• Help establish evidence-based standards for safer field practice, outreach workflows, and escalation pathways.

Data, Outcomes, and Thought Leadership

• Use clinical and operational data to identify gaps in care, improve program performance, and support population health management.
• Contribute to reports, presentations, and external-facing materials related to HIV street medicine outcomes and innovation.
• Represent the organization in clinical, community, and policy forums as appropriate.
• Stay current on evolving HIV treatment guidelines, street medicine best practices, harm reduction approaches, and payer/public health trends.

 Key Highlights

• Compensation: The compensation range for this role is $130 an hour, with final compensation determined based on experience, qualifications, and role scope.
• Work Location & Expectations: This role is hybrid with travel across operational markets, including Maine.
• Professional Development: Opportunity to collaborate with cross-functional leaders across Behavioral Health, Medical, Street Medicine, Public Health, Rural Health, and Tribal Health initiatives. 

Requirements

Essential Skills and Qualifications:

Core Competencies

• Deep commitment to health equity and care for underserved populations.
• Strategic thinking with operational pragmatism.
• Clinical excellence in HIV and complex care.
• Collaborative leadership across disciplines and regions.
• Strong judgment in ambiguous, fast-changing environments.
• Data-informed decision-making.
• High emotional intelligence and cultural humility.
• Ability to lead through influence in matrixed organizations.

Travel Requirements

• Periodic travel to other states, including Maine, based on program needs.
• Ability to participate in field visits to outreach sites, shelters, encampments, mobile clinics, and partner locations.

Qualifications and Education Requirements

• MD or DO from an accredited medical school.
• Active, unrestricted physician license in California.
• Ability to obtain and maintain licensure in additional states, including Maine, as required.
• Board certification in Internal Medicine, Family Medicine, Infectious Disease, or another relevant specialty.
• Minimum 7–10 years of clinical experience, including substantial experience caring for people living with HIV.
• Minimum 3–5 years of leadership experience in complex care, population health, mobile medicine, street medicine, HIV programs, public health, or related settings.
• Demonstrated expertise in HIV diagnosis, treatment, prevention, and retention in care for medically and socially complex populations.
• Experience working with people experiencing homelessness, severe mental illness, substance use disorders, and/or justice system involvement.
• Strong knowledge of harm reduction, trauma-informed care, and culturally responsive care models.
• Experience with interdisciplinary clinical team leadership and protocol development.
• Knowledge of healthcare regulations, quality standards, and risk management in ambulatory/community-based settings.
• Excellent communication, relationship-building, and change management skills.

Preferred Skills

• Fellowship training or advanced expertise in Infectious Disease, HIV medicine, addiction medicine, or public health.
• AAHIVM credential (or eligibility) strongly preferred.
• Experience with street medicine, mobile health, homeless healthcare, or outreach-based clinical services strongly preferred.
• Experience with Ryan White programming, Medicaid/Medi-Cal populations, value-based care, and public-sector partnerships.
• Multi-state clinical leadership experience.
• Experience serving as a medical director, regional medical leader, or senior advisor in a rapidly scaling healthcare organization.
• Familiarity with healthcare delivery in multiple states, including California and Maine or other geographically diverse areas.
• Experience in telehealth-enabled care models and nontraditional care environments.