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Managing Director

Old Mission Ascend Partners, LLC, Traverse City, MI, USA

Pay: 150.000

Job type: Full Time


Company Description

Old Mission Ascend Partners (OMAP) empowers elite clinicians to build prosperity by providing an innovative "Business-in-a-Box" framework for launching and scaling Micro-MSOs. As the venture arm of the Old Mission ecosystem, OMAP removes the traditional barriers of launching a private practice by offering a vertically integrated support system. This includes clinical protocols, proprietary technology, lead generation, SEO assets, and access to top-tier regenerative biologics. With a mission to enable clinicians to own 100% of their practices and focus on care, OMAP drives the future of Sovereign Medicine with tools like seed funding and startup capital. Located in Traverse City, MI, OMAP is committed to providing the foundation for clinicians’ entrepreneurial success.

Managing Director | Old Mission Ascend Partners (OMAP)

Location: Traverse City, MI (Hybrid/Regional)

Experience: 7+ Years in Healthcare Business Development / MSO Management

Background: Physician Assistant (PA) or Nurse Practitioner (NP) with Ortho or ER Experience

The "Un-Job" for the "Un-Clinician"

If you are looking for a comfortable, 9-to-5 clinical management role at a regional health system, close this tab now.

We are Old Mission Ascend Partners (OMAP)

We are built for the clinician who is tired of being a "line item" on a hospital's balance sheet. We have built the "Growth Engine for Independent Practice"; a Micro-MSO startup designed to liberate clinicians from the grind of a 'job'. We are looking for a Physician Assistant or Nurse Practitioner to serve as the Managing Director (Founder) of our Traverse City startup spoke. This role requires an Ortho-trained proceduralist or an ER clinician who thrives on high-stakes execution, remains calm amid startup chaos, and is ready to build a business unit from scratch.

The Mission: Founder & General

As the Managing Director, you are the "Founder" of this Spoke. You aren't just managing a clinic; you are launching a high-margin business unit. You will leverage the "Shared Services" of our Hub (Payroll, Logistics, Tech) to remain lean while scaling at speed.

Responsibilities

  • Build the Engine: Personally architect and execute the sales strategy to recruit independent clinicians into the OMAP ecosystem.
  • Protocol Enforcement: Ensure every partner adheres to our clinical and operational blueprints to maintain ecosystem integrity.
  • P&L Ownership: Maintain total responsibility for the OMAP bottom line, managing expenses and maximizing revenue.
  • The 60/40 Rule: Drive the unit to hit specific revenue targets where 60% goes to the provider and 40% remains for Spoke OpEx and Hub Fees.

Who You Are (The DNA)

  • The Clinical Pedigree: You are a PA or NP with deep roots in Orthopedics or Emergency Medicine. You understand procedural medicine, you make decisions in seconds, and you don't flinch under pressure.
  • The Track Record: You have 7+ years in healthcare business development or medical group operations, with a proven history of managing a P&L of at least $5M+ TCV.
  • Startup Soul: You aren't afraid of failure—you’re afraid of being average. You see "limitless potential" in building something that disrupts the legacy Fee-For-Service model.
  • Radical Transparency: You lead with the data. You build trust through unvarnished, honest communication with partners and staff.

The Payoff (70/30 Profit Participation)

We don’t believe in salary caps for founders.

  • Base Salary: $140,000
  • The Profit Pool: Once the Spoke is profitable (covering all OpEx and Hub Fees), 70% of the remaining Net Profit goes into the Spoke Performance Pool.
  • The Managing Director Share: You earn a 20% share of that 70% pool.
  • The Traction Multiplier: Execute your "Rocks" at a 90%+ completion rate, and your payout is multiplied by 1.1x.
  • The Upside: Annual variable compensation is uncapped, up to 100% of your Base Salary.

The Benefits

  • Unlimited PTO: We measure profitability and outcomes, not "clock-in" time.
  • Elite Coverage: 100% medical/dental/vision premiums for the employee; 50% for dependents.
  • 401(k) Match: Up to 4% company match.
  • Professional Development: A dedicated budget for entrepreneurial leadership and MSO training.

Call to Action

Do you have the stomach to build something from scratch in Traverse City? Apply Now.

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