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)