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Join Our Team of
Health & Wellness
Experts

At 1st Optimal, we are dedicated to prioritizing health first with our root-cause care approach. Explore exciting career opportunities and join our team of experts who guide members on their optimal health journey.
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Why 1st Optimal

A Team That Moves the Needle

Three things that define how we work and why our team stays.

Our Commitment to Excellence

At 1st Optimal, we are committed to providing the highest quality treatments and services to ensure our patients maintain a healthy body and lifestyle. Our team of health and wellness experts work tirelessly to deliver personalized care and innovative solutions.

Expert Team

Our model pairs board-certified functional medicine practitioners with dedicated health coaches who walk alongside every client at every step. Practitioners dig deep into root-cause diagnostics, advanced lab work, and evidence-based protocols. Coaches translate that clinical picture into real-life accountability, lifestyle strategy, and ongoing support. Together, they form a unified care team built around one goal: helping each client reach their version of optimal.

Innovative Solutions

We leverage the latest advancements in functional healthcare to provide convenient and effective treatments. From hormone therapy to weight loss programs, our services are designed to help patients achieve their health goals from the comfort of their homes.

Life at 1st Optimal

Built for People Who Care About Their Work

We’re a growing functional health company at the intersection of functional medicine, performance health, and technology. We move fast, we care deeply about patient outcomes, and we hire people who take both seriously.

What you’ll find here: real clinical impact, a collaborative team and the tools to do meaningful work without the friction of traditional healthcare settings.

100% Remote
Functional Medicine Focus
Growing Fast
Collaborative Culture
Continuous Learning
Real Clinical Impact
We're hiring

Current Opportunities

Open roles across clinical care, health coaching, and patient support.

Sales Representative

Full-time
Remote, United States
Sales

We’re looking for a confident, compassionate Sales Representative to speak with prospective members, understand their goals, explain our programs, and guide qualified leads through our onboarding process.

Responsibilities
  • Respond to inbound leads by phone, email, text, and video
  • Conduct consultative sales calls
  • Explain membership options, pricing, and the onboarding process
  • Follow up consistently with prospective members
  • Maintain accurate notes and lead stages in our customer relationship management system
  • Meet monthly enrollment and conversion goals
  • Coordinate with onboarding and member support teams
  • Follow all privacy, compliance, and communication policies
Qualifications
  • Two or more years of consultative sales or enrollment experience
  • Strong communication and listening skills
  • Comfortable discussing pricing and asking for the sale
  • Organized, reliable, and confident with follow-up
  • Experience using a customer relationship management platform
  • Able to work independently in a remote environment
  • Interest in functional health, wellness, fitness, or performance medicine

This is a non-clinical role. Sales team members do not diagnose conditions, interpret lab results, recommend medications, or provide medical advice.

Apply

Functional Nurse Practitioner

Full-time
Remote, United States
Clinical

We’re looking for a licensed Nurse Practitioner who takes an evidence-informed, patient-centered approach to functional healthcare.

Responsibilities
  • Conduct new patient and follow-up consultations
  • Review medical histories, symptoms, medications, and laboratory results
  • Develop and manage personalized care plans
  • Support hormone health, weight management, metabolic health, gut health, and longevity goals
  • Prescribe and monitor treatments within clinical guidelines
  • Document care accurately and maintain compliance standards
  • Collaborate with physicians, health coaches, and member support teams

Qualifications

  • Active and unrestricted Nurse Practitioner license
  • National board certification
  • Current prescribing authority
  • Experience in functional, integrative, preventive, or performance medicine preferred
  • Strong communication and patient education skills
  • Experience with hormone and metabolic health preferred
  • Organized, collaborative, and comfortable working remotely
  • Additional state licenses are a plus
Apply

Functional Health Coach

Full-time
Remote, United States
Clinical

We’re looking for a compassionate Functional Health Coach to help members follow their care plans, build healthier habits, and stay accountable.

Responsibilities

  • Lead one-on-one coaching sessions
  • Support nutrition, movement, sleep, stress, and lifestyle goals
  • Help members follow provider-developed care plans
  • Track progress and document coaching notes
  • Collaborate with providers and member support teams
  • Maintain professional and compliance standards

Qualifications

  • Health coaching, nutrition, fitness, or related certification
  • Two or more years of coaching or wellness experience
  • Strong communication and behavior-change skills
  • Organized, dependable, and comfortable working remotely
  • Experience with functional health, hormone health, weight management, or gut health preferred
This is a non-clinical role. Coaches do not diagnose conditions, prescribe treatment, or provide medical advice.
Apply

Functional Doctor

Full-time
Remote, U.S. Licensed
Clinical

We’re looking for a licensed physician who takes a thoughtful, evidence-informed approach and enjoys helping patients understand the root factors affecting their health.

Responsibilities

  • Conduct new patient and follow-up consultations
  • Review medical history, symptoms, medications, and laboratory results
  • Develop personalized treatment and wellness plans
  • Support patients with hormone health, weight management, metabolic health, gut health, and longevity goals
  • Prescribe and manage treatment within clinical guidelines
  • Document care accurately and maintain compliance standards
  • Collaborate with health coaches and member support teams

Qualifications

  • Active and unrestricted medical license
  • Board-certified or board-eligible physician
  • Experience in functional, integrative, preventive, or performance medicine preferred
  • Strong communication and patient education skills
  • Comfortable managing hormone and metabolic health
  • Organized, collaborative, and confident working remotely
  • Additional state licenses are a plus
Apply

Apply to Join the Team

Tell us a bit about yourself, we’ll get back to you within a few business days.

Meet Our Team

We'd Love to Hear From You

Reach out directly if you have questions about a role, our team, or what working at 1st Optimal looks like day to day.
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