Joe Miller

Experience

• 

  Life Time - The Healthy Way of Life Company

  Aug 2004 - Jun 2021

  • Multi Unit Manager

    May 2016 - Jun 2021

  • General Manager

    Feb 2011 - Jun 2021

  • Director Of Training

    Oct 2006 - Feb 2011

  • Assistant Director

    Aug 2004 - Sept 2006
• 

  EVOLVE

  Jun 2020 - Sept 2022

  Chief Operating Officer

  As Chief Operating Officer and a strategic partner at Evolve Telemedicine, I was responsible for architecting and scaling the operational backbone of a modern, performance-focused virtual healthcare company. I oversaw clinical workflows, provider operations, regulatory compliance, sales enablement, and cross-functional growth strategy — all with a focus on delivering high-impact, patient-centric care nationwide.My leadership spanned the intersection of medical services, technology, and performance health — helping Evolve grow from a lean startup into a scalable, systems-driven provider of hormone optimization, metabolic care, and telehealth services for high-performing individuals.Key Responsibilities & Achievements:Directed national operations across all departments including clinical, fulfillment, customer success, and telehealth logisticsImplemented EMR systems, telehealth compliance protocols, and HIPAA-secure digital workflows to streamline care delivery and ensure scalabilityBuilt and managed high-performing clinical teams, including licensed providers, coordinators, and support staff in multiple statesCollaborated with medical directors and clinical advisors to develop evidence-based protocols for TRT, peptide therapy, weight loss (including GLP-1s), and performance optimization treatmentsLed B2B integration efforts with gym owners, health coaches, and partners looking to expand services into medical-based performance careOptimized patient onboarding, retention systems, and lifecycle communication flows to improve satisfaction, compliance, and outcomesContributed to marketing strategy, brand voice development, and lead funnel optimization in partnership with sales and digital teamsThis role reinforced my belief in the power of vertically integrated, lab-guided, physician-supervised care — and sharpened my ability to turn visionary health models into operational reality. Show less

• 

  1st Detachment

  Sept 2022 - Sept 2024

  President

  As President of First Detachment, I led the development and growth of a performance-focused supplement company dedicated to serving strength athletes and high-performance individuals. Collaborating with industry experts, we formulated evidence-based products designed to enhance recovery, optimize health outcomes, and improve athletic performance.Key Achievements:Spearheaded the creation of a comprehensive supplement line, including pre-workouts, intra-workout nutrition, and recovery aids, tailored to the needs of strength sports enthusiasts.Established strategic partnerships with coaches, athletes, and fitness professionals to expand brand reach and credibility.Oversaw the development of educational content and resources to inform and empower our customer base.Implemented data-driven marketing strategies to increase brand visibility and drive sales growth.Fostered a company culture centered on innovation, quality, and customer satisfaction.This role solidified my commitment to delivering high-quality, science-backed nutritional solutions to the athletic community. Show less

• 

  Marek Health

  Aug 2023 - Apr 2024

  Vice President

  As Vice President of Production at Marek Health, I led and integrated operations across clinical, sales, marketing, and coaching partnership divisions to drive strategic growth and deliver high-impact care to performance-focused clients.Key responsibilities included:Overseeing clinical operations and provider performance to ensure medical compliance and exceptional patient outcomesLeading national sales initiatives, optimizing funnel conversion, and aligning the sales team around high-touch, personalized serviceBuilding and scaling Marek’s Coaching Partnership Program—collaborating with fitness coaches, gyms, and wellness professionals to expand brand reach and client accessCollaborating with the marketing team to refine messaging, enhance campaign performance, and drive qualified lead acquisitionImplementing operational systems and performance metrics to increase scalability, efficiency, and cross-team alignment Show less

• 

  1st Optimal

  May 2024 - now

  Founder

  As Founder of 1st Optimal, I set out to redefine how high-performance individuals access and experience medical care. After years of leadership in telemedicine, clinical operations, and supplement formulation, I recognized a persistent gap in the patient journey—particularly for those seeking longevity, peak performance, hormone optimization, and metabolic health. 1st Optimal was created to close that gap.At 1st Optimal, we deliver precision-focused, physician-guided care through a concierge model that integrates lab-driven diagnostics, hormone and peptide therapies, weight optimization with GLP-1s, and high-touch coaching. Our mission is to give high performers and health-focused professionals the clinical insight and guidance they need to thrive — without the guesswork.Key Contributions:Built and scaled a modern telehealth platform offering HRT, GLP-1 weight loss, peptide therapy, sexual wellness, and advanced biomarker testingIntegrated my background in supplements and clinical performance into a model that empowers coaches, athletes, executives, and gym owners through our Coaching Partnership ProgramRecruited and led a national network of licensed medical providers delivering care across 20+ statesConsulted with industry-leading professionals to ensure our protocols meet the highest standards in longevity, metabolic health, and patient safetyApplied my executive and consulting experience to bridge the gap between performance-focused health goals and evidence-based medicineThis venture reflects everything I’ve learned across clinical leadership, sales, supplement formulation, and strategic partnerships — distilled into a results-driven model for the future of care. Show less