Regional Medical Director – Value Based Care

This is a fully remote position, open to applicants in Arizona.

📋 Description

• Provide leadership and clinical supervision for musculoskeletal value-based care initiatives within a designated region.

• Collaborate with the Chief Medical Officer of Value Based Care to execute strategies aimed at delivering high-quality, cost-effective care.

• Oversee clinical strategies that align with quality, utilization, and cost-management objectives.

• Facilitate evidence-based clinical decision-making to enhance patient outcomes and performance in value-based care.

• Direct clinicians involved in value-based care initiatives.

• Work together with care managers, advanced practice providers, and clinical team members to ensure coordinated care.

• Aid in the implementation of standardized care pathways, clinical protocols, and population health initiatives.

• Create and distribute metrics for performance-based incentive programs.

• Engage musculoskeletal and primary care clinicians regarding program expectations, incentive eligibility, performance data, quality metrics, and utilization trends.

• Educate providers on strategies for improvement, care redesign, and best practices in value-based care.

• Counsel regional physicians and practice leaders on the adoption of value-based care initiatives.

• Analyze clinical, quality, and financial data to unearth opportunities for improvement.

• Convert analytics into practical clinical and operational strategies.

• Lead targeted interventions and clinician feedback aimed at continuous performance enhancement.

• Spearhead initiatives to elevate HEDIS scores, Star Ratings, and other quality metrics in value-based care.

• Act as a clinical expert during client-facing discussions.

• Communicate clinical strategies, performance metrics, and improvement plans to relevant stakeholders.

• Assist in contract performance evaluations and strategic planning for value-based agreements.

• Head regional Quality Committees and engage local physician leadership.

• Develop and execute clinical protocols and evidence-based pathways in collaboration with other medical directors and the CMO.

• Ensure adherence to regulatory requirements, accreditation standards, and organizational policies.

• Advocate for quality, accountability, and patient-centered care throughout the region.

• Perform additional duties as assigned.

⛳️ Requirements

• Medical Degree from an accredited institution recognized by LCME or COCA.

• Completion of an ACGME-accredited graduate medical education program (residency).

• At least 10 years of experience as a practicing physician.

• Strong expertise in treating musculoskeletal conditions and delivering care.

• Minimum of 3 years in a leadership capacity within a value-based care environment or a similar Chief Medical Officer position.

• Familiarity with quality improvement philosophies, models, and processes within healthcare organizations.

• Comprehensive knowledge of quality management, patient safety, health information technology, and peer review practices.

• In-depth understanding of value-based care reimbursement models, such as population health, risk-based models, shared savings, and global capitation.

• Proficiency in computerized statistical methods for collecting quality metrics.

• Familiarity with medical records and clinical care processes.

• Knowledge of quality initiatives and the development and implementation of strategic plans across a value-based care network.

• Proficient in health informatics and population health management.

• Ability to apply quality measures, clinical guidelines, and process management initiatives effectively.

• Strong emotional intelligence and capability to influence clinicians not directly reporting to them.

• Proficient in meeting quality requirements and educating providers and staff.

• Expertise in computer applications for generating reports and identifying trends.

• Skillful in evaluating, analyzing, and presenting data to providers and committees.

• Effective communication skills with physicians, healthcare administrators, healthcare systems, insurers, and other stakeholders.

• High proficiency in analytic tools for action-oriented data presentation.

• Ability to work collaboratively across functions and implement best-practice initiatives.

• Capacity to generate innovative healthcare delivery ideas and acquire resources across departments.

• Ability to synthesize quality data and execute high-quality value-based care programs.

• Capability to mentor and train clinic staff.

• Strong verbal and written communication skills to interact with various staff levels.

• Willingness and ability to travel as necessary for additional markets.

🏝️ Benefits

• Full-time employment.

• Remote work arrangement.

• Occasional travel as needed for additional markets.