Regional Medical Director – Value Based Care

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

📋 Description

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

• Collaborate with the Chief Medical Officer of Value-Based Care to execute strategies related to value-based care.

• Oversee clinical strategies that align with goals related to quality, utilization, and cost management.

• Guide evidence-based clinical decision-making to enhance patient outcomes and the performance of value-based care.

• Direct clinicians involved in value-based care initiatives.

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

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

• Develop and disseminate metrics for performance-based incentive programs targeting MSK and PCP clinicians.

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

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

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

• Review clinical, quality, and financial data to identify opportunities for improvement.

• Translate data insights into actionable clinical and operational strategies alongside analytics and operations teams.

• Lead targeted interventions and solicit clinician feedback for ongoing performance enhancement.

• Spearhead initiatives aimed at improving HEDIS scores, Star Ratings, and other quality metrics related to value-based care.

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

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

• Support contract performance reviews and strategic planning for value-based arrangements.

• Lead regional Quality Committees.

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

• Ensure clinical activities adhere to regulatory requirements, accreditation standards, and organizational policies.

• Promote 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 ten years of experience as a practicing physician.

• Strong expertise in the treatment of musculoskeletal conditions and care delivery.

• Minimum of 3 years in a leadership role within a value-based care setting or in a position akin to Chief Medical Officer.

• Knowledge of quality improvement philosophies, models, and processes within a healthcare organization.

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

• In-depth knowledge of value-based care reimbursement models, including population health, risk-based approaches, shared savings, and global capitation.

• Familiarity with computerized statistical methods for gathering quality metrics.

• Understanding of medical records and clinical care processes.

• Awareness of quality initiatives and strategic planning within a value-based care network.

• Proficiency in health informatics and population health management.

• Skills in applying quality measures, clinical guidelines, and process management initiatives.

• Strong emotional intelligence and the capacity to influence clinicians who do not report directly to this role.

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

• Proficiency with computer applications and analytics tools for generating reports and visualizing data.

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

• Effective communication abilities with physicians, healthcare administrators, healthcare systems, and insurers.

• Capability to work cross-functionally and execute best-practice initiatives.

• Ability to generate innovative ideas for healthcare delivery and secure resources across departments.

• Competency in synthesizing quality data and implementing high-quality value-based care programs.

• Ability to mentor and train clinic staff.

• Strong verbal and written communication skills.

• Willingness to travel as necessary for additional markets.

🏝️ Benefits

• Full-time employment.

• Remote work arrangement.

• Some travel required for additional markets.