Medical Director, Quality and Value-Based Performance

Riverside Medical Group; Newport News (VA); On-site; USD 200,000 - 250,000; Full time

Job summary

Riverside Medical Group in Newport News, Virginia is seeking a Medical Director for Quality and Value-Based Performance. This role provides physician leadership across value-based initiatives aimed at enhancing quality and patient outcomes.

Key responsibilities include leading performance initiatives, collaborating with physicians, and overseeing population health strategies. Ideal candidates must be Board Certified with 10+ years of relevant experience and a strong background in value-based care.

Qualifications

• Board Certified in Internal Medicine, Family Medicine, Emergency Medicine, or Pediatrics.
• 10+ years of experience in value-based care models.
• Experience with data dashboards and performance reporting tools.

Responsibilities

• Lead value-based performance initiatives across MSSP and commercial payer arrangements.
• Analyze performance data and develop actionable strategies.
• Collaborate with payer partners and lead performance reviews.

Skills

Leadership

Communication

Change management

Data analysis

Population health management

Education

MD or DO, Board Certified

Virginia medical license

Tools

Epic

Job description

Medical Director, Quality and Value-Based Performance

Riverside Medical Group - Newport News, Virginia

About the Role

The Medical Director will provide physician leadership across all value-based initiatives, with a focus on improving quality, outcomes, utilization, and financial performance through data-driven strategies and strong collaboration.

This leader will play a key role in advancing Riverside's participation in the Medicare Shared Savings Program and other payer programs, while helping standardize care delivery and elevate performance across the organization.

Key Responsibilities

• Lead value-based performance initiatives across MSSP and commercial payer arrangements
• Partner with physicians, advanced practice providers, and operational leaders to drive quality and utilization improvement
• Analyze performance data and develop actionable strategies to improve outcomes and cost of care
• Oversee development and implementation of population health dashboards and provider scorecards
• Standardize clinical workflows and evidence-based protocols to enhance efficiency and care quality
• Serve as Medical Director for ACO initiatives and participate in ACO governance and operations
• Collaborate with payer partners and lead performance reviews, gap closure efforts, and improvement cycles

What Makes This Role Unique

• Enterprise-level influence across a respected, physician-led organization
• Direct impact on clinical quality, financial performance, and patient outcomes
• Close collaboration with executive leadership and payer partners
• Opportunity to help shape and scale a mature and evolving value-based care strategy

Qualifications

• MD or DO, Board Certified in Internal Medicine, Family Medicine, Emergency Medicine, or Pediatrics
• Eligible for or currently holding a Virginia medical license
• 10+ years of experience, including meaningful involvement in value-based care models
• Demonstrated experience with MSSP, ACOs, or other risk-based arrangements
• Strong understanding of HCC risk adjustment, population health management, and utilization performance
• Familiarity with payer performance, cost structures, and medical loss ratios
• Experience working with data, dashboards, and performance reporting tools (Epic preferred)
• Proven leadership, communication, and change management skills