Medical Director, Quality and Value-Based Performance

AzCEP; Orlando, Northern (FL, KY); Hybrid; USD 233,000 - 302,000; Full time

Job summary

Riverside Medical Group seeks a physician leader to serve as Medical Director of Quality and Value-Based Performance, shaping strategy across MSSP and commercial value-based care in collaboration with clinical and executive leadership.

The role focuses on improving quality, outcomes, utilization, and financial performance through data-driven strategies, dashboards, and scorecards, with a Virginia license pathway and extensive value-based care experience preferred.

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

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

Job description

Medical Director, Quality and Value-Based Performance

Riverside Medical Group is seeking a physician leader to serve as Medical Director of Quality and Value-Based Performance. This is a highly visible role focused on advancing value-based care across a growing, integrated health system. This opportunity offers the ability to shape strategy, influence outcomes, and partner directly with clinical and executive leadership to drive performance across MSSP and commercial value-based arrangements.

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

About Riverside Medical Group:

Riverside Medical Group is part of Riverside Health System, a mission-driven, physician-led organization committed to advancing care delivery across the region. With a strong foundation in quality and a growing focus on value-based care, Riverside offers an environment where physician leaders can make a meaningful and lasting impact.

Lifestyle & Location:Coastal Virginia – Discover the Virginia Peninsula

Experience an exceptional quality of life along the scenic coast of Virginia, where Chesapeake Bay and the James River define daily living. The Virginia Peninsula—encompassing Williamsburg, Newport News, York County, Poquoson, and Hampton—offers the ideal balance of coastal charm, suburban comfort, and easy regional access.

• Enjoy a high quality of life with four distinct seasons, mild winters, and a welcoming, diverse community
• Live in a region consistently recognized for family living, including ranking among the top places in the U.S. to raise a family by Parenthood Magazine
• Embrace an active outdoor lifestyle with year-round opportunities for fishing, sailing, kayaking, paddleboarding, and boating across the James River, Chesapeake Bay, and 200+ miles of shoreline
• Explore rich cultural, historical, and recreational attractions—from Colonial Williamsburg and Busch Gardens to wineries, museums, and performing arts venues
• Access a vibrant culinary scene with diverse restaurants, entertainment options, and seasonal community events
• Travel with ease via three nearby regional airports, with convenient access to Richmond, Washington, D.C., and the Outer Banks of North Carolina
• Enjoy weekend escapes to the Appalachian Trail and numerous hiking, biking, and dog-friendly outdoor destinations throughout the region
• Benefit from strong educational options, including highly regarded public and private schools, as well as proximity to leading Virginia universities

Hiring Range:

$233,000 - $302,000

Actual pay depends on specialty, experience and performance