Regional Medical Director, Population Health & Value Care

Assocmedpsych; Massachusetts; On-site; USD 180,000 - 240,000; Full time

Job summary

AbsoluteCare is seeking a Regional Medical Director to lead clinical operations across the region, driving outcomes, affordability, and population health initiatives within the care centers. You will oversee multidisciplinary teams and liaise with hospital leaders to align care delivery with value-based care goals.

Responsibilities include direct care delivery, transitional care management, network development, and regulatory/quality metric focus.

Qualifications

• Licensed physician in the state of practice.
• Board-certified in Internal Medicine, Family Practice or Emergency Medicine.
• BLS certification required.
• 2-5 years' leadership experience with value-based care focus.
• Experience with utilization management metrics (Admissions, Readmissions, ED visits, SNF Days/1000).
• Knowledge of HEDIS and Medicare Stars measures.
• Experience with population health management for vulnerable populations.
• Experience leading multidisciplinary teams and managing complex patients.

Responsibilities

• Clinical Leadership and Oversight across multiple Care Centers in the region, focusing on integrated and holistic care to reduce unnecessary utilization.
• Direct Care Delivery: provide direct clinical care ~10-30% of time for high utilizers and for coverage as needed.
• Community-based non-PCP member oversight and care coordination across settings.
• Transitional Care Management: lead regional transitional care plans and mentor Transitional/Complex Care Managers.
• Network and Relationship Building: represent AbsoluteCare with hospital leaders and health systems to enhance coordination.
• Sub-Specialty Network Development: develop high-value specialized care networks (including home health).
• Quality Metrics and Patient Safety: drive performance on HEDIS, coding accuracy, patient safety, engagement and satisfaction.
• Strategic Initiatives: implement regional medical operations strategies to meet value-based goals.
• Team Leadership: guide medical staff and foster collaboration and continuous improvement.

Skills

Leadership

Population health management

Care coordination

HEDIS knowledge

Data-driven decision making

EMR reporting capabilities

Education

Tools

Milliman Care Guidelines

Microsoft Office Suite

Job description

AbsoluteCare is seeking a Regional Medical Director to lead clinical operations across the region, driving outcomes, affordability, and population health initiatives within the care centers. You will oversee multidisciplinary teams and liaise with hospital leaders to align care delivery with value-based care goals.

Responsibilities include direct care delivery, transitional care management, network development, and regulatory/quality metric focus.