Regional Medical Director - Value-Based Care & Engagement

Alignment Healthcare Inc.; California, Northern (MO, KY); Hybrid; USD 262,000 - 393,000; Full time

Job summary

Alignment Health seeks a Regional Medical Director to lead market-facing physician activities across provider networks. The role focuses on improving clinical quality, utilization, risk adjustment, and financial performance through data-driven strategies.

The ideal candidate has 5+ years in clinical practice with leadership in managed care, Medicare Advantage, or value-based care, plus an MD/DO and active license.

Qualifications

• MD or DO with ABMS/AOA board certification.
• Active, unrestricted medical license in applicable state(s).
• Experience in managed care, Medicare Advantage, or value-based care environments.

Responsibilities

• Lead market/provider performance for assigned regions.
• Collaborate with networks to improve MLR, Stars and risk adjustment.
• Drive population health strategies and value-based care initiatives.

Skills

Medicare Advantage

Population health

Data-driven

Provider engagement

Strategic leadership

Education

MD or DO

Board-certified

Job description

Alignment Health seeks a Regional Medical Director to lead market-facing physician activities across provider networks. The role focuses on improving clinical quality, utilization, risk adjustment, and financial performance through data-driven strategies.

The ideal candidate has 5+ years in clinical practice with leadership in managed care, Medicare Advantage, or value-based care, plus an MD/DO and active license.