Regional Medical Director - Value-Based Care (Hybrid)

Alignment Healthcare USA, LLC; Orange (CA); Hybrid; USD 262,000 - 393,000; Full time

Job summary

Alignment Health is seeking a Regional Medical Director to lead physician performance across markets and provider networks. The role focuses on improving quality, utilization, risk adjustment, and financial outcomes within value-based care programs.

You will partner with Network Management, Quality, Risk Adjustment, and Analytics teams to drive Stars, MLR, and member outcomes through data-driven strategies and strong provider relationships.

Qualifications

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

Responsibilities

• Lead performance across assigned markets and provider networks.
• Collaborate with networks to improve quality, utilization, and Stars.
• Develop market strategies to enhance MLR and value-based care.
• Engage providers with action plans and accountability.
• Provide data-driven insights to drive improvement.

Skills

Medicare Advantage

Managed Care Operations

Provider Engagement

Data Analysis

Education

MD or DO

Board Certification

Tools

Clinical Analytics

HEDIS & Stars

Job description

Alignment Health is seeking a Regional Medical Director to lead physician performance across markets and provider networks. The role focuses on improving quality, utilization, risk adjustment, and financial outcomes within value-based care programs.

You will partner with Network Management, Quality, Risk Adjustment, and Analytics teams to drive Stars, MLR, and member outcomes through data-driven strategies and strong provider relationships.