Remote Regional Medical Director - Value-Based Care & Policy

CareAllies, Inc.; Nashville (TN); Remote; USD 192,000 - 356,000; Full time

Job summary

CareAllies, Inc. is seeking a senior leader to manage medical policies and programs. You will perform medical reviews and engage with provider communities to advance clinical quality and value-based care across assigned areas.

This role combines policy expertise with strategic clinical leadership to influence Stars-related performance, affordability, risk adjustment, and market-level outcomes. Remote work is possible from anywhere in the continental United States, with some geographic

Responsibilities

• Performs medical reviews and interacts with provider communities for assigned areas.
• Provides advanced clinical leadership across medical management programs.
• Aligns medical policy expertise with forward-leaning clinical strategy to influence quality, Stars-related performance, affordability, risk adjustment accuracy, and market-level outcomes.

Job description

CareAllies, Inc. is seeking a senior leader to manage medical policies and programs. You will perform medical reviews and engage with provider communities to advance clinical quality and value-based care across assigned areas.

This role combines policy expertise with strategic clinical leadership to influence Stars-related performance, affordability, risk adjustment, and market-level outcomes. Remote work is possible from anywhere in the continental United States, with some geographic