Regional Medical Director – Nashville

🔥 16 hours ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

💵 $191.5k - $355.6k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

👻 Ghost score 0%

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CareAllies

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2016

🏥 Healthcare

🤝 B2B

Healthcare • B2B

CareAllies is a healthcare services company that helps physician organizations and health plans succeed in value-based care. It provides business advisory, care coordination, practice and network management, and data/technology support to independent physician associations (IPAs), ACOs, clinically integrated networks and other provider groups. CareAllies focuses on operationalizing value-based contracts (from pay-for-performance to full risk), reducing administrative burden for clinicians, improving patient outcomes, and supporting growth and retention for providers and health plans across commercial, Medicare, and Medicare Advantage arrangements.

📋 Description

• Manage assigned aspects of medical policies and programs • Perform medical reviews • Interact with provider communities for assigned areas • Provide advanced clinical leadership across medical management programs • Integrate traditional utilization review with population health, value-based care, and provider-performance initiatives • Apply medical policy expertise to clinical strategy • Influence quality, Stars-related performance, affordability, risk adjustment accuracy, and market-level outcomes

🎯 Requirements

• Medical leadership experience and advanced clinical expertise • Experience with medical policies and programs • Experience performing medical reviews • Experience interacting with provider communities • Knowledge of utilization review • Knowledge of population health • Knowledge of value-based care • Knowledge of provider-performance initiatives • Ability to influence quality, Stars-related performance, affordability, risk adjustment accuracy, and market-level outcomes • Must reside within the continental United States, excluding California, New York, Alaska, and Hawaii • Successful completion of drug screening may be required

🏖️ Benefits

• Curated development plans fostering growth and rewarding careers • Health and wellness benefits • 401(k) savings plan • Pension plan • Minimum of 15 days of paid time off • Paid parental leave • Disability insurance • Supplemental life insurance • Employee assistance program • Paid holidays • Tuition reimbursement • Other incentives • Annual incentive bonus plan