Regional Medical Director – Philadelphia/Baltimore

Job not on LinkedIn

🕒 June 11

🔔 Pennsylvania – Remote

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💵 $191.5k - $355.6k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

👻 Ghost score 34%

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Logo of CareAllies

CareAllies

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 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

• Physician with a current and unrestricted physician license in a state or territory of the United States • Maintain Board Certification as an M.D. or D.O. by an approved specialty board • 5 years of clinical experience • Analytical and communication skills • Strategic thinking skills • Ability to travel • 3 years of managed care experience preferred • IPA, MSO, or Value Based Enablement Organization experience preferred • Advanced skills in clinical interpretation, communication, data-driven strategy, and collaborative leadership preferred • Experience with Stars performance, risk adjustment education, or provider engagement preferred • Experience in matrixed environments and cross-functional clinical leadership preferred

🏖️ Benefits

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

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