Regional Medical Director – Value Based Care

🔥 8 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

👻 Ghost score 10%

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Healthcare Outcomes Performance Co. (HOPCo)

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

☁️ SaaS

🤝 B2B

💰 Private equity on 2019-02

Healthcare • SaaS • B2B

Healthcare Outcomes Performance Company (HOPCo) is the largest orthopedic musculoskeletal (MSK) value-based care organization in the U. S. It is physician-led and provides comprehensive MSK care delivery and management services: advanced practice management, health system MSK service-line optimization and market transformation, payor solutions, and practice partnerships. HOPCo operates a URAC-accredited MSK clinically integrated network, runs population health and value-based care programs, and offers digital patient engagement, outcomes reporting, and analytics platforms to align stakeholders, improve outcomes, and reduce total cost of MSK care.

📋 Description

• Provide physician leadership and clinical oversight for musculoskeletal value-based care initiatives within an assigned region • Partner with the Chief Medical Officer of Value Based Care to implement value-based care strategies • Oversee clinical strategies aligned with quality, utilization, and cost-management goals • Guide evidence-based clinical decision-making to optimize patient outcomes and value-based care performance • Direct clinicians supporting value-based care initiatives • Collaborate with care managers, advanced practice providers, and clinical team members to ensure coordinated care • Support deployment of standardized care pathways, clinical protocols, and population health initiatives • Develop and disseminate metrics for performance-based incentive programs for MSK and PCP clinicians • Engage clinicians in program expectations, incentive eligibility, clinical performance data, quality metrics, and utilization trends • Educate providers on improvement strategies, care redesign, and value-based care best practices • Advise regional physicians and practice leaders on adoption of value-based care initiatives • Review clinical, quality, and financial data to identify improvement opportunities • Translate data insights into actionable clinical and operational strategies with analytics and operations teams • Lead targeted interventions and clinician feedback for continuous performance improvement • Lead initiatives improving HEDIS scores, Star Ratings, and other value-based care quality metrics • Serve as a clinical expert in client-facing discussions • Communicate clinical strategy, performance, and improvement plans to stakeholders • Support contract performance reviews and strategic planning for value-based arrangements • Lead regional Quality Committees • Develop and implement clinical protocols and evidence-based pathways with medical directors and the CMO • Ensure clinical activities comply with regulatory requirements, accreditation standards, and organizational policies • Promote quality, accountability, and patient-centered care across the region • Perform other duties as assigned

🎯 Requirements

• Medical Degree from an accredited school recognized by LCME or COCA • Graduation from an ACGME-accredited graduate medical education program (residency) • Minimum of ten years of experience as a practicing physician • Strong background in treating musculoskeletal conditions and care delivery • At least 3 years in a leadership role within a value-based care environment or a role similar to Chief Medical Officer • Knowledge of quality improvement philosophy, models, and processes within a healthcare organization • In-depth knowledge of quality management, patient safety, health information technology, and peer review • Deep understanding of value-based care reimbursement models, including population health, risk-based models, shared savings, and global capitation • Knowledge of computerized statistical methods for gathering quality metrics • Knowledge of medical records and clinical care processes • Knowledge of quality initiatives and strategic planning across a value-based care network • Proficiency in health informatics and population health management • Skill in applying quality measures, clinical guidelines, and process management initiatives • Strong emotional intelligence and ability to influence clinicians who do not report directly to the role • Skill in meeting quality requirements and educating providers and staff • Proficiency with computer applications and analytic tools for producing reports and displaying data • Skill in evaluating, analyzing, and presenting data to providers and committees • Effective communication with physicians, healthcare administrators, healthcare systems, and insurers • Ability to work cross-functionally and execute best-practice initiatives • Ability to generate innovative healthcare delivery ideas and acquire resources across departments • Ability to synthesize quality data and implement high-quality value-based care programs • Ability to mentor and train clinic staff • Ability to communicate verbally and in writing • Willingness to travel as needed for additional markets

🏖️ Benefits

• Full-time employment • Remote work arrangement • Some travel as needed for additional markets

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