Regional Medical Director – Value Based Care

🔥 3 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

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Healthcare Outcomes Performance Co. (HOPCo)

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

🤝 B2B

☁️ SaaS

💰 Private equity on 2019-02

Healthcare • B2B • SaaS

Healthcare Outcomes Performance Co. (HOPCo) is the largest orthopedic value-based care organization in the U. S. , specializing in comprehensive musculoskeletal (MSK) care delivery, management, and value creation. Led by orthopedic physicians and executives, HOPCo operates an accredited MSK clinically integrated network and offers practice partnership and health system solutions, payor-facing population health and value-based care programs, analytics and outcomes reporting, and digital patient engagement tools to align stakeholders, improve outcomes, and lower total MSK costs.

📋 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 strategies for high-quality, cost-effective care • Oversee clinical strategies aligned with quality, utilization, and cost-management goals • Guide evidence-based clinical decision-making to improve patient outcomes and VBC performance • Direct clinicians supporting value-based care initiatives • Collaborate with care managers, advanced practice providers, and clinical team members to coordinate care • Support deployment of standardized care pathways, clinical protocols, and population health initiatives • Develop and disseminate metrics for performance-based incentive programs • Engage MSK and PCP clinicians regarding program expectations, incentive eligibility, 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 VBC initiative adoption • Review clinical, quality, and financial data to identify improvement opportunities • Translate analytics into actionable clinical and operational strategies • Lead targeted interventions and clinician feedback for continuous performance improvement • Lead initiatives to improve HEDIS scores, Star Ratings, and other VBC 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 and engage local physician leadership • Develop and implement clinical protocols and evidence-based pathways with other medical directors and the CMO • Ensure compliance 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 10 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 similar Chief Medical Officer role • 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 developing and implementing strategic plans 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 • Skill in meeting quality requirements and educating providers and staff • Proficiency with computer applications for producing reports and identifying trends • Skill in evaluation, analysis, and presentation of data to providers and committees • Effective communication with physicians, healthcare administrators, healthcare systems, insurers, and other stakeholders • High proficiency with analytic tools for action-oriented data presentation • Ability to work cross-functionally and execute best-practice initiatives • Ability to generate innovative healthcare delivery ideas and influence/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 to various staff levels • Willingness/ability 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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