Regional Medical Director - Value Based Care

Job Description The Regional Medical Director for Musculoskeletal Value-Based Care (VBC) is responsible for providing physician leadership and clinical oversight for all MSK value-based care initiatives within a designated area. This position collaborates closely with value-based care managers, operational leaders, network managers, and clinicians in the market to formulate and implement clinical strategies aimed at enhancing quality, outcomes, patient experiences, and the overall cost of MSK care. The Regional Medical Director supervises a multidisciplinary clinical team and acts as a clinical liaison to clients, facilitating the effective use of digital and in-market clinical resources.KEY RESPONSIBILITIESClinical Leadership & StrategyCollaborate with the Chief Medical Officer of Value-Based Care (CMO of VBC) to execute VBC strategies that ensure the delivery of high-quality, cost-efficient care.Provide regional physician leadership for various value-based care programs.Oversee clinical strategies that align with the organization's goals for quality, utilization, and cost management.Encourage evidence-based clinical decision-making to enhance patient outcomes and performance against VBC metrics and objectives.Oversight of Clinical ResourcesOffer clinical guidance and direction for clinicians involved in value-based care initiatives.Work alongside care managers, advanced practice providers, and other clinical team members to ensure coordinated and high-quality care delivery.Assist in the implementation of standardized care pathways, clinical protocols, and population health initiatives throughout the region.Provider Engagement & EducationFacilitate the development and distribution of metrics for performance-based incentive programs for MSK and PCP clinicians to enhance program outcomes.Collaborate with VBC network managers to engage market MSK and PCP clinicians in understanding program expectations, eligibility for incentives, clinical performance data, quality metrics, and utilization trends.Educate and support providers on strategies for improvement, care redesign, and best practices in value-based care.Act as a clinical advisor to regional physicians and practice leaders to promote the adoption of VBC initiatives.Data-Driven ImprovementAnalyze and interpret clinical, quality, and financial data to identify areas for enhancement.Collaborate with analytics and operational teams to convert data insights into actionable clinical and operational strategies.Support ongoing performance improvement through targeted interventions and feedback from clinicians.Lead regional initiatives aimed at enhancing other quality measures such as HEDIS scores, Star Ratings, and other key VBC quality metrics.Client & Stakeholder EngagementServe as a clinical expert during client-facing discussions.Communicate clinical strategies, performance, and improvement plans to both internal and external stakeholders.Assist in contract performance reviews and strategic planning for value-based arrangements.Governance & ComplianceLead Quality Committees in assigned regions, engaging local physician leadership in strategies to enhance program performance.Collaborate with other medical directors and the CMO to develop and implement clinical protocols and evidence-based pathways tailored to VBC performance, such as reducing avoidable ER visits and managing chronic conditions.Ensure that clinical activities comply with regulatory requirements, accreditation standards, and organizational policies.Foster a culture of quality, accountability, and patient-centered care throughout the region.Perform additional duties as assigned.EDUCATIONA Medical Degree from an accredited institution recognized by either the Liaison Committee on Medical Education (LCME) or the American Osteopathic Association Commission on Osteopathic College Accreditation (COCA), along with graduation from an accredited graduate medical education program (residency) as recognized by the Accreditation Council for Graduate Medical Education (ACGME).EXPERIENCEA minimum of ten years of experience as a practicing physician.A strong background in treating musculoskeletal conditions and delivering care is essential.At least three years of experience in a leadership role within a VBC environment (such as ACO, Medicare Advantage, risk-bearing health system or provider organization, payer, or Clinically Integrated Network) or in a position comparable to a Chief Medical Officer.KNOWLEDGEFamiliarity with quality improvement philosophies, models, and processes within healthcare organizations.Comprehensive knowledge of quality management, patient safety, health information technology, and peer review to enhance physician performance and practice efficiency.A deep understanding of VBC reimbursement models, including population health, risk-based models, shared savings, and global capitation.Proficiency in computerized statistical methods for gathering quality metrics.Understanding of medical records and clinical care processes.Knowledge of quality initiatives and the ability to develop and implement strategic plans across a value-based care network.Proficiency in health informatics and population health management is preferred.Equal Opportunity EmployerThis organization is committed to informing all applicants of their rights under federal employment laws. 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