Regional Medical Director
Share
Job Location:
Sebring, FL - USA
Monthly Salary:
Not Disclosed
Posted on:
2 days ago
Vacancies:
1 Vacancy
Job Summary
Job Description Summary
We are seeking an experienced board-certified MD or DO to serve as Regional Medical Director. The ideal candidate will have demonstrated leadership in value-based care models (ACOs MSSP Medicare Advantage commercial risk arrangements) strong clinical and operational judgment and the ability to engage and mentor physicians and care teams across a geographically dispersed region. This role balances clinical oversight quality and performance management physician engagement and strategic implementation of value-based initiatives.How will you make an impact & Requirements
Key Responsibilities
- Lead clinical strategy and operations for the region to achieve quality utilization and financial targets under value-based contracts.
- Oversee quality improvement care coordination population health programs and clinical integration across practices.
- Serve as primary clinical liaison between Millennium leadership payors and physician groups; represent the region in contract and performance discussions.
- Drive physician engagement onboarding and continuous professional development; coach clinicians on care management guideline adherence and documentation for risk adjustment.
- Monitor clinical performance metrics (HEDIS STARs readmissions utilization cost of care) and lead corrective action plans.
- Implement evidence-based protocols clinical pathways and initiatives to improve outcomes and patient experience.
- Partner with operations care management revenue cycle and analytics teams to align workflows EMR optimization and documentation for quality and coding.
- Provide clinical leadership for utilization review medical necessity appeals and complex case review.
- Support compliance with regulatory accreditation and credentialing requirements.
- Participate in regional hiring performance reviews and budget planning as needed.
Qualifications Required
- MD or DO degree board certified in relevant specialty (family medicine internal medicine or relevant specialty preferred).
- Active unrestricted medical license in the state(s) of practice or ability to obtain.
- 5 years clinical experience and at least 3 years in leadership/medical director roles.
- Proven experience with value-based care programs (ACOs Medicare Advantage MSSP bundled payments) and population health management.
- Strong knowledge of quality metrics (HEDIS STARS) risk adjustment (HCC coding) utilization management and clinical outcomes measurement.
- Experience with EMR systems clinical analytics and using data to drive improvement.
- Excellent communication negotiation and relationship-building skills with physicians clinical staff and payors.
- Ability to travel within the region regularly.
Millennium Physician Group (MPG) is committed to the full inclusion of all qualified keeping with our commitment MPG will take steps to assure that people with disabilities are provided reasonable accommodations. Accordingly if reasonable accommodation is required to fully participate in the job application or interview process to perform the essential functions of the position and/or to receive all other benefits and privileges of employment contact .
Physical Demands
- Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift carry push pull or otherwise move objects. Repetitive motion. Substantial movements (motions) of the wrists hands and/or fingers. The worker must have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Ability to lift to 15 lbs. independently not to exceed 50 lbs. without help.
Equal Employment Opportunity
- MPG is committed to equal employment opportunities. We will not discriminate against employees or applicants for employment in employment opportunities or practices based on race color sex (including pregnancy) genetic information sexual orientation religion physical or mental disability age military or veteran status marital status familial status national origin or any other legally protected class.
- Equal opportunity applies to all areas of the employment relationship including hiring promotions training terminations working conditions pay and other terms and conditions of employment.
Required Experience:
Director
