Medical Director, Population Health

Town Square Health•Chicago, IL

1d•$170,000 - $185,000•Hybrid

About The Position

Town Square Health is seeking a Medical Director, Population Health (MD/DO or APP) to serve as the clinical partner to our population health team. This is a hands-on, high-impact role for a value-based care clinician who thrives at the intersection of clinical practice, population health strategy, and operational design. You’ll help shape how our first locations deliver care, from day-one workflows to ongoing program optimization, and your work will set the clinical foundation for how we scale. The ideal candidate brings deep experience in value-based primary care, risk documentation (V28/HCC), Stars/HEDIS performance, and chronic condition management. Experience with integrated Behavioral Health and the IMPACT model is a meaningful plus. You’ll lead efforts to design and operationalize population health programs, translate strategy into frontline workflows, and coach providers and care teams to deliver high-quality, well-documented care at scale. You’ll have the opportunity to shape the clinical care model from the ground up, collaborate with the Director, Risk Adjustment to deliver on our risk documentation strategy and population health program design in a 100% V28 environment, coach and develop frontline providers and care teams across risk adjustment, quality, and chronic condition management, partner at the highest levels of the organization, including the CEO, CTO, VP of Provider Strategy, and cross-functional leaders, and help define what exceptional, sustainable value-based care looks like for Medicare patients.

Requirements

MD/DO or Advanced Practice Provider (NP/PA) with active or eligible licensure
10+ years of clinical experience, preferably in primary care within a value-based care environment
Meaningful experience in risk adjustment (HCC/RAF), Stars/HEDIS, and/or chronic condition management - you don’t need to have led all three, but you need to understand how they connect
Proven ability to partner with operations to design, refine, and implement clinical workflows and field programs
Strong communicator and collaborator who can influence providers and cross-functional teams in a fast-paced, build-mode environment
Experience supervising, mentoring, and providing performance management to direct reports
Strong analytical skills and comfort with data-driven decision-making
Mission-driven, collaborative mindset and a passion for improving access to high-quality primary care

Nice To Haves

Familiarity with integrated behavioral health models (e.g., IMPACT) strongly preferred

Responsibilities

Develop our overall risk documentation strategy in collaboration with the Director of Risk Adjustment, ensuring accurate, specific, and compliant clinical documentation in a 100% V28 environment
Design and maintain provider education and training on risk documentation best practices
Partner with analytics and population health teams to identify documentation gaps, prioritize outreach strategies, and monitor impact on RAF over time
Design high-impact, protocolized chronic condition management workflows (e.g., CHF, CKD, diabetes, COPD) that are evidence-based, operationally realistic, and embedded in everyday patient care
Incorporate Stars/HEDIS measures into daily workflows so that quality performance is built into care.
Own designing and integrating behavioral health into our model of care, including the operational deployment of the IMPACT model
Translate population health strategies into actionable, role-specific workflows for physicians, APPs, nurses, and MAs
Serve as a key liaison between clinical workflow design and center operations, keeping population health strategy connected to frontline reality
Partner with operations leaders, including the Nursing Practice and Workforce Development Lead, on the deployment of population health programs
Develop clinical principles for the care model, in collaboration with the CEO, that can support scaling beyond our first location
Use those principles to build a playbook for all lanes of value-based care (risk adjustment, quality, admission prevention) in collaboration with the VP, Provider Strategy & Population Health
Develop and deliver training for providers and care teams on clinical workflows, documentation standards, and population health programs
Serve as the clinical go-to for frontline teams, offering guidance, feedback, and real-time coaching
Help build a culture of continuous improvement and accountability around risk documentation, quality metrics, and chronic care outcomes
Partner closely with Operations, Population Health, Analytics, and Technology to align clinical workflows with performance targets
Define and track key KPIs within your scope (e.g., HCC documentation, Stars/HEDIS measures, care gap closure)
Regularly review performance data, identify root causes, and lead action plans to improve outcomes