Regional Medical Director (Bilingual Spanish)

CLAREMEDICA HEALTH PARTNERS LLC•Osceola and Orange County, FL

5d•Hybrid

About The Position

At Claremedica, exceptional is the standard. Driven by our purpose to enhance the lives of the seniors in the communities where we have the privilege to work, live, and play, the Claremedica team is comprised of the brightest and best in their fields of expertise. From clinical excellence to unparalleled administrative support and beyond, we’re working together to help seniors live happier, healthier, fuller lives. That kind of teamwork and passion for excelling can only exist in a workplace that fosters employees’ growth and wellness and where their full potential and value are realized. At Claremedica, we’re excited about great people like you. We’re even more excited to support you with the resources, training, benefits, competitive compensation, and more to help you thrive and succeed in our communities. Opportunity awaits – welcome to Claremedica.

Requirements

Medical degree (MD or DO) from an accredited institution.
Board certification in Family Medicine, Internal Medicine, or other relevant specialty.
Active, unrestricted medical license in Florida.
Minimum 7 years of clinical experience with at least 3 years in leadership or multi-site medical management.
Accountability for regional Medicare Advantage medical cost economics
Understanding of medicare advantage value-based care, population health, and quality measurement frameworks.
Demonstrated leadership ability managing diverse clinical teams and complex healthcare environments.
Exceptional communication, organizational, and analytical skills.
Proficiency in EMR systems, clinical documentation, and data-driven decision-making.

Nice To Haves

Strong understanding of Medicare advantage medical cost economics
Understanding of best practice and compliant coding practices in a medicare advantage population

Responsibilities

Provide strategic clinical leadership and oversight across multiple care centers within your assigned region.
Ensure consistent delivery of high-quality, value-based care by a diverse team of providers including physicians, APRNs, PAs, Acupuncturists and Specialists who will directly report to you.
Drive the clinical outcomes of your centers through reducing hospital sick days, managing medical expenses for each clinic and improving quality metrics such as HEDIS and Star Ratings, managing regulatory compliance, and supporting clinical-operational goals across all centers in your assigned region in partnership with your operational business partner.
Collaborate closely with clinical, operational, and executive teams to foster a culture of continuous improvement, patient-centered care, and provider development, while navigating the complexities of managing varied clinical settings and specialties.
Provide clinical leadership across multiple care centers, ensuring standardized, evidence-based care delivery and alignment with the organization’s model of care.
Maintain clinical credibility through active engagement in patient care as appropriate.
Lead strategies to optimize medical cost and utilization, promoting high-value, cost-effective care.
Partner with clinical and operational teams to manage total cost of care and reduce unnecessary variation.
Collaborate closely with the Director of Operations to align clinical and business priorities.
Maintain regular communication on clinical performance, provider engagement, and care model execution.
Co-own performance outcomes, including clinical KPIs, incentive alignment, and patient outcomes.
Drive quality improvement initiatives across measures such as HEDIS, Star Ratings, risk adjustment, and patient experience.
Support population health strategies, care gap closure, and preventive care initiatives aligned with Centers for Medicare & Medicaid Services standards.
Lead and support a multidisciplinary team of physicians, APRNs, PAs, Acupuncturists and Specialists fostering a culture of accountability and continuous improvement.
Partner on provider recruitment, onboarding, credentialing, and ongoing professional development.
Build and maintain strong relationships with hospitalists, specialists, SNFs, and ancillary providers to support a high-performing, narrow network.
Lead initiatives to improve care coordination and integration across care settings.
Ensure adherence to all federal, state, and organizational regulatory requirements.
Oversee clinical risk management, including incident review, investigations, and corrective actions.
Partner with operational leaders to optimize clinical workflows, resource utilization, and patient access.
Support implementation of care models that enhance efficiency and patient outcomes.
Analyze clinical performance data to identify trends, gaps, and opportunities.
Implement targeted interventions and monitor outcomes to drive continuous improvement.
Participate in regional governance, quality committees, and strategic planning efforts.
Serve as a key liaison between clinic providers, regional leadership, and corporate medical leadership.