Regional Medical Director - Value Based Care

Healthcare Outcomes Performance Company•Phoenix, AZ

About The Position

The Regional Medical Director for musculoskeletal value-based care (VBC) provides physician leadership and clinical oversight for MSK value-based care initiatives in an assigned region. The role partners with value-based care managers, operational leaders, network managers, and market clinicians to develop and execute clinical strategies that improve quality, outcomes, patient experience, and total cost of care. The director oversees a multidisciplinary clinical team, serves as a clinical liaison to clients, and supports the effective deployment of digital and in-market clinical resources. The position implements VBC strategies with the Chief Medical Officer of Value Based Care, guides evidence-based clinical decisions, and oversees clinical resources and standardized care pathways. It engages and educates MSK and PCP clinicians on program expectations, incentives, performance data, quality metrics, utilization trends, and improvement strategies. The director uses clinical, quality, and financial data to identify improvement opportunities and collaborates with analytics and operations teams to put insights into practice. The role also leads regional quality committees, supports client discussions and contract performance reviews, and works with other medical directors and the CMO on clinical protocols and evidence-based pathways. Clinical activities must align with regulatory requirements, accreditation standards, and organizational policies. The position is based in a normal office environment, with travel to additional markets as needed.

Requirements

Medical degree from a school accredited by the Liaison Committee on Medical Education (LCME) or the American Osteopathic Association Commission on Osteopathic College Accreditation (COCA).
Graduation from an accredited graduate medical education residency program as determined by the Accreditation Council for Graduate Medical Education (ACGME).
At least 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 VBC environment, such as an ACO, Medicare Advantage, risk-bearing health system or provider organization, payor, Clinically Integrated Network, or a role similar to a Chief Medical Officer.
Knowledge of quality improvement philosophy, models, and processes in a healthcare organization.
In-depth knowledge of quality management, patient safety, health information technology, and peer review to enhance physician performance and practice efficiency.
Deep understanding of VBC reimbursement models, including population health, risk-based models, shared savings, and global capitation.
Knowledge of computerized statistical methods for gathering quality metrics, medical records, clinical care processes, quality initiatives, and strategic planning 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 may not report directly to the role.
Ability to meet quality requirements and educate providers and staff.
Skill in using computer applications and analytic tools to produce reports, identify trends, and present data for action.
Skill in evaluating, analyzing, and presenting data to providers and committees.
Effective communication with stakeholders across the medical ecosystem, including physicians, healthcare administrators and systems, and insurers.
Ability to work cross-functionally to develop, evaluate, and execute best-practice initiatives across the care continuum.
Ability to generate innovative healthcare delivery ideas and influence and acquire resources across departments.
Ability to work effectively with providers, healthcare systems and administrators, health insurers, management, and staff.
Ability to synthesize quality data and implement programs for high-quality value-based care.
Ability to mentor and train staff in the clinic environment.
Ability to communicate verbally and in writing to various levels of staff.
Ability to meet the physical demands of sitting and standing in a normal office environment, with some bending and stretching and manual dexterity for calculator and computer keyboard use.
Read and sign HOPCo Mission, Vision, and Values.

Responsibilities

Work with the Chief Medical Officer of Value Based Care to implement VBC strategies that support high-quality, cost-effective care.
Provide regional physician leadership for value-based care programs.
Oversee clinical strategies aligned with organizational quality, utilization, and cost-management goals.
Guide evidence-based clinical decision-making to improve patient outcomes and performance against VBC metrics and targets.
Provide clinical oversight and direction for clinicians supporting value-based care initiatives.
Collaborate with care managers, advanced practice providers, and other clinical team members to coordinate high-quality care.
Support deployment and execution of standardized care pathways, clinical protocols, and population health initiatives across the region.
Support development and dissemination of performance-based incentive metrics for MSK and PCP clinicians.
Partner with VBC network managers to engage MSK and PCP clinicians on program expectations, incentive eligibility, performance data, quality metrics, and utilization trends.
Educate and support providers on improvement strategies, care redesign, and value-based care best practices.
Advise regional physicians and practice leaders to drive adoption of VBC initiatives.
Review and interpret clinical, quality, and financial data to identify improvement opportunities.
Collaborate with analytics and operational teams to translate data insights into clinical and operational strategies.
Support continuous performance improvement through targeted interventions and clinician feedback.
Lead regional initiatives to improve HEDIS scores, Star Ratings, and other key VBC quality measures.
Serve as a clinical expert in client-facing discussions and 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 in strategies to optimize program performance.
Work with other medical directors and the CMO to develop and implement clinical protocols and evidence-based pathways tailored to VBC performance.
Ensure clinical activities align with regulatory requirements, accreditation standards, and organizational policies.
Promote quality, accountability, and patient-centered care across the region.
Perform other duties as assigned.