Regional Medical Director - Value Based Care - Remote

Healthcare Outcomes Performance Co. (HOPCo)•Phoenix, AZ

7d•Remote

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 within 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 MSK total cost of care. The director oversees a multidisciplinary clinical team, serves as a clinical liaison to clients, and supports deployment of digital and in-market clinical resources. The position leads regional clinical strategy, provider engagement and education, data-driven improvement, client and stakeholder engagement, and governance and compliance. It supports VBC program performance by guiding evidence-based care, coordinating clinical resources, engaging clinicians around performance measures and incentives, and translating clinical and financial data into improvement strategies. The role also leads regional Quality Committees and ensures clinical activities align with regulatory requirements, accreditation standards, and organizational policies. The role requires a medical degree from an accredited medical school and completion of an accredited residency, at least ten years of experience as a practicing physician, a strong background treating musculoskeletal conditions, and at least three years in a VBC leadership role or a similar role to a Chief Medical Officer. The work is in a normal office environment, with travel to additional markets as needed.

Requirements

Medical degree from a school accredited by LCME or COCA.
Graduation from an ACGME-accredited graduate medical education residency program.
Minimum of ten years of experience as a practicing physician.
Strong background in treating musculoskeletal conditions and care delivery.
At least three years in a leadership role within a VBC environment, such as an ACO, Medicare Advantage, risk-bearing health system or provider organization, payor, or Clinically Integrated Network, or in a role similar to a Chief Medical Officer.
Knowledge of quality improvement philosophy, models, and processes within 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.
Knowledge of medical records and clinical care processes.
Knowledge of quality initiatives and how to develop and implement strategic plans 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.
Skill in meeting quality requirements and educating providers and staff.
Skill in using computer applications to produce reports and identify trends.
Skill in evaluating, analyzing, and presenting data to providers and committees.
Strong communication skills with stakeholders across the medical ecosystem, including physicians, healthcare administrators and systems, and insurers.
High emotional quotient and a mature, self-confident demeanor that is effective and credible across organizational levels.
High proficiency with analytic tools to display data for action-oriented results.
Ability to work cross-functionally to develop, evaluate, and execute best-practice initiatives across the care continuum.
Ability to generate innovative healthcare delivery ideas, influence others, and acquire necessary 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 that provide high-quality value-based care.
Ability to mentor and train staff in a clinic environment.
Ability to communicate verbally and in writing to various levels of staff.
Must read and sign HOPCo Mission, Vision, and Values.

Responsibilities

Work with the Chief Medical Officer of Value Based Care to implement VBC strategies that ensure 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 optimize 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 ensure coordinated, high-quality care delivery.
Support deployment and execution of standardized care pathways, clinical protocols, and population health initiatives across the region.
Support development and dissemination of metrics for performance-based incentive programs for MSK and PCP clinicians.
Partner with VBC network managers to engage market MSK and PCP clinicians on program expectations, incentive eligibility, clinical performance data, quality metrics, and utilization trends.
Educate and support providers on improvement strategies, care redesign, and value-based care best practices.
Serve as a clinical advisor to 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 turn data insights into actionable 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.
Communicate clinical strategy, performance, and improvement plans to internal and external stakeholders.
Support contract performance reviews and strategic planning for value-based arrangements.
Lead Quality Committees in assigned regions 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 a culture of quality, accountability, and patient-centered care across the region.
Perform other duties as assigned.