Regional Medical Director- (Nashville,TN)
About The Position
The Regional Medical Director is responsible for assigned aspects of medical policies and programs, performs medical reviews, and interacts with provider communities in assigned areas. The role provides advanced clinical leadership across medical management programs, integrating traditional utilization review with strategic population health, value-based care, and provider-performance initiatives. It aligns medical policy expertise with clinical strategy to influence quality, Stars-related performance, affordability, risk adjustment accuracy, and market-level outcomes. The position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii. The role is associated with Nashville, Tennessee, and may require travel. Compensation is within the stated annual range and the role aligns with an annual incentive bonus plan, subject to its terms and conditions.
Requirements
- Current and unrestricted physician license in a U.S. state or territory.
- Maintain board certification as an M.D. or D.O. through an approved specialty board.
- At least 5 years of clinical experience.
- Analytical and communication skills.
- Strategic thinking skills.
Nice To Haves
- Ability to travel.
- At least 3 years of managed care experience.
- Experience with an IPA (independent physician association), MSO, or value-based enablement organization.
- Advanced skills in clinical interpretation, communication, data-driven strategy, and collaborative leadership.
- Experience with Stars performance, risk adjustment education, or provider engagement.
- Experience in matrixed environments and cross-functional clinical leadership.
Responsibilities
- Manage assigned aspects of medical policies and programs.
- Perform medical reviews.
- Interact with provider communities in assigned areas.
- Provide clinical leadership across medical management programs.
- Integrate utilization review with population health, value-based care, and provider-performance initiatives.
- Use medical policy expertise and clinical strategy to influence quality, Stars-related performance, affordability, risk adjustment accuracy, and market-level outcomes.
Benefits
- Health and wellness benefits
- 401(k) savings plan
- Pension plan
- At least 15 days of paid time off
- Paid parental leave
- Disability insurance
- Supplemental life insurance
- Employee assistance program
- Paid holidays
- Tuition reimbursement
- Other incentives
- Annual incentive bonus plan, subject to plan terms and conditions
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What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
