[Hiring] Regional Medical Director @Healthcare Outcomes Performance Co. (HOPCo)

Role Description

The Regional Medical Director for musculoskeletal Value Based Care (VBC) provides physician leadership and clinical oversight for all MSK value-based care initiatives within an assigned region. This role partners closely 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 Regional Medical Director oversees a multidisciplinary clinical team and serves as a clinical liaison to clients and supports the effective deployment of digital and in-market clinical resources.

Qualifications

• Medical Degree from accredited school as determined by either the Liaison Committee on Medical Education (LCME) or the American Osteopathic Association Commission on Osteopathic College Accreditation (COCA).
• Graduated from an accredited graduate medical education program (residency) as determined by the Accreditation Council for Graduate Medical Education (ACGME).
• Minimum of ten 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 (ACO, Medicare Advantage, risk-bearing health system or provider organization, payor, or Clinically Integrated Network) or role similar to a Chief Medical Officer.

Requirements

• 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 (population health, risk-based models, shared savings, global capitation).
• Knowledge of computerized statistical methods of 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.

Skills

• Effective application of quality measures, clinical guidelines, and process management initiatives.
• Strong emotional intelligence and ability to influence clinicians who may not report to them directly.
• Consistently meeting quality requirements and educating providers and staff.
• Using computer applications to effectively produce needed reports to identify trends.
• Evaluation, analysis, and presentation of data to providers and committees.
• Communicating effectively with all stakeholders across the medical ecosystem including physicians, healthcare administrators/systems, and insurers.
• High emotional quotient with a mature, self-confident demeanor that is effective and credible across all levels of the organization.
• High level of proficiency with analytic tools to display data for action-oriented results.

Abilities

• Proven ability to work cross-functionally in team environments to develop, evaluate, and execute best practice initiatives designed to promote excellence across the care continuum.
• Ability to generate innovative ideas in health care delivery with the ability to influence and acquire necessary resources across departments.
• Ability to work effectively with providers, healthcare systems/administrators, health insurers, management, and staff.
• Ability to synthesize quality data and implement programs to provide 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.

Environmental Working Conditions

• Normal office environment.
• Some travel as needed for additional markets.

Physical/Mental Demands

• Requires sitting and standing associated with a normal office environment.
• Some bending and stretching are required.
• Manual dexterity using a calculator and computer keyboard.

Organizational Requirements

• HOPCo Mission, Vision, and Values must be read and signed.
• This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.