Medical Director, Quality and Value-Based Performance
On-siteNewport News, Virginia, United States
Job Summary
Lead value-based performance initiatives across MSSP and commercial payer arrangements by partnering with physicians and operational leaders to drive quality, utilization, and financial improvement. Analyze performance data to develop strategies that enhance outcomes and cost of care, while overseeing population health dashboards and provider scorecards. Standardize clinical workflows and evidence-based protocols to improve efficiency, and serve as Medical Director for ACO initiatives within governance and operations. Collaborate with payer partners to lead performance reviews, gap closure efforts, and improvement cycles. Requires an MD or DO with 10+ years in value-based care models and experience with MSSP and ACOs. Apply via nicole.laroche@rivhs.com or contact (757) 224-4990.
Required Qualifications
- MD or DO
- Board Certified in Internal Medicine, Family Medicine, Emergency Medicine, or Pediatrics
- Eligible for or currently holding a Virginia medical license
- 10+ years of experience
- Meaningful involvement in value-based care models
- Demonstrated experience with MSSP, ACOs, or other risk-based arrangements
- Strong understanding of HCC risk adjustment, population health management, and utilization performance
- Familiarity with payer performance, cost structures, and medical loss ratios
- Experience working with data, dashboards, and performance reporting tools
- Proven leadership, communication, and change management skills
Desired Qualifications
- Epic
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