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Medical Director – Population Health, Clinical Governance

Medical DirectorMedical DirectorFull TimeRemoteLeadTeam 1,001-5,000Since 2010H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

11 days ago

Salary

Not specified

Seniority

Lead

Postgraduate Degree5 yrs expEnglish

Job Description

• Serve as physician leader responsible for clinical review and approval of population health program processes where senior clinical sign off is required • Support organizational readiness for NCQA and other accreditation standards by ensuring clinical workflows, protocols, and documentation meet requirements • Participate in audits, quality reviews, and corrective action planning as needed • Provide clinical oversight for chronic condition management, preventive care, and high risk population programs • Ensure clinical standards and documentation practices are consistently applied across programs • Provide physician review and guidance for clinical content used by nurses, coaches, and care teams • Partner with Clinical and Pharmacy Informatics teams to ensure clinical appropriateness of code sets, rules logic, and decision support tools • Serve as the physician voice in collaboration with Product, Data Science, Quality, and Operations teams • Participate in selected client discussions where physician oversight or credibility is required

Job Requirements

  • MD or DO degree from an accredited institution
  • Board certification in Internal Medicine, Family Medicine, or Geriatrics
  • Active, unrestricted U.S. medical license
  • Minimum 5 years of post residency clinical experience
  • 2–4 years of experience in population health, care management, health plan, ACO, CIN, or value based care environment
  • Experience supporting NCQA aligned programs or quality performance initiatives preferred
  • Experience working with interdisciplinary care management or coaching teams preferred
  • Exposure to clinical informatics or digital health tools preferred
  • Experience with Medicare Advantage or Medicaid populations preferred

Benefits

  • Health insurance
  • 401(k) matching
  • Flexible work hours
  • Paid time off
  • Professional development opportunities

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