Regional Medical Director

Regional physician leader responsible for medical quality, outcomes, and appropriate resource utilization for clinical staff and programs (value-based care, or “VBC”), as well as leadership, advocacy, education and overall support of all facets related to success of the Medical Group across the regional market.

Reports up through Company CMO, partners with regional administrative leadership.

• Business development – collaboratively with Chief Development Officer, strategically scaling provider count, MA HMO density and patient base, and Practice revenue levers.
• MRA coding & Quality - Internal and external quality oversight, ensuring MRA coding accuracy, attention to gap closure and appropriate provider focus on all opportunities.
• M&UM - Responsible for resource oversight, development, and implementation of Complete Health’s medical and utilization management model at the market level.
• Preferred provider network - Ensure specialists, hospital, ancillary, and post-acute partners reflect top tier quality, outcomes and cost metrics, and both communicate effectively with and follow protocols adopted by CH Clinical Excellence Committee.
• CH Research and ancillary programs expansion including implementation of vision and strategy, advocating for growth, driving physician and APP participation, related education regarding organizational impact, and mentoring to address best practices.
• Responsible for local public interface on clinical and population health matters, ongoing provider oversight, accountability, education and communication programs, while continuing clinical practice in a part time capacity