National ACO Medical Director

Description

• Provider clinical oversight, expertise, and leadership to the ACO network.
• Collaborate with and provide feedback to primary care physicians, specialists, and other healthcare professionals to promote high-quality, efficient, evidenced-based care.
• Develop and implement strategies to improve quality of care within the ACO rates in alignment with organizational goals and national industry benchmarks. 
• Partner with advanced care management team to develop, implement, and evaluate disease management and readmission prevention programs.
• Develop and execute plans to integrate new markets into the ACO network.
• Analyze and monitor data to establish quality metrics, benchmarks, and performance targets to monitor and improve clinical outcomes, patient safety, and member satisfaction.
• Facilitate effective communication and collaboration among network physicians, promoting a team-based approach.
• Responsible for presenting to external entities and conveying the unity and commitment of the medical staff to the organization's mission and values.
• Establish and maintain clinical governance structures to promote transparency and accountability in clinical decision-making and patient care.
• Work with the financial team to manage the budget for clinical services, ensuring the ACO meets financial/payer goals and cost-effectiveness while maintaining high-quality care.
• Develop and implement strategies to improve the health of the population served by the organization, including preventive care and chronic disease management. 
• Collaborate with executive team to develop long-term strategies for the ACO and assist in scaling the ACO’s footprint/network partnerships on a national scale.
• Ensure compliance with federal, state, and local healthcare regulations and ACO program requirements.

• MD or DO degree with active medical license in good standing.
• Board certification in a relevant medical specialty.
• Minimum of 10 years of clinical experience, with at least 5 years in a clinical operations or managed care leadership role.
• Strong understanding of managed care principles, healthcare delivery systems, and regulatory requirements.
• Proven experience in developing and implementing quality improvement programs.
• Excellent leadership, communication, and interpersonal skills.
• Ability to analyze complex clinical data and translate findings into actionable strategies.
• Demonstrated ability to lead and inspire teams in a dynamic and dispersed healthcare environment.

• MBA, MHA, or MPH degree.
• Deep understanding of healthcare markets across various states.
• Leadership experience overseeing an ACO network.
• Internal Medicine or Family Medicine background.
• Experience as an independent provider.
• Familiarity with healthcare technology and data analytics tools. 

• Put Patients First 
• Empower Entrepreneurial Provider and Care Teams 
• Operate with Integrity & Excellence 
• Be Innovative 
• Work As One Team 

• This position will be remote with required travel across the nation to serve core markets, including frequent travel to CA. We are seeking candidates based in the Northeast.