Medical Director, Population Health

About the role

Town Square Health is reimagining what healthcare can be. We’re building a first-of-its-kind value-based care model with a singular mission: to set the gold standard for how Americans experience healthcare. Our primary care locations offer comprehensive primary care with coordinated specialty support for Medicare-eligible patients, and we’re growing fast, with expansion into multiple markets on the horizon. If you’re bold, collaborative, and driven to make a real difference in people’s lives, we’d love to have you on our team!

The Opportunity

This is not a traditional medical director role. Town Square Health is seeking a Medical Director, Population Health (MD/DO or APP) to serve as the clinical partner to our population health team. This is a hands-on, high-impact role for a value-based care clinician who thrives at the intersection of clinical practice, population health strategy, and operational design. You’ll help shape how our first locations deliver care, from day-one workflows to ongoing program optimization, and your work will set the clinical foundation for how we scale.

Risk Documentation Strategy

• Develop our overall risk documentation strategy in collaboration with the Director of Risk Adjustment, ensuring accurate, specific, and compliant clinical documentation in a 100% V28 environment
• Design and maintain provider education and training on risk documentation best practices
• Partner with analytics and population health teams to identify documentation gaps, prioritize outreach strategies, and monitor impact on RAF over time

Population Health & Chronic Condition Management

• Design high-impact, protocolized chronic condition management workflows (e.g., CHF, CKD, diabetes, COPD) that are evidence-based, operationally realistic, and embedded in everyday patient care
• Incorporate Stars/HEDIS measures into daily workflows so that quality performance is built into care
• Own designing and integrating behavioral health into our model of care, including the operational deployment of the IMPACT model

Clinical Workflow & Population Health Deployment

• Translate population health strategies into actionable, role-specific workflows for physicians, APPs, nurses, and MAs
• Serve as a key liaison between clinical workflow design and center operations, keeping population health strategy connected to frontline reality
• Partner with operations leaders, including the Nursing Practice and Workforce Development Lead, on the deployment of population health programs

Care Model Design & Scaling

• Develop clinical principles for the care model, in collaboration with the CEO, that can support scaling beyond our first location
• Use those principles to build a playbook for all lanes of value-based care (risk adjustment, quality, admission prevention) in collaboration with the VP, Provider Strategy & Population Health

Training & Coaching

• Develop and deliver training for providers and care teams on clinical workflows, documentation standards, and population health programs
• Serve as the clinical go-to for frontline teams, offering guidance, feedback, and real-time coaching
• Help build a culture of continuous improvement and accountability around risk documentation, quality metrics, and chronic care outcomes

Cross-Functional Collaboration & KPI Ownership

• Partner closely with Operations, Population Health, Analytics, and Technology to align clinical workflows with performance targets
• Define and track key KPIs within your scope (e.g., HCC documentation, Stars/HEDIS measures, care gap closure)
• Regularly review performance data, identify root causes, and lead action plans to improve outcomes

Qualifications

• MD/DO or Advanced Practice Provider (NP/PA) with active or eligible licensure
• 10+ years of clinical experience, preferably in primary care within a value-based care environment
• Meaningful experience in risk adjustment (HCC/RAF), Stars/HEDIS, and/or chronic condition management - you don’t need to have led all three, but you need to understand how they connect
• Proven ability to partner with operations to design, refine, and implement clinical workflows and field programs
• Familiarity with integrated behavioral health models (e.g., IMPACT) strongly preferred
• Strong communicator and collaborator who can influence providers and cross-functional teams in a fast-paced, build-mode environment
• Experience supervising, mentoring, and providing performance management to direct reports
• Strong analytical skills and comfort with data-driven decision-making
• Mission-driven, collaborative mindset and a passion for improving access to high-quality primary care

What We Offer

• Starting salary range of $170,000–$185,000, based on experience
• Competitive performance-based incentives
• Comprehensive benefits package (medical, dental, vision, 401K)
• Flexible hybrid work model, with preference for candidates who can work in-person 1–2 days per week in Chicago, IL
• Opportunity to build something from the ground up
• Direct impact on patient care and outcomes at scale
• High visibility and influence in a growing organization
• Collaborative, mission-driven team