Medical Director, Quality and Value-Based Performance

About the role

The Medical Director will provide physician leadership across all value-based initiatives, with a focus on improving quality, outcomes, utilization, and financial performance through data-driven strategies and strong collaboration.

Key Responsibilities

• Lead value-based performance initiatives across MSSP and commercial payer arrangements
• Partner with physicians, advanced practice providers, and operational leaders to drive quality and utilization improvement
• Analyze performance data and develop actionable strategies to improve outcomes and cost of care
• Oversee development and implementation of population health dashboards and provider scorecards
• Standardize clinical workflows and evidence-based protocols to enhance efficiency and care quality
• Serve as Medical Director for ACO initiatives and participate in ACO governance and operations
• Collaborate with payer partners and lead performance reviews, gap closure efforts, and improvement cycles

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, including 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 (Epic preferred)
• Proven leadership, communication, and change management skills