Medical Director - Sphere Senior

About the role

The Medical Director is the clinical foundation of Sphere Senior, the standard-setter, the supervising physician, the person payers trust, and the clinician our NPs and care managers rely on when cases get hard.

Responsibilities

• Set, implement, and continuously refine evidence-based clinical protocols, care pathways, and quality standards
• Provide direct clinical supervision and collaborative practice oversight for all NPs and APPs, including serving as supervising/collaborating physician of record where required by state law
• Lead clinical governance structures: M&M review, utilization review, care committee meetings, and incident reporting
• Own program-level quality metrics: 30-day readmission rates, ED utilization, HEDIS/Stars performance, ADL/functional outcomes, and patient safety events
• Lead advance care planning, goals-of-care conversations, and palliative/serious illness protocol development
• Partner with SphereOS to monitor population-level risk panels, close care gaps, and drive proactive, data-informed outreach
• Conduct in-home visits with a complex, high-needs senior population across two clinical shifts per week
• Diagnose and manage multi-morbidity: CHF, COPD, dementia, diabetes, frailty syndromes, CKD, fall risk, and end-of-life care trajectories
• Lead complex case reviews and provide real-time clinical consultation to NPs and care managers during shift hours
• Own transitions-of-care workflows: post-hospitalization follow-up, SNF discharge bridge visits, and ED diversion planning
• Partner with the CEO and Geriatric Care Operations Director on clinical hiring standards, onboarding, and credentialing
• Represent Sphere Senior in payer meetings, ACO partnerships, health system negotiations, and referral partner relationships
• Contribute clinical input to value-based contract design: MSSP, ACO REACH, Medicare Advantage risk arrangements, and bundled payment models
• Leverage SphereOS data to inform staffing ratios, visit frequency protocols, and escalation thresholds
• Support regulatory compliance, state licensure filings, clinical policy documentation, and audit-readiness

Requirements

• MD or DO — board-certified in Internal Medicine, Family Medicine, or Geriatrics
• Active, unrestricted medical license in state(s) of operation (multi-state or compact licensure a plus)
• Active DEA registration
• 5+ years of clinical practice; at least 2 years in home-based primary care, PACE, SNF, or complex geriatric care settings
• Demonstrated experience supervising or collaborating with NPs/APPs
• Strong working knowledge of value-based care mechanics: HCC coding, risk adjustment, Medicare/Medicaid programs, and quality measure frameworks
• Comfort with AI-assisted clinical tools, telehealth, and digital-first workflows

Preferred

• Board certification or fellowship in Geriatric Medicine (CAQ-G) or Hospice & Palliative Medicine
• Prior experience as a Medical Director, Clinical Lead, or Program Director in a home-based, PACE, or value-based care setting
• Hands-on experience with ACO/MSSP, ACO REACH, or MA risk contracting
• Palliative care training, certification, or significant practice experience
• Familiarity with quality improvement methodology (PDSA, Lean, or similar)
• Interest in or experience with clinical AI tools, LLM-assisted documentation, or digital health platforms

Schedule & On-Call

• 2 × 12-hour clinical shifts per week — field-based, in-home patient care
• Clinical supervision, governance, and leadership responsibilities embedded within shift hours (not additive)
• On-call escalation support shared with APP team via structured, low-burden rotation
• Weekend coverage expectations discussed transparently at offer stage