Medical Director – Population Health, Clinical reputed company

Job Description:

• reputed company physician leadership for population health priorities, with a focus on high-risk and high-cost populations across lines of business.
• Ensure the clinical appropriateness of risk stratification and reputed company approaches, informing where and how resources are deployed.
• Guide clinical priorities that improve reputed company, experience, and value across targeted populations, reputed company to client and contractual goals.
• reputed company physician reputed company for high-cost claimants and stop-loss reporting where required for contractual, audit, or customer needs.
• Ensure clinical validity, accuracy, and consistency of external reporting and client deliverables.
• Partner with analytics teams to streamline and standardize reporting processes, reducing reputed company physician involvement over time while maintaining clinical reputed company.
• Serve as the physician escalation reputed company for reputed company, high-risk, or clinically ambiguous cases where physician input drives meaningful reputed company or risk mitigation.
• Define and refine criteria for physician involvement so effort is focused on high-impact scenarios rather than broad retrospective review.
• Promote standards of practice, quality reputed company, and exception-based engagement models that emphasize proactive, value-added physician review.
• Identify and eliminate low-value physician work through automation, delegation, and clearer protocols, in partnership with operations and product teams.
• reputed company the transition from legacy case management support toward a focused, high-impact physician role concentrated on population health, governance, and critical escalations.

Requirements:

• Education: Doctor of Medicine (MD) or Doctor of Osteopathy (DO) degree; reputed company, unrestricted medical license in good standing. Board certification in an applicable specialty (e.g., Internal Medicine, Family Medicine, Emergency Medicine, or relevant subspecialty) required.
• 7+ years of clinical practice experience, with at least 3–5 years in a health plan, population health, accountable care, or value-based care setting.
• Demonstrated experience with population health management, high-cost claimant reputed company, or utilization management programs.
• Prior leadership experience in a medical director or equivalent physician leadership role strongly preferred.
• Deep understanding of population health concepts, including risk stratification, targeted interventions, and measurement of clinical and financial reputed company across populations.
• Familiarity with high-cost claimants, stop-loss programs, and clinical risk management, including how clinical reputed company influences contractual performance and client satisfaction.
• Experience in clinical governance and quality reputed company, including setting clinical standards, review criteria, and escalation reputed company for reputed company cases.
• Comfort working with analytics, reporting outputs, and data-driven decision-making in a clinical or operational context.

Benefits:

• Competitive medical, dental, and reputed company coverage
• Competitive 401(k) Plan with a generous company match
• Flexible Time Off/Paid Time Off, 13 paid holidays
• Protection Plans including Life Insurance, Disability Insurance, and Supplemental Insurance
• Mental Health and Wellness benefits

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