Medical Director, Value Care

Medical Director, Value Based Care role at Upperline Health. Upperline Health is transforming specialty care by bringing a value-based care model to specialists. Patients receive preventative, urgent, and chronic care where it is most convenient for them. Upperline is seeking a Medical Director to join the clinical leadership team developing, implementing, and growing our unique value-based care model in Kentucky. The VBC Medical Director will serve as a clinical partner to the operational leader—the Regional Vice President—to deliver value-based care results in the region.

This role will focus on improving outcomes for our most at-risk patients in the market. Background and experience in value-based care will be critical, including working closely with the central interdisciplinary care team and nurse practitioners to provide high-quality care while lowering the total cost of care. The Medical Director will provide direct patient care 2-3 days per week for a panel of high-risk patients and spend the remaining time supervising providers in the region and leading population health initiatives.

As Upperline expands, this individual will explore expansion of scope into specific care programs and/or larger market roles. The position will be based in Kentucky with travel within the region to connect with providers, advise on clinical improvements and assist in market growth opportunities. Communication with local providers and centralized/corporate Care Team will be required to effectively connect, advise on programmatic improvements and drive outcomes.

• Oversee the care management and medical management of the Upperline Plus patients in the market including billing for these services and having direct responsibility for your own panel of patients
• Responsible for supervising medical management of patients in the region including clinical quality review of providers and serving as the collaborating physician for APPs in the region (as necessary based on state law)
• Manage implementation of new value-based care initiatives and service lines with APPs and doctors
• Establish and maintain relationships with VBC team and specialists in the region; support onboarding of new providers and provide in-clinic training and coaching as needed
• Create and foster strong value-based culture amongst providers that prioritizes outcomes-based performance
• Accountable for value-based care outcomes (e.g., ADK, total cost of care), medical management, care management, utilization management, and quality improvement tools and processes in the region
• Develop clinical compliance policies and guidelines

• M.D. / D.O. graduates
• Board certified in Internal Medicine, Family Medicine, Preventive Medicine, or Geriatrics
• Actively licensed in an Upperline state and willing to pursue multi-state licensure
• Fellowship training in Geriatrics and/or other professional degrees (e.g., M.B.A., J.D., M.P.H.) welcome but certainly not required.
• 5 years of experience in outpatient practice.
• Experience with managed care and/or value-based practice and familiarity with payer-provider collaboration.
• Proven leadership skills and passion for people and culture
• Ability to collaborate effectively with staff, providers, and organizational leaders
• Strong customer service orientation and servant leadership mentality
• Exceptional organizational skills and the ability to prioritize and multi-task
• Excellent communication skills

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Mid-Senior level

Full-time

Health Care Provider

Medical Practices