Regional Medical Director at ClareMedica Health Partners LLC – Orlando, Florida

Position Title: Regional Medical Director

Location: Orlando, FL 32862

Description:
At Claremedica, exceptional is the standard.
Driven by our purpose to enhance the lives of the seniors in the communities where we have the privilege to work, live, and play, the Claremedica team is comprised of the brightest and best in their fields of expertise. From clinical excellence to unparalleled administrative support and beyond, we’re working together to help seniors live happier, healthier, fuller lives.

That kind of teamwork and passion for excelling can only exist in a workplace that fosters employees’ growth and wellness and where their full potential and value are realized. At Claremedica, we’re excited about great people like you. We’re even more excited to support you with the resources, training, benefits, competitive compensation, and more to help you thrive and succeed in our communities.

Opportunity awaits – welcome to Claremedica.

As the Regional Medical Director, you provide strategic clinical leadership and oversight across multiple care centers within your assigned region. You are responsible for ensuring consistent delivery of high-quality, value-based care by a diverse team of providers including physicians, APRNs, and PAs who will directly report to you.

Your role primarily focuses on driving the clinical outcomes of your centers through reducing hospital sick days, managing medical expenses for each clinic, and improving quality metrics such as HEDIS and Star Ratings, managing regulatory compliance, and supporting clinical-operational goals across all centers in your assigned region in partnership with your operational business partner.

You collaborate closely with clinical, operational, and executive teams to foster a culture of continuous improvement, patient-centered care, and provider development, while navigating the complexities of managing varied clinical settings and specialties.

Provide clinical leadership and oversight for multiple care centers, ensuring standardized, evidence-based care delivery.

Lead medical cost reduction strategy to reduce and control medical expenses for each clinic, ensuring cost-effective utilization practices using company-derived KPIs.

DYAD Partnership

Work collaboratively with your operational business partner to align on clinical business needs and cost-effective strategies.

Maintain regular communication on clinical performance and engagement with clinical model of care.

Partner on clinical KPIs and incentive plans to align patient outcomes to management goals.

Lead and support a multidisciplinary team of providers including physicians, APRNs, PAs, and other clinical staff.

Drive quality improvement initiatives targeting HEDIS measures, Star Ratings, risk adjustment accuracy, and patient satisfaction.

Identify physician recruitment needs and collaborate on provider recruitment, credentialing, onboarding, and ongoing professional development.

Build strong relationships with hospitalists, SNF, and other network providers to form a narrow network of quality service.

Monitor compliance with federal, state, and organizational policies and regulatory requirements across all centers.

Collaborate with operational leaders to optimize clinical workflows, resource allocation, and patient access.

Facilitate communication and alignment between clinics, regional leadership, and corporate medical leadership.

Analyze clinical performance data and implement targeted interventions to address gaps or variances.

Participate in regional governance, quality committees, and strategic planning efforts.

Lead initiatives to improve care coordination and integration across providers and settings.

Manage clinical risk, incident investigations, and corrective actions region-wide.

Maintain own clinical practice as appropriate to support leadership credibility and clinical insight.

SUPERVISORY RESPONSIBILITIES

This position has supervisory responsibilities.

WORKING CONDITIONS

General office working conditions.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee will be required to stand, walk, sit, use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs, balance; stoop, kneel, crouch or crawl; talk or hear. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus. Manual dexterity is required to use desktop computers and peripherals.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

TRAVEL

Travel to your regional medical centers to provide direct clinical engagement. Centers are located regionally, and the expectation is direct engagement every week.

Provide clinical leadership and oversight for multiple care centers, ensuring standardized, evidence-based care delivery.

Lead medical cost reduction strategy to reduce and control medical expenses for each clinic, ensuring cost-effective utilization practices using company-derived KPIs.

DYAD Partnership

Work collaboratively with your operational business partner to align on clinical business needs and cost-effective strategies.

Maintain regular communication on clinical performance and engagement with clinical model of care.

Partner on clinical KPIs and incentive plans to align patient outcomes to management goals.

Lead and support a multidisciplinary team of providers including physicians, APRNs, PAs, and other clinical staff.

Drive quality improvement initiatives targeting HEDIS measures, Star Ratings, risk adjustment accuracy, and patient satisfaction.

Identify physician recruitment needs and collaborate on provider recruitment, credentialing, onboarding, and ongoing professional development.

Build strong relationships with hospitalists, SNF, and other network providers to form a narrow network of quality service.

Monitor compliance with federal, state, and organizational policies and regulatory requirements across all centers.

Collaborate with operational leaders to optimize clinical workflows, resource allocation, and patient access.

Facilitate communication and alignment between clinics, regional leadership, and corporate medical leadership.

Analyze clinical performance data and implement targeted interventions to address gaps or variances.

Participate in regional governance, quality committees, and strategic planning efforts.

Lead initiatives to improve care coordination and integration across providers and settings.

Manage clinical risk, incident investigations, and corrective actions region-wide.

Maintain own clinical practice as appropriate to support leadership credibility and clinical insight.

This position has supervisory responsibilities.

General office working conditions.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee will be required to stand, walk, sit, use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs, balance; stoop, kneel, crouch or crawl; talk or hear. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus. Manual dexterity is required to use desktop computers and peripherals.

The work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

Travel to your regional medical centers to provide direct clinical engagement. Centers are located regionally, and the expectation is direct engagement every week.

PREFERRED QUALIFICATIONS

Strong understanding of Medicare Advantage medical cost economics

Understanding of best practice and compliant coding practices in a Medicare Advantage population

Travel to your regional medical centers to provide direct clinical engagement. Centers are located regionally, and the expectation is direct engagement every week.

Strong understanding of Medicare Advantage medical cost economics

Understanding of best practice and compliant coding practices in a Medicare Advantage population

Travel to your regional medical centers to provide direct clinical engagement. Centers are located regionally, and the expectation is direct engagement every week.