Medical Director, Quality and Value-Based Performance
Riverside Medical Group - Newport News, Virginia
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.
This leader will play a key role in advancing Riverside's participation in the Medicare Shared Savings Program and other payer programs, while helping standardize care delivery and elevate performance across the organization.
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
What Makes This Role Unique
- Enterprise-level influence across a respected, physician-led organization
- Direct impact on clinical quality, financial performance, and patient outcomes
- Close collaboration with executive leadership and payer partners
- Opportunity to help shape and scale a mature and evolving value-based care strategy
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
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This position is listed as full time and onsite.