Regional Medical Director (Miami)

ESSENTIAL FUNCTIONS

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, PAs, and specialists who will directly report to you.

Your role focuses on driving clinical outcomes across your region by reducing hospital utilization, managing medical expenses, improving quality metrics such as HEDIS and Star Ratings, ensuring regulatory compliance, and supporting clinical and operational goals in partnership with your operational counterpart.

You will collaborate closely with clinical, operational, and executive teams to foster a culture of continuous improvement, patient-centered care, and provider development across varied clinical settings.

DUTIES AND RESPONSIBILITIES

Clinical Leadership & Oversight

• Provide clinical leadership across multiple care centers, ensuring standardized, evidence-based care delivery
• Maintain clinical credibility through active engagement in patient care as appropriate

Medical Cost & Utilization Management

• Lead strategies to optimize medical cost and utilization, promoting high-value, cost-effective care
• Partner with clinical and operational teams to manage total cost of care and reduce unnecessary variation

Dyad Partnership

• Collaborate closely with the Director of Operations to align clinical and business priorities
• Maintain regular communication on clinical performance, provider engagement, and care model execution
• Co-own performance outcomes, including clinical KPIs, incentive alignment, and patient outcomes

Quality & Value-Based Care

• Drive quality improvement initiatives across measures such as HEDIS, Star Ratings, risk adjustment, and patient experience
• Support population health strategies, care gap closure, and preventive care initiatives aligned with CMS standards

Provider Leadership & Development

• Lead and support a multidisciplinary team, fostering a culture of accountability and continuous improvement
• Partner on provider recruitment, onboarding, credentialing, and professional development

Network & Care Coordination

• Build and maintain relationships with hospitalists, specialists, skilled nursing facilities, and ancillary providers
• Lead initiatives to improve care coordination and integration across care settings

Compliance & Risk Management

• Ensure adherence to all federal, state, and regulatory requirements
• Oversee clinical risk management, including incident review, investigations, and corrective actions

Operational Collaboration

• Partner with operational leaders to optimize workflows, resource utilization, and patient access
• Support implementation of care models that enhance efficiency and outcomes

Performance Management & Analytics

• Analyze clinical performance data to identify trends, gaps, and opportunities
• Implement targeted interventions and monitor outcomes to drive improvement

Governance & Strategy

• Participate in regional governance, quality committees, and strategic planning efforts
• Serve as a liaison between providers, regional leadership, and executive teams

SUPERVISORY RESPONSIBILITIES

This position includes direct oversight of clinical providers and requires strong leadership and team development capabilities.

QUALIFICATIONS / REQUIREMENTS

• Medical degree (MD or DO) from an accredited institution
• Board certification in Family Medicine, Internal Medicine, or related specialty
• Active, unrestricted medical license in Florida
• Minimum 7 years of clinical experience, including at least 3 years in leadership or multi-site management
• Experience managing Medicare Advantage populations and medical cost performance
• Strong understanding of value-based care, population health, and quality measurement frameworks
• Proven ability to lead diverse clinical teams in complex healthcare environments
• Strong communication, organizational, and analytical skills
• Proficiency with EMR systems and data-driven decision-making

PREFERRED QUALIFICATIONS

• Deep understanding of Medicare Advantage cost management
• Knowledge of compliant coding practices within a value-based care environment

WORKING CONDITIONS

General office and clinical environment.

PHYSICAL DEMANDS

Ability to perform standard clinical and administrative functions, including standing, walking, sitting, and using computer systems. Occasional lifting of up to 15 pounds may be required.

WORK ENVIRONMENT

Moderate noise level in a clinical and office setting.

TRAVEL

Regular travel to care centers within the assigned region is required, with consistent on-site engagement expected.

SAFETY HAZARDS

Exposure to standard clinical risks, including infectious diseases, needlestick injuries, and prolonged use of electronic systems. Appropriate safety protocols and PPE are provided.