Job Description

Description

The Medical Director/Supervising Physician provides clinical leadership and physician oversight for the interdisciplinary care team as part of the Care at Home Solutions program. The Medical Director partners closely with the Advanced Practice Provider (APP), Registered Nurse (RN), Licensed Clinical Social Worker (LCSW), Pharmacist, Community Health Worker (CHW), and Care Navigators to ensure delivery of high-quality, evidence-based, patient-centered care for individuals with complex medical, behavioral, and social needs. The Medical Director provides physician supervision and consultation, supports clinical decision-making and care planning, oversees quality and patient safety initiatives, and collaborates with primary care providers to improve health outcomes, reduce avoidable utilization, and achieve performance goals within value-based care programs.  The Medical Director is responsible for managing four core pillars of the program: Annual Wellness Visits (AWVs), Transitions of Care (TOC), Complex Care Management (CCM), and Disease Management.

Duties and Responsibilities (including but not limited to)

• Provides physician oversight and supervision of APPs and collaborates with RNs, Pharmacists, CHWs, and Care Navigators to deliver coordinated, patient-centered care.
• Conducts telehealth and in-person visits for medically complex patients and provides consultation for escalated clinical cases.
• Oversees Annual Wellness Visits (AWVs), HCC documentation, chronic disease management, and population health initiatives.
• Participates in interdisciplinary case conferences and develops care plans for high-risk patients.
• Collaborates with pharmacists and specialists to optimize care, medication management, and specialty access.
• Reviews and approves clinical protocols, care pathways, and quality improvement initiatives.
• Supports efforts to reduce avoidable emergency department visits, hospital admissions, and readmissions.
• Monitors clinical quality, utilization, and performance metrics to support organizational goals and value-based care success.
• Ensures compliance with applicable federal and state regulations, payer requirements, and organizational policies.
• Maintains accurate and timely documentation within the Electronic Medical Record (EMR) and other designated systems.

Qualifications or Education, Training and Experience

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited institution.
• Active and unrestricted California Physician License required.
• Board Certification in Family Medicine, Internal Medicine, Geriatrics, or related primary care specialty required.
• Minimum five (5) years of clinical practice experience, preferably in primary care, Medicare Advantage, or value-based care settings.
• Experience managing complex, high-risk patient populations and chronic disease management programs preferred.
• Experience with Medicare Advantage, risk adjustment, HCC documentation, and population health initiatives preferred.
• Previous Medical Director, physician leadership, or provider supervision experience preferred.
• Experience working within interdisciplinary care teams, including APPs, nurses, pharmacists, and community-based care personnel.
• Experience with telehealth and virtual care delivery models preferred.
• Proficiency with Electronic Medical Record (EMR) systems and healthcare technology platforms.

Working knowledge of the following required:

• Population health management principles.
• Medicare Advantage and commercial payer programs.
• Risk adjustment and HCC documentation.
• Quality improvement methodologies and clinical performance metrics.
• Telehealth care delivery models.
• Electronic Medical Record (EMR) systems and healthcare technology platforms.

Examples of Competencies:

• Strong clinical leadership and ability to collaborate effectively within interdisciplinary care teams. 
• Knowledge of value-based care, population health management, and Medicare Advantage programs. 
• Excellent communication, relationship-building, and patient engagement skills. 
• Strong analytical, problem-solving, and clinical decision-making abilities. 
• Ability to balance quality outcomes, patient experience, and cost-effective care delivery. 
• Commitment to patient-centered care, quality improvement, and regulatory compliance. 
• Demonstrates professionalism, accountability, integrity, and sound clinical judgment. 
• Adaptability and ability to thrive in a telehealth-enabled, team-based care environment. 

Benefits: 

As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/. 

About COPE Health Solutions
COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit . 

To Apply: 

To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/.

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