Senior Network Medical Director, Northeast Region
Core
Senior clinical leader shaping and executing network strategy to drive performance on cost of care, quality, and member experience for healthcare providers in the Northeast Region.
Role type
Senior Network Medical Director (Managed Care)
Builds
Strategic partnerships with value-based healthcare providers and clinical models for members
Domain
Health Insurance / Managed Care / Value-Based Care
Required skills
Strategic leadership, clinical partnership management, provider performance evaluation, cost of care analysis, quality metrics management, regulatory compliance, stakeholder engagement, change management, matrix organization navigation, virtual collaboration
Preferred skills
MBA, MPH, Medical informatics, Data science
Technologies
None stated
Responsibilities
Serve as primary clinical leader for provider relationships in the Northeast Region; Partner with analytics and actuarial teams to evaluate total cost of care and quality; Shape strategy for expanding or contracting provider relationships; Take accountability for provider performance on cost, quality, and experience; Lead the medical affairs network team to improve provider performance; Ensure timely execution of deliverables per regulatory requirements
Seniority
Senior, hands-on IC with strategic leadership