National Medical Director
Core
Lead clinical strategy and drive measurable improvements in healthcare outcomes for Medicare patients, focusing on preventing avoidable hospitalizations, ER visits, falls, and functional decline.
Role type
National Medical Director (Clinical Strategy & Operations)
Builds
Scalable clinical programs, standardized care protocols, and AI-assisted clinical safeguards for Medicare Advantage populations.
Domain
Healthcare / Geriatric Medicine / Value-Based Care
Deliverable
production ML models
Required skills
Clinical strategy, geriatric care management, program design and scaling, root-cause analysis, stakeholder management, regulatory compliance, AI clinical oversight, performance metrics definition.
Preferred skills
Telehealth startup leadership, Medicare/Medicare Advantage experience, value-based care models, care-management initiatives (CCM, APCM, CHI, PIN), AI tool governance.
Technologies
AI-assisted workflows, care management platforms
Responsibilities
Define and own key clinical outcome metrics; Establish measurable performance targets and report results; Design root-cause intervention programs using the geriatric 5Ms framework; Develop initiatives addressing polypharmacy, cognitive decline, and frailty; Launch, evaluate, and scale clinical programs; Translate interventions into standardized protocols; Establish clinical standards for visits and documentation; Review and approve clinical content within AI-assisted workflows; Partner with operations and billing for compliance; Represent clinical perspective with payers and regulators.
Seniority
Senior, hands-on IC
