Medical Director - Population Health and Clinical Oversight

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Medical Director – Population Health and Clinical Oversight in United States. As Medical Director – Population Health and Clinical Oversight, you will provide physician leadership across population health initiatives, clinical governance programs, and high-cost care management strategies. This highly influential role combines clinical expertise, strategic oversight, and cross-functional collaboration to improve health outcomes while supporting responsible healthcare utilization and financial performance. You will work closely with operations, analytics, product, and clinical teams to guide evidence-based decision-making, strengthen care models, and optimize physician engagement in high-impact areas. The position offers an opportunity to shape population health strategies, oversee complex clinical cases, and drive continuous improvement in healthcare delivery. Ideal for a physician leader who thrives in innovative, data-driven environments, this role balances strategic vision with meaningful clinical impact. \n Accountabilities: Provide physician leadership for population health programs, focusing on high-risk and high-cost populations while ensuring clinical strategies align with quality, outcomes, and value-based objectives. Guide the development and refinement of risk stratification methodologies, intervention models, and care management approaches to improve population health performance. Oversee clinical review and governance processes related to high-cost claimants, stop-loss programs, and other areas requiring physician validation and oversight. Ensure the clinical accuracy, consistency, and defensibility of reports, analyses, and client-facing deliverables that support contractual and operational requirements. Serve as the senior physician escalation point for complex, high-risk, or clinically ambiguous cases requiring advanced medical judgment and risk mitigation. Establish and maintain clinical standards, review criteria, governance frameworks, and escalation pathways that support high-quality and consistent decision-making. Partner with analytics, operations, product, and technology teams to improve workflows, streamline reporting processes, and reduce low-value physician activities through automation and process optimization. Monitor trends in utilization, clinical outcomes, risk patterns, and healthcare delivery models to identify opportunities for innovation, efficiency, and program enhancement. Support organizational efforts to evolve physician engagement models toward proactive, high-impact clinical oversight and strategic population health leadership. Requirements Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree with an active, unrestricted medical license in good standing. Board certification in Internal Medicine, Family Medicine, Emergency Medicine, or another relevant specialty. Minimum of 7 years of clinical practice experience, including at least 3–5 years in population health, health plan operations, accountable care, utilization management, or value-based care environments. Prior experience in a Medical Director or physician leadership role strongly preferred. Deep understanding of population health management principles, including risk stratification, targeted interventions, care optimization, and outcome measurement. Experience overseeing high-cost claimant programs, stop-loss reviews, clinical risk management initiatives, or similar healthcare cost and quality programs. Strong background in clinical governance, quality oversight, utilization review, and development of evidence-based clinical policies and review criteria. Ability to interpret healthcare analytics, utilization trends, outcomes data, and reporting insights to support strategic and operational decision-making. Exceptional communication and stakeholder management skills, with the ability to translate complex clinical concepts into actionable guidance for operational, executive, and client-facing audiences. Demonstrated leadership in driving organizational change, influencing multidisciplinary teams, and implementing process improvements across matrixed environments. Strong analytical thinking, clinical judgment, attention to detail, and commitment to continuous improvement in healthcare quality and operational effectiveness. Benefits Competitive annual salary ranging from $255,000 to $285,000 USD. Eligibility for performance-based bonus programs. Equity or stock option opportunities as part of the total compensation package. Fully remote work opportunity within the United States. Comprehensive medical, dental, and vision insurance coverage. Competitive 401(k) retirement plan with generous company matching contributions. Flexible paid time off program and 13 paid company holidays. Life insurance, disability insurance, and supplemental protection plans. Mental health and wellness resources designed to support personal and professional well-being. Opportunity to influence large-scale population health strategies and healthcare innovation initiatives. Collaborative, mission-driven culture focused on improving healthcare quality, accessibility, and outcomes. \n How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether? Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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