Sr Medical Director

Based in Atlanta, we are a reputable leading healthcare partner focused on supporting independent primary care practices across the country. We are well known for providing physicians with all the resources they need to keep their practices running smoothly while protecting them from any risks. Our mission is to empower primary care physicians to preserve their independence and further improve their delivery of comprehensive patient care.

We are looking for a strong hands on Sr Medical Director to drive operational and clinical excellence for our Northern region offices. The ideal candidate will have a strong background in primary care & value-based care experience, risk optimization, and patient care quality. If you're interested, Apply today!

Job Responsibilities

• Program Development: Design and implement risk adjustment programs to accurately identify and document patient conditions.

• Risk Score Optimization & Clinical Quality

• Increase Patient Visits: Develop strategies to boost ptx visit completion rates/improve access to care.

• Documentation Improvement: Lead initiatives to enhance clinical documentation/coding accuracy.

• Provider Education: Educate providers on proper diagnostic coding and documentation practices.

• Performance Metrics: Establish and monitor metrics to track risk score performance.

• Wellness Programs: Drive implementation of annual wellness visits and chronic care management.

• Network Management & Care Model Implementation

• Referral Optimization: Streamline referrals to high-performing specialists and ancillary providers.

• Partnerships: Build and maintain strong relationships with key network partners.

• Leakage Reduction: Monitor and reduce network leakage, keeping patients within network services.

• Care Coordination: Implement protocols between primary care/specialists for seamless ptx transitions.

• Quality Gap Closure: Identify and address quality gaps through our care model application.

• Clinical Oversight: Supervise Northern region clinics, ensuring operational efficiency and adherence to SEMG standards.

• On-Site Engagement: Regular presence at clinics (up to 50% travel) to engage teams and address challenges.

• Leadership: Chair Clinical Advisory Committee and mentor medical directors and lead physicians.

• Collaboration: Partner with Population Health team to execute value-based programs.

• Performance Monitoring: Optimize clinical/financial performance metrics to achieve SEMG goals.

Job Qualifications

• 5+ years in a senior physician leadership role.

• MD or DO in Family Practice or Internal Medicine.

• Active medical license in Georgia (Alabama and Tennessee preferred).

• Demonstrated success in value-based care, risk-bearing provider groups, and population health management.

• Knowledge of CMS Risk Adjustment, ICD-10 coding, federal/state laws, and NCQA regulations.

• Operational expertise in large, matrixed healthcare environments.

• Proven ability to implement and scale value-based care models.

• Strong data analysis and decision-making abilities.

• Excellence in physician engagement and change management.

• Exceptional interpersonal and communication skills.