Medical Director, Value-Based Care
13 days ago
Verona
Job Description Overview POSITION SUMMARY: The Medical Director of Value-Based Care (Medical Director) provides physician leadership to advance the CIN's clinical performance, care coordination, and value-based care objectives under the direction of the Chief Medical Officer (CMO). This role is focused on operationalizing clinical strategy, supporting physician engagement, and ensuring consistent implementation of care coordination and behavioral health integration across the CIN. Working closely with the CMO, COO and other leadership, the Medical Director serves as a key clinical liaison to CIN providers and partners, translating organizational clinical priorities into actionable programs that improve quality, outcomes and total cost of care. The Medical Director, VBC is a critical leader within Vanova Health and requires a physician with strong leadership, exceptional relationship building and communication skills, analytical capabilities and a desire to innovate, drive change and deliver results. Successful candidates will have experience working both on the clinical and business side of value-based care and will be present in New Jersey. While the primary scope centers on CIN-driven value‑based care operations, the role may expand to enterprise-level clinical programs as organizational needs evolve. Responsibilities ESSENTIAL DUTIES AND RESPONSIBILITIES (included but not limited to): • Clinical Leadership and Alignment with CMO, • Execute the clinical strategy, priorities, and care models established by the CMO., • Serve as a clinical extension of the CMO for the CIN, supporting consistent clinical standards, pathways, and performance expectations., • Participate in CIN clinical governance, quality committees, and care coordination councils as delegated by the CMO., • Escalate clinical risks, performance issues, and opportunities to the CMO with recommended solutions., • Care Coordination and Population Health Oversight, • Provide clinical oversight for CIN care coordination programs, including transitions of care, chronic disease management, and high-risk patient interventions., • Collaborate with care management and population health teams to ensure clinically appropriate workflows and interventions., • Support the use of data, risk stratification, and utilization trends to prioritize care coordination efforts., • Promote best practices for referral management, care transitions, and interdisciplinary communication., • Behavioral Health Care Coordination & Integration, • Oversee clinical aspects of behavioral health care coordination within the CIN, in alignment with CMO direction., • Support integration of behavioral health services into primary care practices., • Partner with behavioral health clinicians, care coordinators, and community resources to improve outcomes for patients with behavioral health needs., • Advocate for whole-person care approaches that address medical, behavioral, and social drivers of health., • Quality & Value-Based Care Performance, • Support physician engagement in quality improvement initiatives tied to value-based and risk-based contracts., • Assist providers in understanding performance expectations, quality measures, and utilization benchmarks., • Collaborate with analytics and operational teams to translate performance data into actionable clinical improvement plans., • Reinforce evidence-based medicine, guideline adherence, and variation reduction across the CIN., • Provider Engagement & CIN Partner Relations, • Build and maintain strong relationship with CIN physicians, advanced practice providers and practice leaders., • Conduct regular meetings with CIN partners to review clinical performance, care coordination initiatives, and improvement opportunities., • Support provider onboarding, education and ongoing engagement related to CIN participation and clinical programs., • Serve as a trusted physician leader to support adoption of new care models and clinical workflows., • Executive & Operational Leadership and Collaboration, • Work closely and collaboratively with the CMO, COO and operational leaders to align clinical priorities with operational execution., • Provide clinical input into technology tools, care management platforms and workflows supporting care coordination and quality reporting., • Support payor and partner discussions as requested by the CMO, including clinical program design and readiness assessments., • Provides effective leadership to direct reports fostering empowerment, collaboration, growth, and high performance in alignment with company values., • Provides Board and Executive visibility on value-based reporting and ongoing metrics and KPIs., • Other duties as required Qualifications REQUIRED SKILLS & QUALIFICATIONS: • MD or DO with an active, unrestricted medical license., • Board certification in a relevant specialty (Primary Care preferred)., • 5+ years of clinical practice experience with physician leadership responsibilities., • Experience in a CIN, ACO, population health program or value-based care environment., • Experience with care coordination, behavioral health integration or collaborative care models., • Physician leadership and influence without direct authority, • Collaborative, dyad-based leadership with operations, • Population health and care coordination expertise, • Behavioral health integration knowledge, • Data-informed clinical improvement mindset, • Change management and provider engagement, • Office setting, with extended periods of sitting and computer work., • Travel required as needed to office locations. TOTAL REWARDS AT VANOVA HEALTH SOLUTIONS: At Vanova, we see Total Rewards as more than just a paycheck and recognize that value comes in many forms. It is the full experience of being a part of our incredible team working toward a shared, mission-driven purpose. We’re proud to offer competitive compensation, health and wellness benefits, a retirement savings plan, time off to recharge, learning opportunities to continually grow, and meaningful work in a collaborative culture that fosters team connection through shared celebrations and appreciation events. We are committed to investing in the future of our people and focused on expanding our total rewards to support every stage of your journey with us. • The anticipated base annual salary for this role ranges from $235,000 to $265,000., • This position offers an opportunity for an annual target bonus based on individual performance and company financial performance., • Comprehensive benefits based on eligibility include a 401K retirement savings plan with company match, paid time off, and health benefits (medical, prescription drug, dental and vision insurance)., • Please note that individual total compensation for this position will be determined at the Company’s sole discretion and may vary based on several factors, including but not limited to location, skill level, years and depth of relevant experience, and education. EEOC Statement: Vanova Health is an Equal Opportunity Employer. We are committed to creating a diverse and inclusive environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. This job description is intended to describe the general nature and level of work performed and is not an exhaustive list of all responsibilities, duties, and skills associated with it. Duties and expectations may be subject to change with or without notice. #LI DNI