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.

• 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.