Join our team as we continue growing our footprint!
Our mission is Better Health. Our passion is helping others.
What’s Your Why?
• Are you looking for a career opportunity that will help you grow personally and professionally?
• Do you have a passion for helping others achieve Better Health?
• Are you ready to join a growing team that shares your mission?
Why Join Our Team: At Better Health Group, it’s our commitment, our passion, and our culture that sets us apart. Our Team Members make a difference each and every day! They support our providers and payors, ensuring they have the necessary tools and resources to always deliver best-in-class healthcare experiences for our patients. We don’t just talk the talk - we believe in it and live by it. Be part of a team that shares your passion and drive, and start living your purpose at Better Health Group.
Position Objective:
The Medical Director is a clinical operations leader within Better Health Group (BHG). The role is responsible for guiding, supporting, and performance managing BHG’s provider network to deliver high-quality healthcare services under a value-based clinical model. This role is instrumental in advancing physician education and optimizing provider performance. The Medical Director is responsible for identifying and addressing performance variances among primary care providers (MD, DO, APP) across BHG's VIPcare and affiliate clinics. The role ensures alignment with BHG’s mission to transform healthcare delivery for Medicare Advantage patients.
Position Location: Texas
Responsibilities:
Serves as a trusted mentor and coach to BHG's primary care provider network, driving improved clinical and cost performance through one-on-one or group sessions.
Leads and manages Clinical Performance Coaches (CPCs) within assigned areas of responsibility, including all administrative aspects of people management such as timecard approval, PTO/vacation oversight, training and onboarding, coaching and development, and performance management.
Provides strategic leadership to CPCs by setting clear goals and expectations, aligning their efforts with provider performance objectives, fostering engagement, and ensuring consistent delivery of high-quality support to providers and clinics.
Contributes to the development and implementation of strategic education programs, including training materials, manuals, and workshops, in collaboration with the Clinical Performance team, focusing on clinical documentation, care gap management, and value-based care principles.
Oversees provider education efforts using data-driven insights to identify trends, improve quality, and ensure providers achieve performance targets under the value-based care model.
Collaborates with cross-functional teams, including Quality, Utilization Management (UM), Pharmacy, Compliance, and Analytics, to design and execute initiatives that drive growth, efficiency, and measurable improvement in key metrics such as medical expense PMPM, avoidable admissions, and readmission rates.
Supports the onboarding of new hire providers or acquired clinics.
Provides clinical oversight and input on care delivery processes, addressing patient concerns, resolving quality issues, and ensuring compliance with healthcare regulations and standards.
Stays updated on advancements in medical practices, technologies, and healthcare laws, implementing necessary changes to maintain compliance and improve care quality.
Partners with Regional Physician Coaches to ensure consistent performance improvement across VIPcare clinics.
Collaborates with Compliance to review reported patient incidents and complaints, following up with Providers as needed.
Develops and implements policies and procedures to improve clinical practices, outcomes, and the overall quality of patient care.
Collaborates with other department heads to execute strategic initiatives that support organizational growth and success.
Additional duties as assigned.
Position Requirements/ Skills:
MD or DO required, with active licensure.
Currently licensed to practice medicine in states of responsibility; ability to obtain additional state licenses as required.
Board Certified in a specialty recognized by the American Board of Specialties (ABMS).
10+ years (can be combined) of clinical and managed care experience.
Experience in Utilization Management, Quality Improvement, and Physician Improvement Programs.
Experience in Medicare Advantage.
Proficient with Google Suite (Drive, Docs, Sheets, Slides) for real-time collaboration.
Proven experience in leadership roles, project management, and leading organizational change efforts.
Expertise in medical cost reduction activities and a strong understanding of medical analytics, reporting, and policy application.
Ability to manage multiple priorities, including difficult peer-to-peer situations related to medical care reviews, with expedience and decisiveness.
Ability to work cross-functionally with minimal supervision.
Excellent organizational, time-management, and multi-tasking skills with strong attention to detail.
Strong written and verbal communication skills, with the ability to engage confidently with senior-level leadership, providers, and health plans.
Exceptional interpersonal, presentation, critical thinking, and problem-solving skills.
Results-oriented mindset with a focus on quality execution and delivery.
Demonstrated ability to handle data with confidentiality.
Appreciation of cultural diversity and sensitivity toward target patient populations.
Physical Requirements:
Key Attributes/ Skills:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
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