Medical Director
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Medical Director overseeing AI-driven chronic condition management and hospital-at-home care. Guiding clinical quality, protocols, virtual care operations, and technology-enabled patient outcomes.
Responsibilities:
- Provide physician leadership for hypertension, diabetes, and CHF programs
- Maintain oversight of evidence-based clinical protocols and care pathways
- Review and recommend updates to clinical guidelines based on new research and evolving standards of care
- Support escalation of complex clinical cases
- Partner with Nursing leadership to optimize care delivery workflows
- Collaborate with Product and Engineering teams to develop AI-enabled clinical workflows, clinical automation, agentic prescription/titration, and decision support
- Review new product features for clinical safety, usability, and effectiveness
- Help define future clinical capabilities improving patient engagement and outcomes
- Monitor program performance and clinical quality metrics
- Identify opportunities to improve patient outcomes, engagement, and operational efficiency
- Support quality improvement initiatives and clinical performance reviews
- Help develop reporting for payor clients, including clinical outcomes and utilization trends
- Ensure clinical programs align with evidence-based medicine and regulatory requirements
- Participate in clinical governance committees and quality reviews
- Support accreditation, compliance, and audit activities
- Collaborate with Legal and Compliance on clinical policies and documentation
- Provide education to internal teams regarding clinical best practices and emerging evidence
Requirements:
- MD with an active, unrestricted license to practice medicine in the United States
- Board Certification in Internal Medicine, Cardiology, Endocrinology, or a related specialty
- Minimum of 5 years of post-residency clinical practice
- Demonstrated clinical expertise in the management of hypertension, diabetes, congestive heart failure (CHF), and other chronic conditions common to the Medicare population
- Experience developing, implementing, or overseeing evidence-based clinical protocols and care pathways
- Experience working with interdisciplinary care teams, including physicians, nurse practitioners, nurses, and care coordinators
- Experience with digital health, virtual care, Remote Patient Monitoring (RPM), or Chronic Care Management (CCM), preferred
- Knowledge of value-based care models, CMS quality programs, HEDIS, and Star Ratings
- Experience working with health plans or provider organizations
- Familiarity with AI-enabled clinical decision support tools and healthcare technology
Similar Jobs
Fractional Chief Medical Officer
Fractional Chief Medical Officer advancing CopilotIQ+Biofourmis’ AI-driven in-home care platform. Leading clinical strategy, enterprise sales support, partnerships, and outcomes research.
Executive Medical Director, DME/IRF
Medical Director overseeing EviCore’s DME and IRF utilization management programs. Leading clinical guidelines, physician supervision, audits, appeals, and medical necessity reviews.
Medical Director – Physical Medicine & Rehabilitation
Medical Director conducting evidence-based medical necessity reviews for EviCore, part of Evernorth’s healthcare solutions business. Performing peer-to-peer consultations and recommending appropriate treatments remotely.
Medical Director – Radiation Oncology
Medical Director conducting evidence-based radiation oncology reviews for Evernorth healthcare solutions. Consulting referring physicians and recommending medically appropriate treatments remotely.
Senior Director, Medical Writing
Senior Director leading regulatory and clinical medical writing for Liquidia, a company developing pulmonary arterial hypertension therapies. Guiding global submissions, health authority interactions, and cross-functional document strategy.
Director, Medical Writing
Medical Writing Director developing clinical and regulatory documents for Summit Therapeutics’ oncology programs. Leading document reviews, timelines, and cross-functional regulatory submissions.
Senior Industry Practice Director – Healthcare Provider
Healthcare Provider industry director shaping UiPath’s automation strategy for health systems and hospitals. Building market POVs, repeatable sales plays, and executive customer engagement.
Medical Director – Senior Medical Director, Cardiology
Medical Director overseeing cardiology clinical trials and pharmacovigilance at Thermo Fisher Scientific. Reviewing safety data, regulatory reports, and medical decisions across global studies.
Lead Director, Medical Policy Optimization and Customization
CVS Health enterprise policy compliance leader optimizing medical policy governance and regulatory adherence. Driving quality, risk reduction, executive reporting, and cross-functional change.
Director, Clinical Insights
Clinical Insights Director managing oncology-focused provider programs, advisory boards, and pharmaceutical client deliverables. Leading clinical strategy, reporting, presentations, and stakeholder relationships for Cencora’s pharmaceutical solutions business.
Associate Director, Medical Strategy – Innovation Lead
Medical strategy leader shaping Hematology Medical Affairs for BeOne, a global oncology company developing affordable cancer treatments in Germany. Driving evidence generation, partnerships and launch readiness.
Senior Director – Healthcare Sales
Senior Director driving 1Kosmos’ healthcare identity-security sales growth. Owning enterprise pipeline, executive healthcare relationships, and full-cycle SaaS deals across providers, pharma, and payers.
Director, Healthcare Partnerships
Mom’s Meals healthcare partnerships director managing strategic Medicaid and long-term-care accounts. Leading regional field sales managers, account plans, partnerships, and nationwide conference engagement.
Director, Medical Affairs – Liver Health
Medical Affairs Director leading US field Medical Liaisons for Novo Nordisk’s liver-health portfolio. Coaching teams, managing provider relationships, and executing compliant medical strategies.
Director, Medical Affairs – Liver Health
Medical Affairs Director leading field-based Medical Liaisons for Novo Nordisk’s chronic disease therapies. Driving scientific strategy, provider relationships, compliance and team development across the US.
Medical Director – Neurology
Medical Director overseeing neurology clinical trials for Parexel, a global clinical research organization. Providing medical monitoring, scientific leadership, safety oversight, and sponsor collaboration.
Regional Director – Clinical Services
Regional clinical director supporting LCS senior living communities’ nursing compliance, training, and quality care. Auditing regulations, analyzing clinical outcomes, and consulting with communities on-site and remotely.
Director, Healthcare Transformation
Healthcare transformation director launching specialty pharmacy programs for health systems. Leading consulting, change management, implementation programs, executive engagement, and site-team readiness.
Medical Director, Utilization Management – Home Health, Acute & Post-Acute
Medical Director guiding utilization management for Clover Health, a data-driven health insurer. Reviewing Home Health and broader care authorizations to ensure evidence-based Medicare member care.
Director, Healthcare Analytics
Healthcare analytics director shaping data strategy for Swoop’s AI-driven healthcare engagement platform. Building analytics tools, pipelines, and AI assistants to improve patient and commercial outcomes.