Position Overview
Can work from any state but must be available for work in PST and be licensed in California. We are seeking an experienced and mission-driven physician leader to serve as the Program Medical Director for multidisciplinary care programs supporting complex Medi-Cal, Medicare Advantage, and dual-eligible populations.
This role blends clinical leadership with strategic oversight-ideal for a physician who excels in guiding value-based programs, partnering with health plans, shaping operational alignment, and developing high-performing care teams.
As the organization expands, this position will evolve into an enterprise-level leadership role with broad influence over medical strategy, clinical operations, and regional team development.
Key Responsibilities
Health Plan Collaboration & Strategic Leadership
- Serve as the lead clinical representative in recurring operational and strategy meetings with payer partners.
- Collaborate directly with medical directors and quality teams on care model design, performance evaluation, and program refinement.
- Participate confidently in discussions involving value-based metrics, shared savings, contract provisions, and risk-based performance indicators.
- Translate regulatory and contractual expectations into clear workflows for internal teams.
Provider Leadership, Coaching & Team Development
- Provide mentorship and supervision to Nurse Practitioners and interdisciplinary care teams.
- Foster a culture of accountability, collaboration, and clinical excellence.
- Guide teams toward measurable performance outcomes and coordinated care delivery.
- Support hiring, onboarding, and development of additional providers as new programs launch.
- Transition over time from direct oversight to broader strategic and organizational leadership.
Cross-Functional Alignment & Internal Partnership
- Act as the clinical liaison between payer requirements and internal operational leaders.
- Partner closely with Operations, Quality, Compliance, and Analytics to ensure program success.
- Participate in internal leadership discussions to improve processes, identify trends, and enhance program outcomes.
Program Optimization & Quality Oversight
- Oversee quality and compliance initiatives for Medi-Cal, Medicare Advantage, and dual-eligible programs.
- Use performance data to guide decision-making, interventions, and continuous improvement.
- Support audit readiness and quality incentive program requirements.
Qualifications
- MD with an active, unrestricted California medical license.
- Minimum 5 years of clinical experience in adult internal medicine, cardiology or primary care.
- At least 2 years of leadership or supervisory experience.
- Background working with Medi-Cal, Medicare Advantage, and dual-eligible populations.
- Strong understanding of value-based care, risk arrangements, and quality metrics.
- Proven ability to collaborate with payer partners on clinical and contractual topics.
- Track record of successfully leading and growing provider teams.
Ideal Candidate
- A strategic physician leader who can unite multidisciplinary teams around shared goals.
- Comfortable navigating payer language, performance guarantees, and quality benchmarks.
- Excels in environments where clinical insight and operational strategy intersect.
- Motivated to build scalable systems and develop future physician leaders.
- Passionate about improving outcomes for medically and socially complex populations.
