COPE Health Solutions Careers

Description

. Leveraging extensive hospitalist or acute care experience, the Medical Director will oversee an interdisciplinary team managing four core pillars: Annual Wellness Visits (AWVs), Transitions of Care (TOC), Complex Care Management (CCM), and Disease Management. This role is responsible for driving clinical quality, reducing 30-day hospital readmissions, lowering total cost of care, and optimizing performance under our value based care contracts.

Essential Duties and Responsibilities

• Clinical Program Oversight: Serve as the clinical architect and leader for all home-based care delivery models, ensuring seamless integration across the AWV, TOC, and CCM programs.
• Transitions of Care Leadership: Utilize hospitalist expertise to supervise and refine the post-discharge protocol. Lead the clinical team in managing high-risk transitions from acute facilities to the home, executing rapid medication reconciliations, and preventing avoidable readmissions.
• Complex Care Clinical Governance: Provide clinical oversight and case consultation for the top 1% to 5% highest-acuity beneficiaries enrolled in Complex Care Management.
• Interdisciplinary Team (IDT) Leadership: Lead weekly complex case conferences with RN care managers, social workers, pharmacists, and care navigators to optimize care plans and address social determinants of health (SDOH).
• Provider Supervision & Mentorship: Supervise, mentor, and evaluate home-based field clinicians (including Nurse Practitioners, Physician Assistants, and field nurses) to ensure high-quality, evidence-based care in the home setting.
• MSSP Quality & Performance Metrics: Partner with executive leadership to align home-based clinical workflows with key performance indicators, including Annual Wellness Visit completion rates, preventive gap closure, and HCC risk adjustment documentation.
• Direct Clinical Care (Optional/Partial): Provide targeted, high-acuity home visits or virtual telemedicine consultations for highly complex, unstable, or escalating patients when needed.

Minimum Qualifications

• Education & Licensure: Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) from an accredited institution. Active, unrestricted State Medical License and Board Certification in Internal Medicine, Family Medicine, or Geriatrics in California.
• Experience: Minimum of 3–5 years of experience as a Hospitalist or in an inpatient acute care setting required. Minimum of 2 years in a clinical leadership or medical director role within a population health, ACO, managed care, or home-based primary care framework.
• Technical & Strategic Skills: Deep understanding of Medicare Shared Savings Program (MSSP) rules, value-based care mechanics, and HCC coding practices. Proficiency with Electronic Health Records (EHR) and population health analytics platforms.
• Core Competencies: Strong interdisciplinary leadership skills, exceptional clinical judgment in managing acute-on-chronic illness without immediate hospital resources, and a strong commitment to geriatrics and home-based medicine.

Work Environment

• In office in LA

Benefits: 

As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/. 

About COPE Health Solutions
COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit CopeHealthSolutions.com. 

To Apply: 

To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/.