Upperline Health
Upperline Health is transforming healthcare by providing comprehensive patient care through frequent specialist visits. As the nation’s largest specialty Accountable Care Organization (ACO), we are revolutionizing the way value‑based care is delivered; breaking down silos between specialists, primary care providers, payors, and patients to ensure a holistic, coordinated approach to health. Since our founding in 2017, we have expanded to serve over 500,000 patients across 19+ states, delivering expert care in chronic condition management, podiatry, vascular, endocrinology, wound care, primary care and more.
About the Medical Director, Value Based Care Upperline is seeking a Medical Director, Value Based Care (VBC) to join the clinical leadership team in developing, implementing, and growing our unique value-based care model in West Florida. The VBC Medical Director will serve as a clinical leader partnering with the Regional Vice President (operational leader) to deliver successful value-based care results across the region.
Residing in Tampa or surrounding area is ideal.
What You’ll Do
Oversee the care management and medical management of Upperline Plus patients seen by Upperline’s Nurse Practitioners in the market or region.
Serve as the VBC clinical leader in a dyad partnership with the Regional VP of Operations.
Supervise medical management of patients in the region, including clinical quality review of providers and serve as the collaborating physician for APPs in the region (as necessary based on state law).
Accountable for value-based care outcomes (e.g., ADK, total cost of care), medical management, care management, utilization management, and quality improvement tools and processes in the region.
Manage and drive value-based care initiatives with APPs and doctors, ensuring positive impact on patient outcomes.
Analyze population health data, identify gaps, and develop solutions to improve delivery of care, decrease hospitalizations and reduce medical costs.
Ensure the region meets VBC operations metrics such as addressing quality gaps, accurate documentation, patient engagement and retention.
Design, implement, and manage new value-based care programs and service lines in collaboration with population health and operations teams.
Conduct interdisciplinary team meetings to discuss management of the most complex patients (including high cost and high-risk patients).
Establish and maintain relationships with VBC team, specialists, and PCPs in the region; educate on Upperline Plus program and advocate for collaborative partnerships benefiting patients.
Support onboarding and training of new providers and provide onsite and virtual clinical coaching and feedback to ensure consistency and continuous improvement.
Educate providers on value-based care metrics and best practices and foster a culture that prioritizes accountability around outcomes‑based performance.
Build relationships in the region and identify best partners (e.g., other specialists, home health agencies, hospitals) for Upperline referral when needed.
Develop clinical compliance guidelines and protocols.
Experience and Qualifications
Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.).
Board certified in Internal Medicine, Family Medicine, Preventative Medicine, or Geriatrics.
Active license in Florida and willing to pursue multi‑state licensure if needed.
Fellowship training in Geriatrics and/or other advanced degrees (e.g., M.B.A., M.P.H., M.H.A.) valued but not required.
Approximately 5 years of outpatient practice experience.
Previous experience in management consulting and/or working in a VBC or Population Health company is highly preferred.
Experience with managed care and familiarity with payer‑provider collaboration.
Ownership or participation in creating, improving, and/or implementing clinical processes, protocols, or evidence‑based guidelines.
Experience or exposure to rolling out and/or managing VBC programs (e.g., Transitional Care Management, Complex Care Management, ED Diversion, Advanced Care Planning, High Risk Patient Outreach).
Talent for synthesizing information and solving complex problems; ability to translate high‑level goals into actionable plans.
Proven leadership skills and servant leadership mentality with a passion for people and culture.
Excellent communication, collaboration and ability to work effectively with staff, providers, and organizational leaders.
Self‑starter with a bias for action orientation; demonstrates a service excellence mindset.
Exceptional organizational and project management skills with the ability to prioritize and multi‑task autonomously.
Comfortable working in Excel and able to analyze data and present findings.
Must be willing and able to routinely visit clinics and providers within the region; residing in the market is strongly preferred.
Benefits Comprehensive benefit options include medical, dental and vision, 401(k), self‑managed time off and parental leave.
Compensation Compensation is commensurate with similar positions in the region and based on prior training and experience.
Job Type Full‑time.
Equal Opportunity Employer Equal Opportunity Employer. This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.
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About the Medical Director, Value Based Care Upperline is seeking a Medical Director, Value Based Care (VBC) to join the clinical leadership team in developing, implementing, and growing our unique value-based care model in West Florida. The VBC Medical Director will serve as a clinical leader partnering with the Regional Vice President (operational leader) to deliver successful value-based care results across the region.
Residing in Tampa or surrounding area is ideal.
What You’ll Do
Oversee the care management and medical management of Upperline Plus patients seen by Upperline’s Nurse Practitioners in the market or region.
Serve as the VBC clinical leader in a dyad partnership with the Regional VP of Operations.
Supervise medical management of patients in the region, including clinical quality review of providers and serve as the collaborating physician for APPs in the region (as necessary based on state law).
Accountable for value-based care outcomes (e.g., ADK, total cost of care), medical management, care management, utilization management, and quality improvement tools and processes in the region.
Manage and drive value-based care initiatives with APPs and doctors, ensuring positive impact on patient outcomes.
Analyze population health data, identify gaps, and develop solutions to improve delivery of care, decrease hospitalizations and reduce medical costs.
Ensure the region meets VBC operations metrics such as addressing quality gaps, accurate documentation, patient engagement and retention.
Design, implement, and manage new value-based care programs and service lines in collaboration with population health and operations teams.
Conduct interdisciplinary team meetings to discuss management of the most complex patients (including high cost and high-risk patients).
Establish and maintain relationships with VBC team, specialists, and PCPs in the region; educate on Upperline Plus program and advocate for collaborative partnerships benefiting patients.
Support onboarding and training of new providers and provide onsite and virtual clinical coaching and feedback to ensure consistency and continuous improvement.
Educate providers on value-based care metrics and best practices and foster a culture that prioritizes accountability around outcomes‑based performance.
Build relationships in the region and identify best partners (e.g., other specialists, home health agencies, hospitals) for Upperline referral when needed.
Develop clinical compliance guidelines and protocols.
Experience and Qualifications
Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.).
Board certified in Internal Medicine, Family Medicine, Preventative Medicine, or Geriatrics.
Active license in Florida and willing to pursue multi‑state licensure if needed.
Fellowship training in Geriatrics and/or other advanced degrees (e.g., M.B.A., M.P.H., M.H.A.) valued but not required.
Approximately 5 years of outpatient practice experience.
Previous experience in management consulting and/or working in a VBC or Population Health company is highly preferred.
Experience with managed care and familiarity with payer‑provider collaboration.
Ownership or participation in creating, improving, and/or implementing clinical processes, protocols, or evidence‑based guidelines.
Experience or exposure to rolling out and/or managing VBC programs (e.g., Transitional Care Management, Complex Care Management, ED Diversion, Advanced Care Planning, High Risk Patient Outreach).
Talent for synthesizing information and solving complex problems; ability to translate high‑level goals into actionable plans.
Proven leadership skills and servant leadership mentality with a passion for people and culture.
Excellent communication, collaboration and ability to work effectively with staff, providers, and organizational leaders.
Self‑starter with a bias for action orientation; demonstrates a service excellence mindset.
Exceptional organizational and project management skills with the ability to prioritize and multi‑task autonomously.
Comfortable working in Excel and able to analyze data and present findings.
Must be willing and able to routinely visit clinics and providers within the region; residing in the market is strongly preferred.
Benefits Comprehensive benefit options include medical, dental and vision, 401(k), self‑managed time off and parental leave.
Compensation Compensation is commensurate with similar positions in the region and based on prior training and experience.
Job Type Full‑time.
Equal Opportunity Employer Equal Opportunity Employer. This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.
#J-18808-Ljbffr