Regional Medical Director – Nashville

CareAllies

. Manage assigned aspects of medical policies and programs .

Posted 10/2/2026full-timeRemote • Tennessee • United StatesLead💰 $191,500 - $355,600 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates advanced clinical leadership and expertise in medical policies and programs, with a strong focus on integrating utilization review, population health, and value-based care to influence quality and performance outcomes.

Highest-signal resume keywords

Medical Leadership ExperienceAdvanced Clinical ExpertiseMedical Policy KnowledgeUtilization Review KnowledgePopulation Health Knowledge

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Medical ReviewsClinical Strategy ApplicationProvider-Performance Initiatives KnowledgeRisk Adjustment AccuracyQuality Performance Influence

Industry Keywords

Value-Based CareProvider Communities InteractionAffordabilityStars-Related PerformanceMarket-Level Outcomes

About the role

Key responsibilities & impact

Manage assigned aspects of medical policies and programs
Perform medical reviews
Interact with provider communities for assigned areas
Provide advanced clinical leadership across medical management programs
Integrate traditional utilization review with population health, value-based care, and provider-performance initiatives
Apply medical policy expertise to clinical strategy
Influence quality, Stars-related performance, affordability, risk adjustment accuracy, and market-level outcomes

Requirements

What you’ll need

Medical leadership experience and advanced clinical expertise
Experience with medical policies and programs
Experience performing medical reviews
Experience interacting with provider communities
Knowledge of utilization review
Knowledge of population health
Knowledge of value-based care
Knowledge of provider-performance initiatives
Ability to influence quality, Stars-related performance, affordability, risk adjustment accuracy, and market-level outcomes
Must reside within the continental United States, excluding California, New York, Alaska, and Hawaii
Successful completion of drug screening may be required

Benefits

Comp & perks

Curated development plans fostering growth and rewarding careers
Health and wellness benefits
401(k) savings plan
Pension plan
Minimum of 15 days of paid time off
Paid parental leave
Disability insurance
Supplemental life insurance
Employee assistance program
Paid holidays
Tuition reimbursement
Other incentives
Annual incentive bonus plan