Regional Medical Director – Nashville

Health Care Service Corporation

. Manage assigned aspects of medical policies and programs .

Posted 11/12/2026full-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 strategic thinking in managing medical policies and programs, with a strong focus on value-based care and provider performance. Possesses extensive experience in managed care, clinical interpretation, and data-driven strategy to influence quality and market-level outcomes.

Highest-signal resume keywords

Physician LicenseBoard Certification (M.D. or D.O.)5 Years Clinical Experience3 Years Managed Care ExperienceStars Performance Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical InterpretationData-Driven StrategyUtilization ReviewPopulation Health ManagementRisk Adjustment Education

Soft Skills

Analytical SkillsCommunication SkillsStrategic ThinkingCollaborative Leadership

Certifications & Qualifications

Board Certification

Industry Keywords

Managed CareIndependent Physician Association (IPA)Value Based Enablement OrganizationCross-Functional LeadershipProvider Engagement

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 strategic population health, value-based care, and provider-performance initiatives
Align medical policy expertise with clinical strategy
Influence quality, Stars-related performance, affordability, risk adjustment accuracy, and market-level outcomes

Requirements

What you’ll need

Physician with a current and unrestricted physician license in a state or territory of the United States
Maintain Board Certification as a M.D. or D.O. by an approved specialty board
5 years of clinical experience
Analytical and communication skills
Strategic thinking skills
Ability to travel
3 years Managed Care experience
IPA (independent Physician Association), MSO or Value Based Enablement Organization experience
Advanced skills in clinical interpretation, communication, data-driven strategy, and collaborative leadership
Experience with Stars performance, risk adjustment education, or provider engagement
Experience in matrixed environments and cross-functional clinical leadership
Remote work located in Nashville, TN
This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii

Benefits

Comp & perks

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