Clinical Development Medical Director ensuring scientific integrity and well - being in clinical trials. Leading studies and delivering key clinical outcomes while maintaining compliance and managing risks.
About the role
- Medical Director responsible for advancing risk adjustment strategies at CareMore Health. Leading clinical documentation efforts and healthcare provider education to ensure revenue integrity and compliance.
Responsibilities
- Serve as the clinical expert responsible for advancing CareMore Health’s risk adjustment strategy
- Guide providers in accurate and complete documentation of patient complexity and chronic conditions
- Ensure compliance with CMS requirements while supporting enterprise revenue integrity
- Focus on healthcare provider education, data-driven interventions, and cross-functional collaboration
- Maximize risk score accuracy, reduce audit exposure, and align risk adjustment with clinical and business objectives
Requirements
- MD or DO required, with active, unrestricted medical license
- Board certification in Internal Medicine, Family Medicine, or related specialty strongly preferred
- 8+ years of clinical practice experience, with at least 3–5 years in an expert-level role involving risk adjustment, clinical documentation improvement (CDI), or value-based care
- Demonstrated success leading provider education and engagement programs to improve coding and documentation
- Experience with Medicare Advantage and CMS risk adjustment methodology (HCC coding, RAF scoring, RADV audits)
Benefits
- Offering effective Advanced Primary Care and Palliative Care
- Personalized and compassionate care
- Nationally recognized disease prevention and management programs
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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