
Medical Director
Job Description
POSITION SUMMARY: The Medical Director provides clinical leadership and oversight of Rocky Mountain PACE provider services. This role ensures the delivery of high-quality, person-centered, and cost-effective care to participants while maintaining compliance with federal, state, and local regulations. The Medical Director partners with interdisciplinary team members, educates & mentors providers, and drives process and quality improvement across provider functions to achieve excellent outcomes, high participant satisfaction, and organizational success.
MISSION: Improving lives, Optimizing wellness, Promoting independence
COMPETENCIES:
- Effective Supervision and Coaching
- Strong education skills
- Strategic Focus
- Conflict Management
- Effective Communication & Collaboration
- Facilitates Change
- Strong Clinical Judgment
- Quality Focus
- Personal Credibility
- Decisiveness & Problem-Solving
RESPONSIBILITIES AND DUTIES:
ESSENTIAL JOB FUNCTIONS:
Leadership & Administration
- Serve as a medical authority within the provider group, to include outpatient clinic, transitional and long-term care services and/or assisted living/memory care settings, aligning provider performance with organizational mission and values.
- Collaborate with Chief Medical Officer (CMO) in strategic planning, process improvement, policy development, and provider operations oversight.
- Supervise, educate, support, and evaluate providers, including recruitment, onboarding, coaching, and retention.
- Serve as a liaison to community-based and contracted providers to strengthen partnerships.
- Participate as an advisory member of the Interdisciplinary Team (IDT) to ensure coordinated participant care.
Clinical Oversight
- Establish and monitor standards of care, clinical protocols, and model practice guidelines.
- Provide direct care to participants as needed, ensuring continuity of services.
- Conduct clinical competencies and milestone reviews with providers annually.
Regulatory & Compliance
- Ensure provider operations comply with all federal, state, and local regulatory requirements, including those specific to CMS and PACE.
- Participate in internal and external audits, surveys, and corrective action planning.
- Maintain documentation and reporting standards that support regulatory and accreditation requirements.
- Committee participation as physician lead and co-attendance with PCPs:
- PESS
- Quality and subcommittees (RCA/EO/Grievances)
- AARP
- Pharmacy and Therapeutics
- Falls
- Utilization Management
- Other committees as assigned
Quality, Compliance & Performance
- Maintain documentation and reporting standards consistent with accreditation and regulatory requirements.
- Champion quality initiatives, including QAPI, utilization review, and performance improvement programs.
- Track and analyze key clinical outcomes such as hospitalizations, medication use, and participant health metrics.
Provider & Staff Development
- Lead provider training, education, and ongoing professional development.
- Mentor primary care providers, supporting professional and personal growth through structured milestone-based development.
- Provide in-service education on disease management, geriatrics, and PACE-specific clinical practices like the model practice care and matters most care.
- Foster a culture of continuous learning and interdisciplinary collaboration.
- Stay current with emerging best practices, and ensure clinical staff are educated on relevant policy, protocol, and regulatory changes.
- MD or DO degree; licensed to practice medicine in the State of Colorado.
- DEA registration and ability to obtain/maintain privileges at contracted hospitals.
- ABMS board certified in Internal Medicine or Family Practice; geriatrics certification preferred.
- Minimum 1 year of experience providing primary care to frail elderly populations.
- Minimum 1 year of experience as a medical director in a clinic or similar setting is preferred.
- Current BLS certification.
- Demonstrated knowledge of geriatric medicine, interdisciplinary care, and chronic disease management.
- Strong leadership, organizational, and communication skills.