Medical Director, Value Care

Founded in 2017 and headquartered in Nashville,Tennessee,Upperline Health delivers comprehensive care through a growing national network, with teams spanning podiatry,endocrine, primary care, urgent care,wound, vascular and more.

The organization’s mission is to integrate and transform specialty care for chronically ill, high-risk patients through frequent specialist engagement and coordinated, value-based programs.

With a patient-centered approach, Upperline delivers care across 21 states and has been recognized asone ofthe nation’s largest multi-specialty physician practices. The platform has demonstrated meaningful improvements in outcomes, such as lowering hospitalization rates, decreasing total cost of care,reducing amputations,and accelerating wound-healing times, supported in part by its optimized EHR and analytics infrastructure.

Our Upperline Plus program isthe value-based care pillar of Upperline, which allows for the integration of primary and specialty care. Patients are part of full risk arrangements with Medicare and MA plans, and the Upperline Plus interdisciplinary team extends an extra layer of support forhigh-risk patients. This care model - a full interdisciplinary team(physicians, APPs, RNs, pharmacists, social workers) workingacrossclinics,home, and telehealth - reduces avoidableutilizationand total cost of care.

The Upperline team enhances the healthcare experience by living our Upperline CARES values
—fostering strong Connections
, holding ourselves to the highest level of Accountability
, demonstrating Resilience in navigating and tackling complex challenges, committing to Excellence in patient care, and focusing on a Service mentality that places patients at the heart of everything we do.

The VBC Medical Director will serve as a clinical leader partnering with Operations and Population Health leaders to deliver successful value-based care results across the market.

• Oversee the care management and medical management of the Upperline Plus patients being seen by Upperline’s Nurse Practitioners in the in the market or region
• Responsible for supervising medical management of patients in the region including clinical quality review of providers and serving 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 and identify gaps and develop solutions to improve delivery of care, decrease hospitalizations and reduce medical costs
• Educate providers on value-based care metrics and best practices and foster a culture that prioritizes accountability around outcomes-based performance
• Ensure the region is meeting 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…