Vice President, Clinical Services Primary Care
Louisville, KY, United States18h ago
Free account needed to apply or save. It takes a minute, and we'll bring you right back to this job.
Skills
About the role
Our Company
Abode Care Partners
Overview
The Vice President, Clinical Services (VP) reports to the Chief Medical Officer and serves as a senior physician executive responsible for clinical leadership and provider performance across Abode Care Partners. The VP directly leads the Regional Medical Directors and, through the medical leadership structure, provides clinical oversight and accountability across Regional Clinical Directors, physicians, and advanced practice providers (APPs).
Working in lockstep with the Vice President of Operations and Vice President of Business Development, the VP is accountable for ensuring that clinical strategy translates into consistent execution across markets, facilities, and service lines. Key accountabilities include provider productivity, quality and clinical outcomes, avoidable hospitalizations and readmissions, clinical drivers of total cost of care and medical loss ratio (MLR), documentation performance, and patient and provider experience.
The VP provides enterprise physician leadership across primary care and specialty services, including skilled nursing and assisted living care, home-based care, telehealth, behavioral health, specialty programs, and on-call services. A major focus is strengthening complex care management, including reliable identification of high-risk patients, proactive chronic disease management, timely post-hospital follow-up, interdisciplinary review, and escalation pathways that prioritize treatment in place and appropriate specialist involvement when clinically indicated. The VP may maintain an active clinical practice of up to 20-40% of total effort, based on organizational needs, to remain directly engaged in patient care and inform clinical leadership, practice design, and continuous improvement.
Responsibilities
Physician Leadership & Provider Performance
- Directly manage, coach, and develop Regional Medical Directors and establish clear expectations for clinical leadership, provider management, regional execution, and performance.
- Maintain a consistent leadership cadence, including regular one-on-one meetings, performance reviews, clinical leadership meetings, and follow-up on improvement plans.
- Establish and oversee provider performance expectations across the organization, including productivity, quality and clinical outcomes, avoidable hospitalizations and readmissions, documentation performance, patient experience, and provider experience.
- Use provider-, market-, and regional-level data to identify variation and outliers, establish corrective action plans, and hold physician leaders accountable for measurable improvement.
- Develop physician leadership capability and succession plans for Regional Medical Directors and other emerging clinical leaders.
Clinical Standards, Quality & Model of Care
- Lead development, implementation, and continuous refinement of the Abode Care Partners Model of Care, clinical standards, protocols, policies, procedures, clinical pathways, and EMR-enabled clinical and process workflows.
- Promote evidence-based medicine, sound medical decision-making, patient safety, and consistent standards across primary care, specialty care, telehealth, behavioral health, on-call services, and post-acute settings.
- Ensure clinical standards support appropriate visit frequency, care intensity, and timely follow-up - particularly after hospitalization or other transitions of care - while promoting efficient use of provider time based on patient acuity and cli
- Reinforce exectations for timely note closure, complete and accurate documentation, and accurate diagnosis documentation and coding consistent with clinical accuracy and compliance.
Value-Based Care & Population Health
- Provide physician leadership for the clinical components of ACO, Medicare Advantage, I-SNP, shared-savings, risk-bearing, and other value-based arrangements, including clinical support of the Abilis I-SNP plan as appropriate.
- Prioritize complex care management for frail and medically complex patients, with a focus on reliable high-risk identification, proactive chronic disease management, timely transitions of care including prompt post-hospital visits, avoidable hospitalization and readmission reduction, and HEDIS/Star and other quality gap closure.
- Promote appropriate identification and enrollment of eligible patients in Chronic Care Management (CCM), Advanced Primary Care Management (APCM), and other care-management programs adopted by Abode Care Partners.
- Partner with analytics, finance, and operational leadership to understand and improve clinical drivers of utilization, total cost of care, and MLR while maintaining patient-centered clinical decision-making.
High-Risk Care, Clinical Review & Education
- Establish a standardized approach to identifying and managing high-risk patients, including regular interdisciplinary rounds, clear care plans, defined ownership, and timely follow-through on identified needs.
- Develop and reinforce escalation-of-care standards so physicians, APPs, nursing, and care-management teams recognize clinical deterioration early, use treatment-in-place when appropriate, obtain timely specialist input when clinically indicated, and escalate to urgent evaluation, palliative, hospice, or hospital care when necessary.
- Lead enterprise education and training on complex care management, evidence-based medical decision-making, documentation, and common high-impact conditions affecting medically complex older adults, with particular emphasis on preventing avoidable acute-care utilization.
- Translate emerging evidence, clinical guidelines, safety findings, utilization trends, and organizational priorities into practical education, case-based learning, and standardized workflows for physicians, APPs, Regional Medical Directors, and other clinical leaders.
Integrated Clinical Services
- Provide physician leadership for clinical standards across primary care and specialty services, including telehealth, behavioral health, and on-call/after-hours services.
- Establish clear clinical scope, referral pathways, escalation criteria, communication standards, and handoffs across service lines; review the appropriateness of referrals and specialty care, including referral patterns and use of high quality network partners, to improve continuity, quality, and value.
- Evaluate service-line performance and opportunities to expand or redesign centralized and specialty clinical services when they improve quality, access, experience, or value.
Qualifications
• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited medical school required.
• Successful completion of an accredited residency program required; board certification in Internal Medicine, Family Medicine, Geriatrics, or another specialty relevant to the population served strongly preferred.
• Demonstrated clinical experience caring for geriatric patients, including frail and medically complex older adults, required.
• Formal fellowship training in Geriatric Medicine or other advanced formal training in geriatrics preferred.
• Progressive physician leadership experience required, including prior responsibility for physicians and/or physician leaders and demonstrated accountability for provider performance.
• Experience in post-acute care, skilled nursing, assisted living, home-based primary care, or other distributed care models strongly preferred.
• Experience in value-based care, Medicare Advantage, accountable care, population health, or risk-bearing clinical models preferred.
• Experience developing and implementing clinical standards, protocols, policies, quality initiatives, or standardized models of care preferred.
LICENSE/CERTIFICATION/OTHER SPECIAL REQUIREMENTS
• Active, unrestricted physician license required; ability and willingness to obtain and maintain physician licensure in the states and markets under the VP's oversight, as required by organizational needs and applicable law.
• Current unrestricted DEA registration as appropriate to clinical practice.
• Obtain and maintain required payer enrollment, facility credentialing, medical staff privileges, and other professional credentials in the states and markets overseen or clinically served, as required by organizational needs.
• Ability to work effectively in a distributed, multi-market, and potentially multi-state environment and respond to time-sensitive clinical or operational escalations as needed.
• Ability to travel approximately 20-40% based on business needs, including periodic travel to Abode Care Partners markets and partner facilities; overnight travel may be required based on geography and organizational needs.
KNOWLEDGE/SKILLS/ABILITIES
• Strong physician executive and people-leadership skills, including coaching, accountability, performance management, difficult conversations, and development of physician leaders.
• Strong clinical judgment in the management of frail and medically complex older adults and working knowledge of post-acute and facility-based care delivery.
• Strong understanding of value-based care, population health, utilization management, quality measurement, risk adjustment, and clinical drivers of total cost of care and MLR.
• Ability to interpret provider, clinical, operational, and financial performance data and translate findings into clear priorities and measurable action plans.
• Ability to lead effectively in a matrixed organization and partner closely with Operations, Business Development, Quality, Finance, Analytics, Revenue Cycle, HR, Compliance, and other functions.
• Strong educational, communication, and presentation skills with the ability to translate evidence and strategy into practical expectations for physicians, APPs, and clinical leaders.
• Executive presence, sound judgment, adaptability, and the ability to balance clinical quality, provider experience, operational feasibility, growth, and value-based performance.
TRAVEL REQUIREMENTS
Percentage of Travel: 20-40% (includes periodic travel to Abode Care Partners markets and partner facilities; overnight travel may be required based on geography and business needs).