Chief Medical Officer, Regional Operations

Your Future is our Future

At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact.

Position:
Chief Medical Officer, Regional Operations

Position Summary:
Be a key leader within the Lumeris Clinical Team, driving how population health and value-based care come to life across our provider partnerships. In this role, you’ll serve as the clinical lead for Lumeris’ innovative Provider Population Health Services Organization (PHSO), working side-by-side with health systems and physician groups to transform how care is delivered.

You’ll collaborate across a dynamic, entrepreneurial organization to shape clinical operations, physician engagement, and care model design, using data, strategy, and clinical insight to improve outcomes, performance, and patient experience. This is an opportunity to influence real change; helping providers move from traditional care models to smarter, more sustainable population health strategies.

Job Description:
Primary Responsibilities

• Serve as the primary physician executive supporting health system and CIN partners across assigned markets.
• Lead clinical strategy, performance management, and transformation work for value‑based contracts across multiple lines of business.
• Partner closely with customer clinical leadership, and practice leaders to interpret performance insights and shape priorities.
• Responsible for directing the improvement of clinical, quality, and financial outcomes for the operating partnerships.
• Collaborate with market GMs, customer success and operational leaders to align clinical programs with operational capacity and partner priorities.
• Co-lead implementation of cross-market clinical programs, including risk adjustment, high‑risk patient management, medical cost reduction programs, and specialty engagement initiatives.
• Partner with Medical Economics to surface actionable cost‑of‑care drivers and prioritize interventions across inpatient, outpatient, procedural, and pharmacy domains.
• Collaborate with the Provider Engagement and Customer Success team in clinical transformation and performance improvement initiatives.
• Translate data into insights and recommended workflows for care teams, enabling improvement in utilization, quality, and site-of-service efficiency.
• Support validation, safety review, and iterative refinement of AI agent services (e.g., TOM triage, outreach agents), ensuring evidence‑based, clinically credible workflows.
• Provide clinical perspective to product teams on design, QA, safety monitoring, and post‑implementation improvement of AI-enabled solutions
• Evaluate emerging AI-related regulatory guidance (e.g., FDA CDS guidance, CHAI/Joint Commission recommendations) and ensure alignment in Lumeris deployments.
• Participate in business development meetings with prospective customers to present the Lumeris value proposition.
• Contribute to the clinical thought leadership of the organization through presentations, case studies and publications.
  
  

Qualifications

• Medical degree (MD or DO) with active board certification and a current, unrestricted medical license
• Strongly preferred: Primary care clinical experience
• Excellent cross-functional collaboration and communication skills
• 15+ years of relevant experience or the knowledge, skills, and abilities to succeed in the role
• 5+ years of successful clinical practice experience
• 3+ years of health system, health plan or capitated provider experience with exposure to managing total cost of care, quality, and documentation and coding
• Strong background in administrative clinical leadership
• Deep understanding and experience with population health management strategies & value-based care
• Background in clinical informatics or healthcare IT a plus
• Excellent communication and problem-solving skills
• Demonstrated track record of building productive working relationships internally and externally at all levels
• Proven ability to positively impact clinical and financial outcomes
• Working knowledge of AI applications in care delivery, including safety, governance, and workflow design.
• Ability to translate complex analytics into operational and clinical strategy for diverse stakeholders.
  
  

Working Conditions

• While performing the duties of this job, the employee works in normal office working conditions.
  
  

Pay Transparency:
Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. In addition to the base salary, certain roles may qualify for a performance-based incentive and/or equity, with eligibility depending on the position. These rewards are based on a combination of company performance and individual achievements.

The hiring range for this position is:

$238,300.00-$350,575.00

Benefits of working at Lumeris

• Medical, Vision and Dental Plans
• Tax-Advantage Savings Accounts (FSA & HSA)
• Life Insurance and Disability Insurance
• Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)
• Employee Assistance Program
• 401k with company match
• Employee Resource Groups
• Employee Discount Program
• Learning and Development Opportunities
• And much more...
  
  

Be part of a team that is changing healthcare!

Member Facing Position:

Location:
Remote, USA

Time Type:
Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.

Disclaimer:

• The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individual with disabilities to perform the essential job duties and responsibilities.
  
  

Lumeris is an EEO/AA employer M/F/V/D.