Medical Director, Population Health & Clinical Governance - Remote

Job Description:Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com.Job Summary:The Medical Director of Population Health and Clinical Governance is a physician leader responsible for clinical integrity, quality oversight, accreditation alignment, and evidence-based standards across Sharecare’s population health and care management programs.Reporting to the SVP Clinical Outcomes, this role ensures that clinical programs, coaching models, decision support tools, and member facing clinical content are clinically sound, compliant with national standards, and aligned with accreditation requirements. The Medical Director serves as the designated senior clinical reviewer for processes and protocols where physician oversight is required, and partners closely with Quality, Informatics, Product, Operations, and Client teams to embed clinical rigor across program design and execution.This is a hands-on physician leadership role focused on clinical governance and population health program oversight, not enterprise-wide medical strategy or direct patient panel care.Essential Job Functions:Clinical Governance & Accreditation OversightServe as physician leader responsible for clinical review and approval of population health program processes where senior clinical sign off is requiredSupport organizational readiness for NCQA and other accreditation standards by ensuring clinical workflows, protocols, and documentation meet requirementsParticipate in audits, quality reviews, and corrective action planning as neededSupport integration of health equity and quality performance standards into care modelsPopulation Health Program IntegrityProvide clinical oversight for chronic condition management, preventive care, and high risk population programsEnsure clinical standards and documentation practices are consistently applied across programsSupport clinical integrity of diabetes prevention, weight management, and other evidence based population health initiativesEvidence Based Clinical ContentProvide physician review and guidance for clinical content used by nurses, coaches, and care teamsEnsure member facing and clinician facing materials align with current national guidelines and preventive care recommendationsSupport standardization of clinical approaches to reduce variability and strengthen fidelity to best practicesClinical Informatics & Decision SupportPartner with Clinical and Pharmacy Informatics teams to ensure clinical appropriateness of code sets, rules logic, and decision support toolsProvide physician input into clinical data elements, documentation standards, and reporting logicCross Functional Clinical LeadershipServe as the physician voice in collaboration with Product, Data Science, Quality, and Operations teamsEnsure clinical input is incorporated early in program design, product enhancements, and member communication strategiesHelp reduce compliance risk and downstream rework by embedding clinical oversight upstreamClient & Market SupportParticipate in selected client discussions where physician oversight or credibility is requiredSupport RFPs and proposals with clinical input as neededSuccess in this role is demonstrated by:Strong performance on accreditation and quality standards with reduced compliance riskEvidence based, standardized clinical protocols and content across programsTimely and effective physician review of processes requiring senior clinical approvalEarly and consistent integration of clinical input into product and program designPositive feedback from internal teams on clarity and usability of clinical guidanceSpecific Skills/ Attributes:Strong understanding of population health, preventive care, and value based care modelsExperience applying evidence based medicine in care management or non bedside clinical programsComfortable working in cross functional, data driven environmentsCollaborative and practical physician leader with strong communication skillsHigh emotional intelligence and ability to balance clinical rigor with operational realitiesQualifications:MD or DO degree from an accredited institutionBoard certification in Internal Medicine, Family Medicine, or GeriatricsActive, unrestricted U.S. medical licenseMinimum 5 years of post residency clinical experience2–4 years of experience in population health, care management, health plan, ACO, CIN, or value based care environmentExperience supporting NCQA aligned programs or quality performance initiatives preferredExperience working with interdisciplinary care management or coaching teams preferredExposure to clinical informatics or digital health tools preferredExperience with Medicare Advantage or Medicaid populations preferredSharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.Originally posted on Himalayas

Job Description:Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com.Job Summary:The Medical Director of Population Health and Clinical Governance is a physician leader responsible for clinical integrity, quality oversight, accreditation alignment, and evidence-based standards across Sharecare’s population health and care management programs.Reporting to the SVP Clinical Outcomes, this role ensures that clinical programs, coaching models, decision support tools, and member facing clinical content are clinically sound, compliant with national standards, and aligned with accreditation requirements. The Medical Director serves as the designated senior clinical reviewer for processes and protocols where physician oversight is required, and partners closely with Quality, Informatics, Product, Operations, and Client teams to embed clinical rigor across program design and execution.This is a hands-on physician leadership role focused on clinical governance and population health program oversight, not enterprise-wide medical strategy or direct patient panel care.Essential Job Functions:Clinical Governance & Accreditation OversightServe as physician leader responsible for clinical review and approval of population health program processes where senior clinical sign off is requiredSupport organizational readiness for NCQA and other accreditation standards by ensuring clinical workflows, protocols, and documentation meet requirementsParticipate in audits, quality reviews, and corrective action planning as neededSupport integration of health equity and quality performance standards into care modelsPopulation Health Program IntegrityProvide clinical oversight for chronic condition management, preventive care, and high risk population programsEnsure clinical standards and documentation practices are consistently applied across programsSupport clinical integrity of diabetes prevention, weight management, and other evidence based population health initiativesEvidence Based Clinical ContentProvide physician review and guidance for clinical content used by nurses, coaches, and care teamsEnsure member facing and clinician facing materials align with current national guidelines and preventive care recommendationsSupport standardization of clinical approaches to reduce variability and strengthen fidelity to best practicesClinical Informatics & Decision SupportPartner with Clinical and Pharmacy Informatics teams to ensure clinical appropriateness of code sets, rules logic, and decision support toolsProvide physician input into clinical data elements, documentation standards, and reporting logicCross Functional Clinical LeadershipServe as the physician voice in collaboration with Product, Data Science, Quality, and Operations teamsEnsure clinical input is incorporated early in program design, product enhancements, and member communication strategiesHelp reduce compliance risk and downstream rework by embedding clinical oversight upstreamClient & Market SupportParticipate in selected client discussions where physician oversight or credibility is requiredSupport RFPs and proposals with clinical input as neededSuccess in this role is demonstrated by:Strong performance on accreditation and quality standards with reduced compliance riskEvidence based, standardized clinical protocols and content across programsTimely and effective physician review of processes requiring senior clinical approvalEarly and consistent integration of clinical input into product and program designPositive feedback from internal teams on clarity and usability of clinical guidanceSpecific Skills/ Attributes:Strong understanding of population health, preventive care, and value based care modelsExperience applying evidence based medicine in care management or non bedside clinical programsComfortable working in cross functional, data driven environmentsCollaborative and practical physician leader with strong communication skillsHigh emotional intelligence and ability to balance clinical rigor with operational realitiesQualifications:MD or DO degree from an accredited institutionBoard certification in Internal Medicine, Family Medicine, or GeriatricsActive, unrestricted U.S. medical licenseMinimum 5 years of post residency clinical experience2–4 years of experience in population health, care management, health plan, ACO, CIN, or value based care environmentExperience supporting NCQA aligned programs or quality performance initiatives preferredExperience working with interdisciplinary care management or coaching teams preferredExposure to clinical informatics or digital health tools preferredExperience with Medicare Advantage or Medicaid populations preferredSharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.Originally posted on Himalayas