Fractional Chief Medical Officer (CMO) – Primary Care (Value-Based Care Focus)

Location

Rio Grande Valley, TX (Hybrid with periodic on\-site presence in McAllen, Edinburg, and Pharr)

Full Job Description

ADIRA Health is seeking a high\-impact, execution\-driven Fractional Chief Medical Officer (CMO) to lead and scale our clinical platform across a growing network of primary care clinics.

This is not an advisory role—this is a hands\-on leadership position responsible for building and standardizing a high\-performing, value\-based primary care model. You will work directly with the CEO and leadership team to drive clinical excellence, improve provider performance, and implement scalable systems that produce measurable outcomes.

Responsibilities

• Lead clinical strategy aligned with organizational growth and value\-based care initiatives
• Develop, implement, and standardize clinical workflows, protocols, and care pathways
• Oversee and mentor nurse practitioners and physician assistants
• Establish provider performance expectations and accountability structures
• Drive improvements in quality metrics (HEDIS, STARS, RAF accuracy)
• Increase utilization of value\-based services (AWV, CCM, TCM)
• Support payer strategy, including securing and optimizing value\-based contracts
• Analyze KPIs and implement strategies to improve clinical and financial performance
• Optimize EHR workflows, documentation templates, and reporting systems
• Establish clinical governance processes, including provider meetings and case reviews
• Ensure compliance with regulatory and clinical standards

Qualifications

• MD or DO with active, unrestricted medical license (Texas preferred)
• Minimum 5–7 years of clinical leadership experience (beyond direct patient care)
• Proven experience developing and implementing clinical workflows and operational systems
• Experience supervising nurse practitioners and physician assistants
• Demonstrated track record of driving measurable clinical growth and performance
• Experience with value\-based care models, including Medicare Advantage
• Experience securing or managing value\-based contracts strongly preferred
• Strong understanding of primary care operations (AWV, CCM, TCM, risk adjustment)
• Experience in a startup or high\-growth environment preferred

Compensation \& Incentives

• Competitive hourly rate: $185–$200 based on experience
• Performance\-based incentives may be available based on:
• Quality metric improvement (HEDIS/STARS, RAF)
• Growth in value\-based revenue
• Provider productivity and operational efficiency
• Successful implementation of standardized workflows

Authority \& Scope

• Direct influence over clinical protocols, workflows, and provider performance
• Involvement in provider hiring, onboarding, and performance management
• Strategic input on clinical expansion and care model development

Ideal Candidate

• Builder mindset with strong execution ability
• Data\-driven and outcomes\-focused
• Comfortable working in a fast\-paced, entrepreneurial environment
• Hands\-on leader who can align clinical and operational priorities

About ADIRA Health

• ADIRA Health is a rapidly growing primary care organization in the Rio Grande Valley focused on delivering high\-quality, accessible care through a modern, value\-based model. We emphasize operational excellence, scalable systems, and provider performance to improve patient outcomes and drive sustainable growth.

Pay: $185\.00 \- $200\.00 per hour

Work Location: Hybrid remote in McAllen, TX 78504