VP, Clinical Operations

🔥 5 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

🏥 Clinical Operations

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Equality Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

☁️ SaaS

🤝 B2B

💰 Private equity on 2022-01

Healthcare • SaaS • B2B

Equality Health is a healthcare company that deploys a whole-person care model to help independent practices adopt and deliver value-based care for diverse communities. It provides technology (including a mobile app), care coordination, telemedicine support, and hands-on practice optimization to improve outcomes and practice performance under new payment models. The company focuses on social determinants of health, health equity, culturally competent care, risk management, and enabling providers and primary care networks to succeed in value-based arrangements.

📋 Description

• Provide strategic and operational leadership for all direct member-facing clinical operations. • Create an integrated operating model aligning Community Health Workers, pharmacy programs, care-support functions, and NP-enabled services. • Develop and execute operating plans, policies, and processes for safe, effective field-based, virtual, and community-based care delivery. • Partner with the Chief Medical Officer and Medical Director to translate clinical strategy into scalable operations. • Provide day-to-day leadership oversight to Nurse Practitioner workflows, capacity, access, and performance. • Collaborate with Quality, Practice Performance, Care Coordination, Network, Analytics, and Technology teams. • Improve member engagement, care transitions, navigation, medication adherence, formulary adherence, and access for Medicaid and Medicare populations. • Establish, monitor, and act on indicators for quality, access, engagement, productivity, outcomes, member experience, and financial performance. • Own operational performance against budgets and resource plans; identify variances and implement corrective action plans. • Advance HEDIS/STAR and other quality outcomes with payer organizations, providers, and internal stakeholders. • Ensure compliance with licensure, credentialing, privacy, regulatory, certification-board, payer, and company requirements. • Partner with Legal and Compliance on mobile and virtual care requirements and operational controls. • Lead implementation and optimization of clinical operations in new markets. • Build relationships with payer organizations, network providers, and internal stakeholders. • Champion process improvement, technology adoption, and change management. • Recruit, coach, develop, and retain operational leaders and team members. • Ensure teams have the training, tools, equipment, and resources required to deliver quality care and measurable results.

🎯 Requirements

• Clinical licensure appropriate to discipline (for example, RN, NP, PharmD, or equivalent) • A minimum of five (5) years of progressively responsible experience in healthcare operations, including leadership of direct member-facing clinical programs or services. • Demonstrated clinical operations experience supporting multidisciplinary teams and clinically complex Medicaid and/or Medicare populations. • Demonstrated understanding of the regulatory and operational requirements of value-based, managed-care, field-based, mobile, virtual, or community-based clinical programs. • Track record of developing and scaling programs, managing budgets and performance metrics, and leading operational improvement in dynamic, high-growth environments. • Strong analytical, problem-solving, written, verbal, and presentation skills, with the ability to synthesize complex data into clear actions and influence diverse stakeholders. • Ability to gain credibility quickly, organize cross-functional teams, and translate strategy into practical, measurable execution. • Demonstrated ability to manage multiple priorities independently, handle sensitive information in accordance with HIPAA and company policies, and maintain strong attention to detail. • Proficiency with Microsoft Office applications and web-based technologies, including management and analysis of large bodies of data. • Preferred: Formal training in process improvement, such as Lean or Six Sigma. • Preferred: Experience improving medication adherence, pharmacy quality programs, HEDIS/STAR performance, or other quality-measure outcomes. • Preferred: Experience working directly with payer organizations and provider networks in risk-based or managed-care arrangements. • Preferred: Commitment to culturally competent care, health equity, and building positive working relationships across a diverse organization.

🏖️ Benefits

• Equal employment opportunities and protection from discrimination and harassment • Training, tools, equipment, and resources needed to deliver quality care and achieve measurable results • Compensation and training included among protected employment terms and conditions (no specific benefits stated)

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume