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Senior Vice President, Clinical Operations

Philadelphia, PA, United States

Senior Vice President, Clinical Operations

About the Company

Renowned pharmacy benefits platform & care services provider

Industry

Hospital & Health Care

Type

Subsidiary of a Public Company

Founded

2011

Employees

10,001+

Categories

Analytics

EdTech

Education

Health Care

Medical

Health & Wellness

Healthcare

Hospitals & Clinics

Software

Software Development & Design

Supply Chain

Health Care Inequities

Health Disparities

Health Equity

Health Inequities

Healthcare Bias

Healthcare Diversity

Healthcare Inclusion

About the Role

The Company is seeking a Senior Vice President for Clinical Operations to lead the advancement of high-quality, cost-effective care and to ensure the well-being of patients, employees, and clinical communities. The successful candidate will be a pivotal executive leader, responsible for strategic thinking, and innovation in shaping the future of healthcare. Key responsibilities include leading risk adjustment coding operations, driving MA quality performance, and partnering with leadership to enable network engagement, clinical quality, and patient safety. The role also involves financial alignment, technology enablement, workforce planning, and talent development. The ideal candidate will have a minimum of 15 years of industry experience, with a proven track record in clinical operations, and a strong background in managing clinical and medical affairs.Applicants for the Senior Vice President, Clinical Operations role at the company should possess a minimum of 15 years of industry experience, with a focus on clinical operations. The position requires a leader with a results-oriented work ethic, a positive attitude, and the highest integrity and ethical standards. The candidate must have a strong ability to manage projects, collaborate, and influence in a highly matrixed organization. Skills in strategic planning, financial management, and technology enablement are essential. The role demands an individual with outstanding executive presence, presentation, and communication skills, who can effectively represent the company both internally and externally. Experience in a large healthcare system or managed care business, particularly in managing Medicare Advantage risk, is a significant advantage.

Hiring Manager Title

Chief Operations Officers as well as our Chief Clinical Officer

Travel Percent

Less than 10%

Functions

Operations

Medical Care/Hospital Administration

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