Vice President, Clinical Engagement

2 weeks ago


dublin, United States quantum-health Full time
**Job Summary: Vice President, Clinical Engagement** Lead the design, execution, and continuous improvement of clinical services and engagement model, driving value for employer clients, members, and providers.

Location: This position is located at our Dublin campus with hybrid flexibility.

We're a privately-owned, independent healthcare navigation organization founded in 1999 and headquartered in Central Ohio. Our mission is to make healthcare simpler and more effective for our millions of members. We believe that no one should have to navigate the cost and complexity of healthcare alone.

We're committed to building diverse and inclusive teams. If you're excited about this position, we encourage you to apply – even if your experience doesn't match every requirement.

The Vice President, Clinical Engagement is responsible for the design, execution, and continuous improvement of Quantum Health's clinical services and engagement model. This role leads the performance of clinical services, including care management, utilization management, clinical specialty services, population health, and lifestyle coaching programs.

This servant leader will champion significant change initiatives and develop and implement strategies that simplify and improve clinical outcomes, operational effectiveness, and quality. The leader will build and develop clinical teams through influence and inspirational leadership that advances the company's inclusive and collaborative culture.

**Key Responsibilities:** * **Inspirational Leadership** * Build and develop strong clinical teams * Foster a positive and inclusive environment that promotes professional growth, job satisfaction, and retention * Utilize a teamwork approach to build a culture of clinical excellence * **Clinical Program Design and Development** * Collaborate with cross-functional teams to develop innovative clinical programs * Conduct comprehensive assessments and market research to identify opportunities for enhancement * Develop and refine clinical protocols, guidelines, and quality standards * **Clinical Program Delivery** * Oversee the end-to-end delivery of clinical programs * Build and lead a high-performing clinical operations team * Develop and implement key performance indicators to measure program effectiveness * **Clinical Operations Strategy** * Develop and execute the clinical operations strategy in alignment with the company's overall business objectives * Optimize clinical operations processes and workflows to improve efficiency and effectiveness * Identify and implement solutions to enhance clinical program delivery and data management * **Data Analysis and Insights** * Leverage data to measure outcomes, identify trends, and inform decision-making * Develop reporting and analytics capabilities to communicate performance to stakeholders * Identify opportunities to improve clinical program effectiveness based on data-driven insights * **Thought Leadership** * Provide clinical subject matter expertise to non-clinical partners * Present clinical content to various stakeholders * Build relationships with employer clients and their partners **Requirements:** * Education: Bachelor's degree required; Graduate degree preferred * Licensure: Active, unrestricted license in good standing to practice as a Registered Nurse (RN), Advanced Practice Registered Nurse (APRN), or Licensed Social Worker/Licensed Independent Social Worker (LSW/LISW) in your primary state(s) of residence required; multistate licensure preferred * Experience: 10+ years in healthcare operations leadership, ideally within benefits, navigation/care coordination, telehealth/virtual care, and/or managed care organizations * 5+ year of direct clinical practice/patient care experience * 7+ years' experience coaching and leading high-performing clinical teams * Proven experience leading collaborative, consensus-generating committees or workgroups * Expert knowledge of the healthcare industry * Strong business acumen and analytical skills * Experience and comfort working across highly matrixed, complex organizations * Excellent communication skills with the ability to build strong relationships with diverse stakeholders * Strong administrative/technical skills * A high degree of personal accountability and trustworthiness

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