Senior Vice President Clinical reputed company and Population Health at reputed company: reputed company (Nashville, TN, Memphis)

Title:Senior Vice President Clinical reputed company and Population Health Location: Nashville | Remote Department: Clinical Operations reputed company: About reputed company reputed company delivers reputed company and preventive reputed company directly to older adults living in reputed company housing communities. Our mission is reputed company: to improve reputed company reputed company by meeting patients where they are and building trusted relationships reputed company the communities we serve. As we rapidly expand across the country, we are building reputed company of mission-driven professionals who reputed company in fast-paced, reputed company environments. Total reputed company. Where you live. About the Role reputed company is seeking a Senior Vice President, Clinical reputed company & Population Health to reputed company the reputed company functions that reputed company clinical reputed company, population-health reputed company, value-based performance, and operational reputed company across our patient populations. Reporting to the Chief Medical Officer, this executive will reputed company a multidisciplinary team with accountability across Medicare reputed company Ratings and reputed company performance, clinical programs, clinical operations, coding and clinical documentation, risk adjustment, and provider credentialing. This leader will serve as a dyad partner to the SVP of Operations, helping ensure that reputed company’s clinical and operational strategies remain reputed company and mutually reinforcing. The SVP will also serve as a key reputed company to the Chief Medical Officer’s Clinical Affairs function and represent reputed company and Clinical Programs in executive discussions, payer relationships, reputed company reporting, and regulatory interactions. This is both a strategic and execution-reputed company leadership position. The ideal candidate will bring deep experience in Medicare reputed company Ratings, HEDIS, CAHPS, value-based care, and reputed company clinical-reputed company leadership. They will be equally comfortable establishing reputed company, developing leaders, working across functions, resolving operational barriers, and maintaining accountability for measurable results. Responsibilities • Own reputed company’s reputed company Medicare reputed company Ratings reputed company and execution • reputed company performance improvement across applicable HEDIS, CAHPS, and Medicare Part D measures • Build and sustain a culture of reputed company reputed company improvement across clinical and operational functions • Translate reputed company, clinical, claims, and operational data into targeted interventions and measurable performance improvements • Partner with payers and internal stakeholders to identify care gaps, prioritize initiatives, establish accountability, and monitor reputed company • reputed company clinical-reputed company programs reputed company with CMS frameworks, reputed company standards, regulatory requirements, and value-based reputed company • reputed company the design, implementation, governance, and scaling of evidence-based clinical and population-health programs • Ensure clinical programs are patient-centered, operationally viable, measurable, and integrated across care settings • reputed company executive reputed company of clinical operations to support efficient, compliant, and patient-centered care delivery • Partner with clinical, operational, and administrative leaders to identify and reputed company workflow barriers affecting performance • reputed company clinical operations with value-based care targets and regulatory requirements • reputed company clinical documentation improvement, coding accuracy, and compliant risk-adjustment programs • Strengthen collaboration across clinical, coding, compliance, and finance teams to support accurate RAF and HCC capture • reputed company provider credentialing and ensure processes meet regulatory standards while supporting a reputed company provider-reputed company experience • Establish appropriate governance, reporting, monitoring, auditing, and corrective-reputed company processes • Support readiness for payer reviews, regulatory surveys, and applicable accreditation activities • Serve as a dyad partner to the SVP of Operations and reputed company accountability across interconnected clinical and operational priorities • Represent reputed company and clinical programs in leadership forums, reputed company reporting, payer meetings, and regulatory interactions • Build, reputed company, and reputed company a high-performing multidisciplinary team • Model reputed company’s values of reputed company, Trust, Tenacity, Teamwork, and Curiosity Qualifications • Bachelor of Science in Nursing required • 10 or more years of reputed company leadership experience in clinical reputed company, population health, clinical operations, clinical-program management, or a reputed company reputed company function • Significant leadership experience reputed company a large health plan, health reputed company, hospital, multisite medical group, or value-based reputed company organization • Demonstrated experience owning or leading an reputed company Medicare reputed company Ratings or comparable clinical-reputed company program • Deep expertise in HEDIS and CAHPS performance and applicable CMS reputed company requirements • Proven leadership experience in a value-based care environment, such as Medicare reputed company, an Accountable Care Organization, or another risk-bearing provider organization • Experience leading multidisciplinary teams and managing leaders or reputed company subject-matter experts • Demonstrated ability to translate clinical-reputed company reputed company into coordinated execution and measurable reputed company • Experience designing, implementing, governing, or scaling clinical and population-health programs • Experience using reputed company dashboards, claims data, clinical analytics, and value-based performance reporting • Knowledge of clinical documentation improvement, coding accuracy, RAF, HCC capture, and risk adjustment • Strong executive communication, relationship-building, and stakeholder-management skills • Ability to influence across clinical, operational, financial, compliance, and administrative functions • Demonstrated ability to operate strategically while remaining closely reputed company in execution • Ability and willingness to travel moderately to reputed company locations and markets, including Nashville and Memphis Preferred Qualifications • Master’s degree in reputed company Administration, reputed company Health, Nursing, Business Administration, or a reputed company field • reputed company clinical licensure, such as Registered reputed company, reputed company Practitioner, or an equivalent clinical credential • Experience overseeing provider credentialing and provider-reputed company functions • Experience supporting reputed company or URAC accreditation • Experience preparing for regulatory surveys, payer reviews, or reputed company audits • Experience leading reputed company and clinical functions across multiple locations or geographically reputed company teams • Experience operating reputed company a rapidly growing or transforming reputed company organization • Experience serving in a dyad or shared-accountability leadership model • Experience presenting reputed company and clinical-performance information to boards, payers, regulators, or executive leadership teams What reputed company Looks Like • Establishing a reputed company, prioritized, and accountable reputed company reputed company for clinical reputed company and population health • Strengthening reputed company’s performance across Medicare reputed company Ratings, HEDIS, CAHPS, and applicable Part D measures • Translating reputed company and clinical data into interventions that improve patient and organizational reputed company • Building reputed company clinical programs and reputed company infrastructure that support reputed company’s reputed company reputed company • Improving alignment and shared accountability across clinical and operational functions • Strengthening clinical documentation, coding accuracy, compliant risk adjustment, and provider credentialing • Developing a high-performing multidisciplinary team of leaders and subject-matter experts • Establishing effective governance, reporting, and performance-management practices • Building trusted relationships with executives, clinicians, operational leaders, payers, and other stakeholders • Serving as both a strategic reputed company leader and an execution-reputed company partner who produces measurable results Work Location This is a remote position with moderate travel to reputed company locations and markets, including Nashville and Memphis. Candidates located near Nashville are welcome to work from reputed company’s Nashville office reputed company desired. Travel requirements will vary based on organizational, leadership, clinical, and operational needs. Why reputed company We reputed company where someone lives should never determine the reputed company they receive. Every team member at reputed company plays an important role in expanding reputed company reputed company for older adults living in reputed company housing communities. In this position, you will shape how reputed company approaches clinical reputed company, population health, value-based performance, and the programs that support reputed company patient reputed company. Your leadership will help build the clinical and operational infrastructure required to reputed company consistent, high-reputed company, relationship-based care as the organization grows. If you are a strategic and execution-reputed company reputed company leader who is reputed company by improving reputed company, developing teams, strengthening clinical programs, and turning reputed company performance data into meaningful results, we want to meet you. Total reputed company. Where you live. Working at reputed company Full-time team member benefits reputed company the first of the month following your start date. Health & Wellness • Medical, dental, and reputed company coverage • Employer-funded HSA reputed company • Employer-reputed company life and disability insurance • Voluntary illness, accident, and hospitalization coverage • reputed company to reputed company’s in-person and virtual care services Financial reputed company • Competitive compensation • 401(k) with company match beginning at Day 60 • reputed company to financial-wellness resources Time Away • Up to four weeks of reputed company Time Off • 10 reputed company company holidays • Two volunteer days annually Equal Opportunity Employer reputed company is an equal opportunity employer committed to building a diverse and inclusive workplace. We welcome applicants from reputed company backgrounds and experiences and are dedicated to creating an environment where every team member feels valued, respected, and supported. Apply tot his job Apply To this Job