Vice President, Clinical Advisory & Support Services

Description

The Vice President (VP) provides executive leadership and strategic oversight for the firm’s clinical quality, patient safety, medical necessity, claims review, clinical due diligence, and physician and advance practice peer review consulting services. This role provides strategic oversight and subject matter expertise in clinical quality, operational excellence, and regulatory compliance while supporting the service lines missing to deliver clinician-led, credible, and defensible solutions.

This role is responsible for ensuring the delivery of high-integrity, defensible, and clinically rigorous reviews and consulting services that support hospitals, health systems, payors, and legal teams in improving the quality of care mitigating risk related to clinical care and/processes, compliance with applicable  regulations and laws governing clinical care the necessity of care,  and supporting fair hearing processes.

The VP serves as both a strategic advisor to clients and an internal operational leader, ensuring excellence in methodology, reviewer performance, regulatory alignment, and growth of the service line.

Key Responsibilities •    Provide oversight and leadership for a team consisting of employee and physician reviewers, including task delegation, performance management, and professional development. •    Manage and maintain strong client and reviewer relationships through regular engagement, communication, and delivery of high-quality services. •    Support in the development of service line offerings that align with clinical quality offerings including but not limited to client improvement of publicly reported measures, Provider measurements of quality of care, and/or other clinically relevant metrics.  •    Lead and contribute to the development of client proposals, including scope of services, pricing, and presentation materials. •    Oversee delivery projects to ensure timelines, quality, and client expectations are consistently met. •    Support business development (BD) efforts by identifying opportunities, contributing to sales strategy, and participating in client pitches. •    Coordinate and manage day-to-day operational activities to ensure efficiency, alignment, and successful execution of team objectives. •    Collaborate across the enterprise to drive project success and organizational goals. •    Lead complex consulting engagements including assessments of: quality programs, performance improvement initiatives, patient safety and risk reduction strategies, and clinical governence and medical staff support. •    Oversight of creation and ongoing development of OPPE/FPPE programs. •    Responsible for the ongoing assessment and improvement of clinical quality tools used to provide services. •    Responsible for ensuring team utilization and performance and management of databases used to manage consulting services including but not limited to project management, finance, and pipeline tools.

•    Responsible for the oversight of reviewer onboarding and credentialing.

Requirements

Required Qualifications •    Masters degree in healthcare related field •    10 years of management experience •    Experience working in a hospital, health system, and provider group

Preferred Qualifications •    Experience related to patient safety, medical staff services, quality data reporting, and/or clinical compliance. •    Advanced proficiency in Microsoft Excel, including data modeling, analysis, and reporting. •    Strong data analytics capabilities with the ability to translate data into actionable insights.  •    Excellent interpersonal and communication skills, with a proven ability to build relationships and influence stakeholders. •    Demonstrated people management experience, including leading teams, coaching, and performance management. •    Strong organizational and problem-solving skills with attention to detail. •    Ability to manage multiple priorities in a fast-paced environment while maintaining high-quality outcomes. 

Summary

Cultural Expectations •    Demonstrate initiative, integrity, and professionalism in internal and client-facing interactions. •    Engage in firm culture, contribute to team success, and take ownership of learning and growth. •    Show resilience, flexibility, and a growth mindset in an evolving, fast-paced consulting environment.

Compensation Structure •    Base Salary: Competitive and market-aligned, reviewed bi-annually. •    Annual Incentive: Target of 30% of base compensation, tied to performance against qualitative metrics.