Overview
We are on a mission to change the way healthcare is delivered and experienced for pregnant women. Every woman deserves to be treated with dignity and respect in a caring environment with a commitment to their health and well-being. That is why we are looking for individuals that share this same commitment to create a new kind of healthcare delivery for women of all ages.
We are committed to empowering women to navigate the healthcare system more effectively, reducing complexity, and improving maternal and neonatal outcomes. Reporting to the Vice President of Clinical Operations, this leadership role is pivotal in driving care transformation initiatives, overseeing clinical care management, and managing clinical value-based agreements and at-risk contracts.
The Director will spearhead efforts to integrate care management best practices with client operations, utilize data-driven insights for strategic decision-making, and ensure clients achieve optimal outcomes. This will be accomplished through the implementation of efficient, innovative care delivery models that align with value-based care principles. The ideal candidate can work independently with the ability to prioritize and escalate issues as necessary. The candidate must also be able to work comfortably within a fast paced and dynamic work environment, with a high level of autonomy, and ability to embrace change
Responsibilities
- Oversee the implementation of value-based care models, ensuring alignment with evidence-based practices and regulatory standards.
- Collaborate with cross-functional teams (including IT, analytics, and clinical staff) to implement care management protocols, workflows, and technologies that enhance patient outcomes.
- Provide clinical guidance and oversight for all transformation projects, ensuring initiatives align with best medical practices and organizational goals.
- Monitor clinical performance metrics, such as patient outcomes, quality indicators, and utilization data, to assess and improve clinical programs.
- Serve as a clinical expert to address challenges or barriers to transformation, leveraging data to recommend actionable improvements.
- Lead the strategic planning and execution of clinical components in value-based care agreements and at-risk contracts with payers and providers.
- Monitor the performance of clinical programs under value-based contracts to ensure financial and quality targets are met.
- Act as the primary clinical liaison between VBC/risk agreement clients and the organization, ensuring seamless communication, understanding of client needs.
- Participate in regular client reviews to discuss performance outcomes, identify opportunities for improvement, and provide strategic recommendations for optimization.
Qualifications
- Bachelor’s degree or higher in healthcare administration, nursing, medicine, public health, or a related field
- Clinical licensure (RN, NP, PA) strongly preferred.
- Minimum of 7-10 years of experience in clinical operations, healthcare consulting, or transformation leadership, with at least 5 years in a leadership role.
- Experience with value-based care models, clinical quality improvement, and healthcare data analytics
- Proven track record of successfully managing client relationships and improving clinical outcomes through transformation initiatives
- Experience with negotiating and managing clinical value-based agreements and at-risk contracts.
