[Hiring] Vice President, Clinical Integrity @Accuity

Role Description

The Vice President, Clinical Integrity is a senior physician executive responsible for establishing and advancing Accuity’s clinical integrity strategy, governance framework, and clinical risk and compliance standards. Reporting to the Chief Medical Officer/Chief Medical Information Officer, this role provides enterprise leadership for the clinical accuracy, defensibility, consistency, and responsible use of Clinical Intelligence capabilities.

The role also leads the Clinical Integrity escalation and disagreement function and provides consultative physician support to related cross-functional workflows.

Key performance expectations include:

• Leading cross-functional efforts to reduce avoidable or recurrent internal and client disagreements by 50%.
• Achieving 95% or higher compliance on applicable third-party and client audits.
• Achieving 80% or higher actualization of high-value, compliant changes.
• Developing and implementing best practices for contingency-fee clients that support the actualization of compliant changes.

These goals must be pursued without compromising clinical accuracy, coding compliance, or appropriate escalation.

Qualifications

• Doctor of Medicine or Doctor of Osteopathic Medicine degree required.
• Current board certification in a recognized medical specialty required.
• Active, unrestricted medical license required.
• Formal training or certification in clinical informatics, healthcare quality, compliance, patient safety, or a related discipline preferred.
• 12+ years of progressive experience in physician leadership, clinical operations, clinical informatics, healthcare technology, or a related healthcare environment.
• Experience with clinical documentation integrity, coding, revenue cycle, or health-system workflows required.
• Executive-level experience leading multidisciplinary teams and complex, cross-functional clinical programs.
• Demonstrated success establishing clinical governance, quality, risk, or compliance frameworks.
• Experience translating clinical requirements into scalable operational, product, or technology standards.
• Experience with AI-enabled healthcare solutions, data-driven clinical tools, or clinical decision support preferred.

Requirements

• Establish and maintain enterprise standards for clinical accuracy, integrity, defensibility, and evidence-based decision-making.
• Develop governance frameworks that define clinical review, validation, approval, escalation, and accountability requirements.
• Lead the Clinical Integrity escalation and disagreement team and establish consistent expectations for intake, triage, review, documentation, turnaround time, decision-making, and reporting.
• Provide executive oversight of clinical risks associated with Clinical Intelligence programs, workflows, and technology-enabled solutions.
• Develop and execute the Clinical Integrity strategy in alignment with Accuity’s broader Clinical Intelligence, clinical, product, operational, and business priorities.
• Partner with Product, Engineering, Analytics, and Data Science leaders to embed clinical requirements and safeguards into technology-enabled solutions.
• Build strong partnerships across Clinical Operations, Product, Technology, Analytics, Compliance, Quality, and client-facing functions.
• Lead and develop the Clinical Integrity escalation and disagreement function, including physician, clinical, coding, and operational professionals, as applicable.
• Establish measures and reporting that evaluate clinical quality, risk, governance effectiveness, and program performance.

Benefits

• Remote work flexibility.
• Opportunities for professional development and growth.
• Comprehensive health and wellness benefits.
• Collaborative and supportive work environment.