[Hiring] Vice President of Clinical Operations @Alignment Health

Role Description

The Vice President of Clinical Operations is responsible for the strategic development, design, and continuous improvement of clinical programs, interventions, and health initiatives for our value-based care (VBC) arrangements. This leader will focus heavily on the holistic management of patients across the continuum of care, specifically optimizing pre-hospitalization interventions and post-acute transitions of care to ensure that patient outcomes align with corporate strategy, regulatory requirements, and the organization’s mission to improve member health, enhance member experience, and optimize medical cost performance.

The VP will oversee a large, multidisciplinary organization, instill a results-driven culture, and ensure that teams deliver measurable improvements to prevent avoidable hospitalizations, eliminate gaps in care, and reduce re-admissions to achieve desired member outcomes.

Qualifications

• 5+ years of progressive leadership experience in care management, population health, or clinical operations.
• Deep understanding of Medicare Advantage regulations, Transitional Care Management (TCM), STARS and HEDIS metrics, and value-based care models.
• Proven track record of developing and implementing scalable clinical programs that improve outcomes and reduce total cost of care.
• Experience leveraging analytics and technology and embedding care management modules inside EHR systems.
• Deep understanding of utilization management, care management, and risk adjustment functions.

Requirements

• Master’s degree (or higher) in Healthcare Administration, Nursing, Public Health, or related field.
• Active licensure as RN, NP, PA, MD/DO (preferred).

Benefits

• Competitive pay range: $227,952.00 - $341,928.00.
• Opportunity to work in a fast-growing company with ample room for growth and innovation.

Job Responsibilities

• Strategic Leadership & Program Development:
  • Develop and execute a comprehensive clinical strategy that supports medical cost management, quality performance, and member engagement goals.
  • Design end-to-end transitional care management (TCM) programs that proactively engage high-risk patients before hospitalization.
  • Design, implement, and continuously refine evidence-based clinical protocols and interventions for chronic disease management.
  • Lead cross-functional initiatives integrating clinical operations, population health, risk adjustment, and quality improvement programs.
  • Evaluate and recommend emerging technologies to improve member outcomes and program efficiency.
  • Collaborate effectively with primary care providers and hospitalists to ensure timely communication and feedback.
• Clinical Program Oversight & Performance:
  • Oversee end-to-end lifecycle of clinical programs from concept design through pilot, rollout, evaluation, and scaling.
  • Establish program KPIs and outcomes measurement frameworks; monitor performance and ensure continuous quality improvement.
  • Integrate clinical analytics and predictive modeling to identify high-impact intervention opportunities.
  • Ensure ongoing alignment of clinical program strategies with CMS, HEDIS, CAHPS, and Stars requirements.
  • Partner with provider networks and care management teams to enhance care coordination.
  • Ensure that the clinical operating model is executed consistently across regions.
• Team Leadership & Culture:
  • Lead a large, geographically distributed team of clinicians, clinical managers, and support staff.
  • Build a culture where expectations are clear and performance is monitored rigorously.
  • Develop leaders who excel in operational performance management and talent development.
• Vendor Management:
  • Establish performance expectations and metrics for vendor partners.
  • Facilitate cross-functional collaboration with vendors and internal teams.
• Operational Excellence & Continuous Improvement:
  • Develop standardized processes, workflows, and toolkits for clinical intervention design and delivery.
  • Implement process improvement methodologies to streamline clinical operations.
  • Drive adoption of technology and data solutions that enable precision targeting.
  • Drive accountability across the team for assigned programs, productivity, and revenue growth.
• Collaboration & Stakeholder Engagement:
  • Work cross-functionally with key leaders to align clinical optimization initiatives with organizational goals.
  • Serve as a strategic advisor to the executive team on trends in population health management.
  • Build strong relationships with providers, vendors, and community partners.

Supervisory Responsibilities

• Oversees assigned staff, including recruiting, selecting, orienting, and training employees.
• Assign workload, plan, monitor, and appraise job results.
• Coaching, counseling, and performance management.

Essential Physical Functions

• Regularly required to talk or hear.
• Frequently lifts and/or moves up to 10 pounds.
• Specific vision abilities required include close vision and the ability to adjust focus.