Responsible for leading the design, implementation, and continuous improvement of clinically oriented, data-driven initiatives
Serve as the primary outward-facing interface with external partners for the design, implementation, and optimization of clinical, data-driven initiatives
Translate partner needs, contractual priorities, clinical performance goals, and operational requirements into structured program plans, workflows, milestones, and success measures
Partner with health plan, technology, quality, risk adjustment, and population health partners to support program implementation, performance monitoring, and issue resolution
Represent the organization in partner discussions related to clinical program design, data exchange, and reporting expectations
Develop scalable approaches for clinical initiatives that can be adapted across markets, partners, and lines of business as the function matures
Partner closely with Medical Economics to define, monitor, and interpret clinical performance metrics that support risk adjustment, quality submissions, and population health outcomes
Collaborate with quality, risk adjustment, medical management, provider performance, and analytics teams to identify performance opportunities and develop improvement strategies
Partner with IT to improve clinical data intake, quality, governance, integration, usability, and reporting
Work with dotted-line project resources to ensure milestones, deliverables, dependencies, and risks are actively managed

Bachelor’s degree in Healthcare Administration, Business Administration, Health Informatics, Data Analytics, Finance, Economics, or a related field
Minimum of 12 years of progressive experience in healthcare operations, clinical programs, managed care, population health, healthcare analytics, health economics, risk adjustment, quality, or value-based care
Experience leading cross-functional clinical or analytics initiatives involving external partners, health plans, provider organizations, technology vendors, or data platforms
Experience with clinical performance measurement, quality submissions, risk adjustment, care gap closure, provider performance, utilization trends, or population health outcomes
Experience partnering with IT, analytics, or data management teams to improve reporting, data integrity, system workflows, dashboards, or performance management tools
Demonstrated experience leading initiatives in ambiguous or evolving environments where processes, scope, and accountabilities are still being defined.
Prior leadership experience required; direct people management experience preferred but not required at role launch.

AVP, Clinical Programs, Analytics

Key skills