VP Clinical practice

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Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job title: VP Clinical practice

Job Description:

Sagility is currently hiring a talented Vice President of Clinical Practice. This role is responsible for successfully creating a clinical center of excellence in alignment with the healthcare industry for all delivery parameters and also successfully grow the overall practice revenues.

Support all clinical opportunities for growth seeking technology and/or services in the Utilization management, care management and clinical front office and back-office scope for healthcare (Payers and Providers) and workers comp products. The support will be in the following areas: support all clinical opportunities either via prospecting or from RFPs, from current clients and new prospects; support all sales team with GTM messaging relevant to the product and capabilities and enable/facilitate growth through appropriate campaigns and marketing events.

Prepare and support client meetings, with relevant presentations that communicate Sagility offering relevant for each client, ensuring that the content is customized to the client’s business and priorities. Help design solutions for new clinical capabilities in collaboration with the Solutions teams and global clinical teams. Work closely with vendors in clinical talent management and helping with a steady sourcing mechanism that is both cost and talent effective.

Support all new clinical process transitions with regards to hiring, training, and meeting service levels including but not limited to turnaround time, quality and productivity expectations, and contractual requirements. Promote thought leadership with regard to Sagility clinical products and offering to the market within and outside of Sagility.

Facilitate learning about market trends, deep clinical care pathways and other relevant topics to clinicians within Sagility to ensure a good learning environment for the clinicians.

Manage / Incubate operations for new UM and CM programs with deep understanding of outcome metrics by working closely with clinical analytics, MDs, workforce management, business excellence, and training functions in building standard practices across all delivery parameters. This scope will be to deliver successful outcomes to clients, manage client stakeholders during the incubation period and hand off program once stabilized to the operational teams.

Be available for periodic, scheduled business reviews with clients for all clinical processes. Represent the practice view points on market trends and innovations and solution sets. Proactively engage with business transformation and operations teams to identify innovative solutions that would help improve member and/or provider experience or reduce costs per line of service. Year over year, keep track of shifting market needs, new competitive services and technologies, and key gaps in Sagility capabilities to support the market and to achieve revenue targets from new capabilities.

Help elevate the SAGILITY Clinical practice brand in the market, as evidenced by finding and/or guiding prospective Requests for Proposals relevant to newer capabilities that are being developed.

Qualifications:

• Must have a clinical degree (MD/USRN) with at least 5 years’ direct patient care experience within the last 15 years. Unrestricted license to practice within the United States
• Additional qualifications preferred- MBA.
• 8+ years in a corporate role leading clinical practice in the capacity of Clinical sales support, business transformation, clinical product development or Clinical operations
• Minimum of 5 years’ experience in a health plan or large health system/ACO preferred.
• Minimum of 3 years of management experience, including hiring, training, assigning work and managing performance of leadership teams.
• A background that includes strong clinical work, experience in managed care and managing a clinical program in the medical management functions with ability to understand, interpret and apply complex federal and state health care compliance laws, understand financial implications of Utilization and care management functions, rules, regulations, organization and industry-based policies, procedures, and guidelines.
• Acute hospital case management, discharge planning, complex case management or utilization management- preferred.
• Collaborative and results-oriented approach with all functional teams.
• Working…