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Alight Inc. (NYSE: ALIT) is a leading cloud-based human capital technology and services provider
Vice President – Clinical Operations
Location
Illinois
Posted
85 days ago
Salary
$203.5K - $240K / year
Seniority
Lead
Job Description
Vice President – Clinical Operations
Alight Solutions
• Acting as the lead clinical expert for leave and disability case management, ensuring accurate claim decisions and effective return-to-work plans • Providing expert clinical consultation on complex, high risk, or escalated claims • Overseeing clinical quality programs, including audits, peer reviews, nurse over reads, and retrospective reviews to ensure consistency and best practices • Leading and facilitating regular clinical roundtables to guide case strategy, functional capacity assessment, and care planning • Managing and evaluating physician consultants and senior clinical staff (RNs) • Overseeing recruitment, credentialing, performance, and quality of physician reviewers, IME providers, and peer review vendors • Reviewing peer review productivity, quality, and compensation for appropriateness • Leading clinical credentialing meetings and ensure adherence to licensure and certification requirements • Designing and delivering ongoing clinical training for case managers, nurses, and physician consultants • Providing guidance and training for sensitive situations, including threats to self or others • Overseeing development of clinical content, including LOA guides, disability reference materials, attending physician forms, and onboarding curricula • Leading continuing medical education initiatives and external clinical lecture programs • Supporting client relationship management through participation in quarterly and annual reviews • Providing clinical expertise during finalist meetings, RFPs, and sales presentations • Developing and presenting materials that articulate the clinical model, peer review approach, and value proposition • Performing targeted clinical data analysis to help clients understand trends, outcomes, and opportunities for improvement • Providing clinical input into technology platforms, diagnostic coding, vendor integrations, and clinical thought design • Designing and reviewing reports, metrics, and analytics demonstrating clinical outcomes, ROI, productivity, and quality
Job Requirements
- Have MD, DO, or equivalent doctoral degree in a healthcare field
- Possess active clinical licensure, board certification
- 5+ years of leadership experience in disability, leave, or absence management
- Display compelling communication, presentation, and analytical skills
- Have extensive experience with clinical auditing, quality programs, and interdisciplinary teams
- Demonstrate promoting diversity, collaboration, and a global mindset across clinical teams
- Be a subject matter expert who has served as a trusted advisor to senior leadership on clinical risk, strategy, and performance
- Align with company strategy, policies, and ethics
Benefits
- health, dental and vision coverages starting Day One
- wellbeing programs
- retirement plans with contribution matching
- generous time off
- parental leave
- continuing education
- career growth opportunities
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