Vice President of Clinical Quality jobs in United States
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Fabric · 7 hours ago

Vice President of Clinical Quality

Fabric Health is a company focused on enhancing healthcare delivery through intelligent automation and clinical excellence. The Vice President of Clinical Quality will oversee the clinical integrity of the organization, ensuring safety, efficacy, and compliance while driving value-based care strategies.

Health CareSoftware
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Responsibilities

Provide direct leadership and mentorship to the Clinical Leadership team, including the Medical Director, Behavioral Health Director, and Lead Clinicians
Oversee the clinical performance of all clinicians practicing on behalf of the company
Define scopes of practice based on training and experience, and manage the full cycle of clinician performance, including individual reviews, professional development, and corrective action
Foster a culture of excellence and engagement by leading Monthly Clinical Leadership forums and maintaining ongoing rapport with clinical staff via regular communication touchpoints
Ensure appropriate clinical leadership coverage during high-volume periods and holidays to maintain operational continuity
Chair the Clinical Quality Advisory Committee and the Patient Safety Committee
Curate the agenda, approve policy changes, and ensure the execution of safety initiatives
Lead the strategy and operational execution for regulatory compliance, including NCQA accreditation, DEA compliance, and the management of Collaborative Practice Agreements (CPAs)
Serve as the final authority on clinical quality investigations
Triage and address emergent clinical safety issues, coordinating with stakeholders to ensure rapid mitigation and root-cause analysis
Develop, review, and operationalize medical quality oversight policies and procedures, ensuring they adapt to the evolving landscape of telemedicine
Oversee the end-to-end development and maintenance of both traditional and LLM-driven clinical protocols in partnership with the Medical Intelligence team
Lead recurring clinical protocol reviews to ensure that model/protocol outputs and other automated workflows adhere to rigorous, evidence-based safety standards
Participate in Product Design & Engineering (PD&E) and Go-To-Market (GTM) review sessions as a subject matter expert
Provide clinical requirements to ensure products are clinically credible, safe, and achieve market fit
Actively shape the roadmap for the Medical Intelligence team, helping to sequence work across clinical, product, and data initiatives
Serve as the clinical lead for Total Cost of Care (TCOC) savings initiatives
Collaborate with Medical Economics to leverage claims data and translate findings into actionable clinical practice changes
Function as the Clinical Quality Subject Matter Expert (SME) during the sales process
Define achievable Performance Guarantees (PGs) regarding quality metrics
Define the boundaries of acceptable scope of practice for clinician service inquiries of new opportunities
Represent the clinical organization in Quarterly Business Reviews (QBRs) and high-stakes client discussions to ensure alignment on shared quality metrics
Design and implement the clinical programs required to meet contractual metrics and performance guarantees post-sale
Lead the translation of strategic objectives into concrete execution plans during tactical meetings
Provide oversight to the Medical Intelligence Team’s sprint cadence to align team outputs with client expectations and clinical priorities
Conduct recurring 1:1 roundings with direct reports and cross-functional peers to maintain alignment and identify operational bottlenecks early
Oversee or create clinical practice guidelines to support company contracted clinical services and ensure that they are followed appropriately by the practicing clinicians
Maintain an active frontline clinical practice to remain grounded in real-world workflows, patient needs, and the practical application of company tools
Serve as the real-time expert resource for practicing clinicians requiring guidance on complex cases or quality issues

Qualification

Medical Degree MDMedical Degree DOClinical LeadershipClinical Quality ExpertiseValue-Based Care (VBC)Regulatory ComplianceAgile MethodologiesPatient SafetyMentorshipCommunicationTeam Collaboration

Required

Medical Degree (MD or DO) with active board certification
Extensive experience in clinical leadership, specifically overseeing multi-disciplinary teams and medical group performance
Deep expertise in clinical quality, patient safety, and regulatory compliance (NCQA, DEA, etc.)
Demonstrated experience in Value-Based Care (VBC) and Medical Economics, specifically regarding TCOC initiatives
Familiarity with Agile methodologies and a commitment to shaping product roadmaps alongside engineering teams
Ability to maintain a frontline clinical practice while fulfilling executive responsibilities

Benefits

Medical
Dental
Vision
Unlimited PTO
401(k) plan
Stock options
Bonuses

Company

Fabric is an innovator in healthcare enablement software.

Funding

Current Stage
Growth Stage
Total Funding
$80M
Key Investors
General Catalyst
2024-02-21Series A· $60M
2023-03-30Seed· $20M
Company data provided by crunchbase