clinical operations director

InBloom Autism Services

<div>Overview:
<div>
The role of the Clinical Operations Director is to assist with overseeing and coordinating the organization's clinical departments and ensure the clinical integrity of the applied behavior therapy guidelines.</div>
Responsibilities:
<div><b>
Duties/Responsibilities</b></div><div><i>
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</i></div><br>
<div></div><ul><li>
Manage and support a caseload of up to 20 impact hours per week.</li><li>
Work in close collaboration with Regional Clinical Integrity Officer (CIO).</li><li>
Attend weekly meetings with CIO.</li><li>
Provide ongoing clinical mentorship and support for BCBA team.</li><li>
Host bi-weekly BCBA team meetings.</li><li>
Coordinate team building events to support positive and collaborative team morale and work culture.</li><li>
Train and onboard BCBAs.</li><li>
Implement ongoing quality assurance measures and performance reviews for clinical team.</li><li>
Facilitate and oversee center programs such as, Learning Readiness Program, social skills groups, and other group activities.</li><li>
Coordinate professional development events, such as monthly RBT clinical trainings, student supervision/unrestricted projects, etc., in collaboration with other clinical team members.</li><li>
Conduct treatment plan reviews and provide feedback.</li><li>
Assign BCBA caseloads.</li><li>
Conduct clinical interviews for BCBAs and RBTs.</li><li>
Monitor and support BCBA development of client programming.</li><li>
Monitor and support BCBA oversight of clients and RBTs.</li><li>
Support BCBAs with parent contracts (as needed).</li><li>
Travel to school, etc. to overlap with supervision, caregiver training, etc.</li><li>
Assist with the following as needed: Assessments, Scheduling, RBT evaluation tracking.</li></ul><div></div><div><b><br>
Supervisory Responsibilities</b></div><ul><li>
Supervise BCBAs</li><li>
Participate in monthly supervision overlaps with BCBAs</li><li>
Hold weekly / biweekly / monthly 1:1 meetings with BCBAs</li><li>
Host biweekly group BCBA meetings</li></ul>
Qualifications:
<div><b>
Qualifications</b></div><ul><li>
BACB Board Certified Behavior Analyst (BCBA) required</li><li>
A Master's degree in special education, psychology, or related field, with specialized knowledge of behavioral health and treatment philosophies and professional practices</li><li>
Displays extensive knowledge and training in behavior analysis</li><li>
A minimum of three years working with children with autism spectrum disorders</li><li>
Previous experience in supervision preferred</li></ul><div></div><div><b><br>
Additional Eligibility Requirements</b></div><ul><li>
Must abide by The Professional and Ethical Compliance Code for Behavior Analysts on the BACB</li><li>
Must abide by HIPAA policies set forth by InBloom</li><li>
Must have reliable transportation, driver's license, insurance, and smart phone</li><li>
Work positively and favorably with consumers, families, and staff</li><li>
Demonstrate compassion, responsibility, and cheerful attitude</li><li>
Ability and desire to work collaboratively with all team members, departments, and disciplines</li><li>
Requires strong analysis, judgment, negotiation, and problem-solving skills</li><li>
Ability to communicate effectively, both oral and written</li></ul><div></div><div><b><br>
Work environment</b></div><ul><li>
Noise Level is moderate to loud</li><li>
Must be able to work in a combination of settings including but not limited to: In-home, School, Community and InBloom center</li></ul><div></div><div><b><br>
Physical demands</b></div><ul><li>
Prolonged periods of sitting at a desk and working on a computer.</li><li>
Must be able to lift up to 50 pounds at times.</li></ul><div></div><div><b><br>
Travel required</b></div><ul><li>
Up to 50% travel, by car to assigned local Centers that InBloom currently provides services in or will be providing services in the future, based on the region</li></ul><div></div><div><b><br>
Affirmative Action/EEO statement</b></div><div>
InBloom Autism Services provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.</div><div></div><div><br>
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.</div>
Pay Range: USD $130,000.00 - USD $135,000.00 /Yr.</div>

Clinical Operations Director (BCBA)

University of Oklahoma

<div></div><div><div><b>Job no:</b> 492872<br>
<b>Work type:</b> Administrative Staff<br>
<b>Location:</b> Oklahoma City<br>
<b>Categories:</b> Executive/Administrative/Managerial<br>
</div>
<div><p><b>Pay Range: </b>Negotiable based on qualifications.</p>
<p><b>
Benefits Eligible: </b>Yes</p>
<p><b>
Work Schedule: </b>Monday &ndash; Friday Standard / Fixed Schedule</p>
<p><b>
Travel: </b>Not required</p>
<div>
<div><div><div><p><b>Position Introduction:</b></p>
<p>
OU Health Stephenson Cancer Center is Oklahoma&rsquo;s only National Cancer Institute (NCI)-Designated Cancer Center, and one of only 73 NCI-Designated Cancer Centers in the United States. This highly competitive accreditation ensures that our patients receive the highest standard of care and have access to the most advanced cancer treatment options. At the Stephenson Cancer Center, we have an exciting new job opportunity that could be right for you!</p>
<p><b>
Lead the strategy behind life changing cancer research.</b> Are you a visionary clinical research leader ready to shape the future of oncology trials? The Clinical Trials Office (CTO) is seeking a Clinical Trials Administrative Director &ndash; Clinical Operations to provide senior level leadership over the administrative, operational, and strategic functions of our clinical research enterprise.</p>
<p>
This is a highly influential role for an experienced professional who excels at building systems, leading people, and driving performance at scale. You&rsquo;ll partner with physicians, investigators, sponsors, and senior leadership to ensure research excellence, regulatory integrity, and sustainable growth across the CTO.</p>
<p>
Learn more about the Stephenson Cancer Center&rsquo;s Clinical Trials Office here.</p>
<p><b>
Why This Role Matters.</b> Clinical trials are the engine of innovation in cancer care. As Administrative Director, you will help accelerate the translation of discovery into treatment by setting priorities, strengthening operations, and fostering a culture of quality, accountability, and collaboration.</p>
<p><b>
What You&rsquo;ll Do:</b></p>
<p><b>
Executive Leadership &amp; Management</b></p>
<ul>
<li>Lead and manage the senior Clinical Trials Office management team</li>
<li>Establish the strategic mission, vision, and operational direction of the CTO</li>
<li>Conduct senior management meetings to promote transparency, collaboration, and alignment with leadership and physicians</li>
</ul>
<p><b>Strategic &amp; Program Planning</b></p>
<ul>
<li>Monitor global clinical research activity and performance across specialties</li>
<li>Establish research priorities and develop action plans to address operational or compliance challenges</li>
<li>Participate in organizational decision making and policy development impacting clinical research</li>
</ul>
<p><b>Policy, Procedure &amp; Governance</b></p>
<ul>
<li>Direct the comprehensive development, implementation, and maintenance of CTO policies and procedures</li>
<li>Ensure standardized, compliant research operations across the enterprise</li>
</ul>
<p><b>Performance, Metrics &amp; Evaluation</b></p>
<ul>
<li>Establish, evaluate, and monitor performance and productivity metrics for each clinical specialty</li>
<li>Use data driven insights to guide operational improvements and strategic planning</li>
</ul>
<p><b>Conflict Resolution &amp; Stakeholder Engagement</b></p>
<ul>
<li>Serve as liaison between investigators and sponsors to resolve issues related to protocol conduct</li>
<li>Foster strong relationships with physicians, researchers, sponsors, and institutional partners</li>
</ul>
<p><b>Quality Assurance &amp; Auditing</b></p>
<ul>
<li>Oversee the internal Quality Assurance program and external affiliate audits</li>
<li>Ensure corrective action plans are developed, implemented, and monitored</li>
</ul>
<p><b>Research Informatics &amp; Systems</b></p>
<ul>
<li>Collaborate with the CTO Informatics Coordinator to develop and optimize clinical trial management systems</li>
<li>Ensure systems support regulatory, nursing, and data management functions and meet federal and state reporting requirements</li>
</ul>
<p><b>Financial &amp; Business Planning</b></p>
<ul>
<li>Partner with Finance and Administration to develop strategic financial and business plans for the CTO</li>
<li>Support sustainable growth and responsible resource allocation<br>
<br>
<b>Cancer Reporting &amp; Compliance</b></li>
<li>Collaborate with administration to ensure accurate clinical trial reporting in compliance with federal and state requirements</li>
</ul>
<p><b>Other Responsibilities</b></p>
<ul>
<li>Perform additional duties as needed to successfully fulfill the functions and mission of the position<br>
<br>
<b>Why Join Us?</b></li>
<li>Play a central role in advancing oncology clinical research</li>
<li>Influence institutional strategy at the highest levels</li>
<li>Work alongside nationally recognized investigators and clinical teams</li>
<li>Lead innovation that directly impacts patient access to cutting edge therapies</li>
</ul>
<p>Ready to lead the operational engine behind breakthrough cancer trials? Apply today and help define the future of clinical research through strategic leadership and operational excellence.</p>
<p>
View full job description.</p></div></div><div><br>
<div>
<p><b>Required Education and Experience:</b></p>
<ul>
<li>Bachelor's degree in Nursing or Health Related Field</li>
<li>Minimum seven years clinical research experience with five years in a supervisory role over research regulatory, data management and clinical research nursing cores.</li>
</ul>
<p><b>Required Certifications and Licenses:</b></p>
<p>
None</p>
</div>
</div><br>
</div></div><p><b>Hiring Contingent Upon a Background Check:</b> Yes</p>
</div>
<p><b>Advertised:</b> 05 May 2026 Central Daylight Time<br>
<b>Applications close:</b> 03 Aug 2026 Central Daylight Time</p></div><p></p>

Clinical Trials Administrative Director - Clinical Operations

Green Valley Hospice

<p><b>About Us</b></p><p>We are a growing, patient-centered healthcare organization providing both home health and hospice services throughout the High Desert. Our mission is to deliver compassionate, high-quality care that supports patients across the continuum&mdash;from recovery to end-of-life care.</p><p><b>Position Summary</b></p><p>The Administrator is responsible for the overall leadership, strategic direction, and daily operations of both the Home Health and Hospice programs. This role ensures regulatory compliance, operational efficiency, and exceptional patient care while driving growth and maintaining strong community relationships.</p><p><b>Key Responsibilities</b></p><ul><li>Provide leadership and oversight of both Home Health and Hospice operations</li><li>Ensure compliance with Medicare Conditions of Participation (CoPs) for both programs and all state regulations</li><li>Oversee clinical and administrative teams, including Directors of Nursing and clinical managers</li><li>Manage budgeting, financial performance, and operational efficiency</li><li>Drive census growth and maintain strong referral relationships</li><li>Monitor and improve quality outcomes (Home Health Value-Based Purchasing, CAHPS, Star Ratings)</li><li>Maintain survey readiness and lead all audits/accreditation processes</li><li>Develop and execute strategic growth initiatives</li><li>Foster a culture of teamwork, accountability, and compassionate care</li></ul><p><b>Qualifications</b></p><ul><li>Minimum <b>3&ndash;5 years of leadership experience</b> in Home Health and/or Hospice</li><li>Strong knowledge of Medicare regulations for both Home Health and Hospice</li><li>Proven experience managing operations, compliance, and growth</li><li>Excellent leadership, communication, and organizational skills</li><li>Current California RN license <b>strongly preferred</b></li></ul><p><b>Compensation &amp; Benefits</b></p><ul><li>Salary: <b>$100,000 &ndash; $145,000/year</b> (based on experience)</li><li>Performance-based bonus opportunities</li><li>Health, dental, and vision insurance</li><li>Paid time off and holidays</li><li>Career growth and leadership development opportunities</li></ul><p><b>Why Join Us?</b></p><ul><li>Lead both service lines and make a broader impact in patient care</li><li>Be part of a mission-driven, supportive leadership team</li><li>Opportunity to grow with a rapidly expanding organization</li></ul><p><b>How to Apply</b></p><p>Apply through Indeed and submit your resume for confidential consideration.</p><p><b>Equal Opportunity Employer</b><br/>We are committed to fostering a diverse and inclusive workplace.</p><p>Pay: $100,000.00 - $145,000.00 per year</p><p>Benefits:</p><ul><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li></ul><p>Work Location: In person</p>

Administrator Home Health and Hospice

proactive md

<div>People are a company's greatest resource, which is why caring for patients and keeping them healthy is so important. Proactive MD offers a comprehensive health management solution that extends well beyond the clinic walls. By engaging patients and offering them a personal relationship with a primary care provider, we can deliver measurably better outcomes, making people happier, healthier, and more productive while significantly lowering overall medical costs. We put patients&rsquo; health first because amazing care yields amazing results.
<div></div><b>JOB SUMMARY
</b><br>
The <b>Clinical Operations Coordinator </b>will supervise and assist with health center operations as delegated by the Regional Director of Clinical Operations. They will show initiative and demonstrate sound decision-making and problem-solving techniques, lead through example in training and support of teams. The <b>Clinical Operations Coordinator </b>will travel between assigned health centers to support staffing and observe opportunities for operational improvements. The goal of this position is to support assigned care teams to provide efficient &amp; safe health center operations while ensuring our patient promise is delivered according to regulatory and quality standards.<br>
<div><b>
Remote in Wisconsin with 30% Travel</b><br>
<b>Must be licensed RN, LPN or Certified MA</b><br>
<b>Assigned Health Centers:</b> Westfield, WI; Waukesha, WI; Franklin, WI; Irving, TX; Romeo, MI; York, PA; and New Oxford, PA.</div><p><b>
ESSENTIAL DUTIES AND RESPONSIBILITIES</b></p><ul><li>
Travel between assigned health centers to provide consistent on-site support, maintaining a visible, hands-on presence within clinical environments.</li><li>
Conduct regular site visits as directed by leadership to observe day-to-day administrative and clinical operations, assessing workflow efficiency, team performance, and overall functionality.</li><li>
Support and improve clinical operations across multiple sites to ensure consistent, high-quality patient care and service excellence.</li><li>
Monitor operational performance, including participation in interviews, precepting, and targeted retraining in collaboration with the Enterprise Training Manager and Regional Director of Clinical Operations.</li><li>
Assist with staff training, coaching, and performance management to reinforce operational standards and best practices.</li><li>
Monitor clinical systems and workflows to ensure adherence to best practices, including patient case management, throughput, scheduling, inventory, and dispensing processes.</li><li>
Investigate, address, and respond to patient concerns, escalations, and survey feedback in a timely and professional manner.</li><li>
Report clinical occurrences and support implementation of corrective actions in partnership with the Quality team.</li><li>
Serve in a direct clinical support capacity as needed to maintain efficiency and continuity of care.</li><li>
Identify operational or personnel concerns and communicate findings to the Regional Director of Clinical Operations.</li><li>
Collaborate closely with regional leadership and quality teams to uphold organizational standards and drive continuous improvement initiatives.</li><li>
Perform additional duties, responsibilities, and special projects as assigned by the Regional Director of Clinical Operations.</li></ul><br>
<b>
REQUIRED KNOWLEDGE, SKILLS, &amp; ABILITIES
</b><br>
Required:
<ul><li>Current license or certification in specialty such as RN, LPN or CMA.</li><li>
Current BLS certification through American Heart Association valid for at least 90 days after start date</li><li>
Ability to prioritize and problem solve.</li><li>
Strong clinical background with developed critical thinking skills</li></ul><b>
Preferred:
</b><ul><li>Leadership experience
</li><li>Clinical educator in a healthcare setting</li><li>
Outpatient or Primary care experience</li></ul><p><i>
Proactive MD is firmly committed to creating a diverse workplace and is proud to provide equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender identity and/or expression, sexual orientation, ethnicity, national origin, age, disability, genetics, marital status, amnesty status, or veteran status applicable to state and federal laws.</i></p><p>
</p><p>SCXxyJNnSr</p></div>

Clinical Operations Coordinator

<div>People are a company's greatest resource, which is why caring for patients and keeping them healthy is so important. Proactive MD offers a comprehensive health management solution that extends well beyond the clinic walls. By engaging patients and offering them a personal relationship with a primary care provider, we can deliver measurably better outcomes, making people happier, healthier, and more productive while significantly lowering overall medical costs. We put patients&rsquo; health first because amazing care yields amazing results.
<div></div><b>JOB SUMMARY
</b><br>
The <b>Clinical Operations Coordinator </b>will supervise and assist with health center operations as delegated by the Regional Director of Clinical Operations. They will show initiative and demonstrate sound decision-making and problem-solving techniques, lead through example in training and support of teams. The <b>Clinical Operations Coordinator </b>will travel between assigned health centers to support staffing and observe opportunities for operational improvements. The goal of this position is to support assigned care teams to provide efficient &amp; safe health center operations while ensuring our patient promise is delivered according to regulatory and quality standards.<br>
<div><b>
Remote in Wisconsin with 30% Travel</b><br>
<b>Must be licensed RN, LPN or Certified MA</b><br>
<b>Assigned Health Centers:</b> Westfield, WI; Waukesha, WI; Franklin, WI; Irving, TX; Romeo, MI; York, PA; and New Oxford, PA.</div><p><b>
ESSENTIAL DUTIES AND RESPONSIBILITIES</b></p><ul><li>
Travel between assigned health centers to provide consistent on-site support, maintaining a visible, hands-on presence within clinical environments.</li><li>
Conduct regular site visits as directed by leadership to observe day-to-day administrative and clinical operations, assessing workflow efficiency, team performance, and overall functionality.</li><li>
Support and improve clinical operations across multiple sites to ensure consistent, high-quality patient care and service excellence.</li><li>
Monitor operational performance, including participation in interviews, precepting, and targeted retraining in collaboration with the Enterprise Training Manager and Regional Director of Clinical Operations.</li><li>
Assist with staff training, coaching, and performance management to reinforce operational standards and best practices.</li><li>
Monitor clinical systems and workflows to ensure adherence to best practices, including patient case management, throughput, scheduling, inventory, and dispensing processes.</li><li>
Investigate, address, and respond to patient concerns, escalations, and survey feedback in a timely and professional manner.</li><li>
Report clinical occurrences and support implementation of corrective actions in partnership with the Quality team.</li><li>
Serve in a direct clinical support capacity as needed to maintain efficiency and continuity of care.</li><li>
Identify operational or personnel concerns and communicate findings to the Regional Director of Clinical Operations.</li><li>
Collaborate closely with regional leadership and quality teams to uphold organizational standards and drive continuous improvement initiatives.</li><li>
Perform additional duties, responsibilities, and special projects as assigned by the Regional Director of Clinical Operations.</li></ul><br>
<b>
REQUIRED KNOWLEDGE, SKILLS, &amp; ABILITIES
</b><br>
Required:
<ul><li>Current license or certification in specialty such as RN, LPN or CMA.</li><li>
Current BLS certification through American Heart Association valid for at least 90 days after start date</li><li>
Ability to prioritize and problem solve.</li><li>
Strong clinical background with developed critical thinking skills</li></ul><b>
Preferred:
</b><ul><li>Leadership experience
</li><li>Clinical educator in a healthcare setting</li><li>
Outpatient or Primary care experience</li></ul><p><i>
Proactive MD is firmly committed to creating a diverse workplace and is proud to provide equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender identity and/or expression, sexual orientation, ethnicity, national origin, age, disability, genetics, marital status, amnesty status, or veteran status applicable to state and federal laws.</i></p><p>
</p><p>cbPKT9ME2D</p></div>

Step Forward ABA

<div>Description:
<p>
At <b>Step Forward ABA</b>, we believe that every child deserves the chance to thrive, supported by compassionate clinicians, innovative solutions, and a community that cares. Rooted in excellence and driven by purpose, our team provides high-quality ABA services that make meaningful, measurable differences in the lives of children and families. As we continue to grow across Virginia, we are looking for a Regional Clinical Director to lead with integrity, support our clinical teams, and champion the highest standards of care. With us, you will join a leadership team that values collaboration, creativity, compassion, and innovation. We support our team as whole people&mdash;offering opportunities for growth, encouraging work-life balance, and fostering a culture of transparency and respect. Here, your voice matters, and your work truly changes lives.</p><p><b>
Position Overview:</b></p><p>
The Regional Clinical Director (RCD) serves as the clinical and administrative senior for an assigned region, overseeing BCBAs, BCaBAs, RBTs, and clinical interns. In this leadership role, you&rsquo;ll mentor clinicians, guide program quality, and collaborate closely with our Senior Clinical Director and Director of Operations to ensure that services align with both client needs and organizational goals. This is a hands-on leadership role for a clinical professional who is passionate about building strong teams, optimizing outcomes, and creating a supportive, inclusive culture.</p><p><b>
Key Responsibilities:</b></p><ul><li><b>
Clinical Supervision &amp; Mentorship</b>: Provide supervision and individualized mentorship to BCBAs and BCaBAs; support professional growth and clinical decision-making.</li><li><b>
Quality Assurance</b>: Oversee the development, accuracy, and compliance of FBAs, BIPs, and treatment plans. Conduct data audits, fidelity checks, and monitor clinical integrity across cases.</li><li><b>
Family &amp; Stakeholder Communication</b>: Maintain regular communication with families and support teams to address questions, concerns, and progress, ensuring satisfaction and transparency.</li><li><b>
Cross-Departmental Collaboration</b>: Work in partnership with the operations division to support appropriate case assignments, onboarding, and team alignment.</li><li><b>
Leadership Development &amp; Training</b>: Support hiring, orientation, and mentorship of new team members and clinical interns. Facilitate clinical trainings and enforce internal policies and procedures.</li><li><b>
Operational Partnership</b>: Participate in staffing audits, productivity tracking, and clinic walkthroughs. Ensure region-wide compliance with state regulations, payer expectations, and BACB guidelines.</li></ul><p><b>
Compensation</b> (Based on Experience &amp; Education):</p><p><b>
Pay:</b> $87,000 - $105,000 (salary)</p>
Requirements:
<p><b>
Qualifications</b>:</p><ul><li>
Master&rsquo;s degree in Applied Behavior Analysis, Psychology, Education, or related field.</li><li>
Active BCBA certification in good standing.</li><li>
Minimum 3 years of BCBA experience, with at least 1 year in a supervisory or leadership role.</li><li>
Strong working knowledge of Virgina Medicaid and insurance requirements.</li><li>
Excellent communication, organization, and team leadership skills.</li><li>
Reliable transportation and willingness to travel within the assigned region.</li><li>
Proficiency in CentralReach and ABA data systems (preferred).</li><li>
Experience with interdisciplinary teams, IEP meetings, and school-based services (preferred).</li><li>
Safety-Care or CPI certification preferred (preferred).</li></ul><p><b>
Benefits</b>:</p><ul><li>
401(k) matching</li><li>
Health/Dental/Vision</li><li>
Flexible Schedule</li><li>
120 PTO Hours Annually</li><li>
Professional Development Assistance</li><li>
Referral Program</li><li>
Tuition Discount</li><li>
Mileage Reimbursement</li><li>
Team Appreciation Events</li></ul></div>

Regional Clinical Director

Vitae Health Systems

<div><p><b>Location: </b>Hybrid - 3 days/week in Park Ridge, IL office or field-based as needed</p><p><b>
Reports To: </b>Director, Value-Based Care Operations</p><p><b>
FLSA Status: </b>Exempt</p><p>
</p>Position Overview<p>
The Clinical Lead, Value-Based Care is a senior clinical leadership role responsible for guiding the clinical strategy, protocol development, and provider education that underpin Vitae Health Systems' value-based care programs &mdash; including the organization's LEAD ACO and related CMS initiatives. This role reports to the Director, Value-Based Care Operations and serves as the clinical authority for VBC program execution.</p><p>
This individual will work in close partnership with the SVP of Primary Care Clinical Services, who leads clinical governance for the fee-for-service business. While the SVP owns clinical standards across the broader primary care service line, the Clinical Lead, Value-Based Care operates as a dedicated clinical leader focused exclusively on VBC program performance, population health strategy, and cost of care management for the high-needs populations Vitae serves.</p><p>
The ideal candidate is a licensed Nurse Practitioner with experience in value-based care models, population health, and clinical quality improvement who can bridge the gap between data-driven performance insights and frontline clinical behavior change.</p><p>
</p>Key Responsibilities<p><b>
VBC Clinical Strategy &amp; Protocol Development</b></p><ul><li>Serve as the primary clinical leader for Vitae's value-based care programs, including the LEAD ACO, providing strategic direction on clinical protocols and care management approaches.</li><li>Develop, refine, and maintain evidence-based clinical protocols designed to improve quality outcomes, reduce unnecessary utilization, and manage total cost of care for high-needs patient populations.</li><li>Partner with the SVP of Primary Care Clinical Services to ensure VBC clinical protocols are integrated with &mdash; and not duplicative of &mdash; enterprise-wide clinical standards.</li><li>Lead clinical input into LEAD ACO program design, including care gap closure strategies, chronic disease management protocols, and transitions of care frameworks.</li><li>Stay current on CMS policy changes, LEAD ACO program requirements, and emerging value-based care models; translate program updates into clinical guidance for internal teams and providers.</li></ul><p><b>
Provider Education &amp; Clinical Engagement</b></p><ul><li>Design and deliver VBC-specific clinical education programs for primary care providers, including training on ACO quality metrics, documentation requirements, risk adjustment, and care coordination expectations.</li><li>Serve as a trusted clinical resource and educator for providers navigating the shift from fee-for-service to value-based care models.</li><li>Partner with Operations Managers and the Director, Value-Based Care Operations to identify providers or markets where additional clinical education or support is needed.</li><li>Facilitate regular clinical updates, case reviews, and learning sessions to build VBC literacy and clinical engagement across the provider network.</li><li>Support onboarding of new providers by ensuring VBC clinical expectations, protocols, and documentation standards are clearly communicated from day one.</li></ul><p><b>
Cost of Care Management &amp; Utilization Oversight</b></p><ul><li>Monitor high-spend cost of care trends across the attributed patient population, identifying clinical drivers of excess utilization and recommending targeted interventions.</li><li>Partner with the data and analytics team to review utilization reports, claims data, and population health dashboards; translate findings into clinically actionable recommendations.</li><li>Lead clinical review of high-utilization patients, including those with frequent ED visits, avoidable admissions, or high pharmacy spend, and work with care teams to implement cost-effective care plans.</li><li>Develop and oversee care management protocols targeting the highest-risk, highest-cost patients in the attributed population &mdash; with particular focus on the complex, high-needs populations Vitae serves.</li><li>Track performance against total cost of care benchmarks and LEAD ACO financial targets; escalate clinical risks and recommend course corrections to VBC leadership.</li></ul><p><b>
Quality &amp; Performance Improvement</b></p><ul><li>Provide clinical oversight of VBC quality metrics including HEDIS measures, AWVs, care gap closure rates, and other ACO quality benchmarks.</li><li>Partner with the Director, Value-Based Care Operations to develop and execute quality improvement plans when performance gaps are identified.</li><li>Conduct clinical audits and chart reviews to assess documentation quality, care plan adherence, and protocol compliance.</li><li>Serve as a clinical liaison to CMS, convener partners, and external stakeholders as needed for program oversight and reporting purposes.</li></ul><p><b>
Cross-Functional Clinical Partnership</b></p><ul><li>Collaborate closely with the SVP of Primary Care Clinical Services to ensure alignment on clinical priorities, avoiding duplication and maintaining a unified clinical voice across the organization.</li><li>Engage with the VBC data and analytics team to ensure clinical insights are incorporated into reporting frameworks and population health tools.</li><li>Partner with Compliance to ensure clinical protocols, documentation practices, and care delivery align with CMS program requirements and regulatory standards.</li><li>Support the Growth team with clinical input on new market expansion, facility partner conversations, and ACO attribution strategy.</li></ul><b><br>
Requirements</b><p><br>
Required</p><ul><li>Active Nurse Practitioner (NP) licensure; board certification required (FNP, AGNP, or equivalent).</li><li>Minimum of five (5) years of clinical practice experience, with at least two (2) years in a value-based care, population health, or ACO-related role.</li><li>Demonstrated knowledge of CMS value-based care models, including ACO structures, quality reporting requirements, and cost of care benchmarks.</li><li>Experience developing or implementing clinical protocols, care management programs, or provider education curricula.</li><li>Familiarity with claims data, utilization metrics, and population health analytics as tools for clinical decision-making.</li><li>Strong clinical communication skills with the ability to engage and educate providers across a distributed network.</li></ul><p><b>
Preferred</b></p><ul><li>Direct experience with the LEAD ACO, REACH ACO, or similar CMS innovation model.</li><li>Prior experience in a post-acute, skilled nursing, or high-needs population health setting.</li><li>Familiarity with risk adjustment methodologies (HCC coding, RAF scores) and their clinical documentation implications.</li><li>Experience working cross-functionally with operations, compliance, and data teams in a matrixed healthcare organization.</li></ul></div><p></p>

Clinical Lead (Value Based Care)

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