[Remote] Vice President Clinical Operations-Alight Leave Solutions

Note: The job is a remote job and is open to candidates in USA. Alight Solutions is a company focused on empowering clients to build a healthier workforce through a unified benefits ecosystem. The Vice President of Clinical Operations will oversee absence, disability, and leave management services, ensuring clinical quality and collaboration with various teams to enhance employee outcomes and drive business growth.ResponsibilitiesActing as the lead clinical expert for leave and disability case management, ensuring accurate claim decisions and effective return-to-work plansProviding expert clinical consultation on complex, high risk, or escalatedOverseeing clinical quality programs, including audits, peer reviews, nurse over reads, and retrospective reviews to ensure consistency and best practicesLeading and facilitating regular clinical roundtables to guide case strategy, functional capacity assessment, and care planningManaging 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 appropriatenessLeading clinical credentialing meetings and ensure adherence to licensure and certification requirementsDesigning and delivering ongoing clinical training for case managers, nurses, and physician consultants. Providing guidance and training for sensitive situations, including threats to self or othersOverseeing 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 programsSupporting client relationship management through participation in quarterly and annual reviewsProviding clinical expertise during finalist meetings, RFPs, and sales presentationsDeveloping 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 improvementProviding 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 qualitySkillsHave MD, DO, or equivalent doctoral degree in a healthcare fieldPossess active clinical licensure, board certification5+ years of leadership experience in disability, leave, or absence managementDisplay compelling communication, presentation, and analytical skillsHave extensive experience with clinical auditing, quality programs, and interdisciplinary teamsDemonstrate promoting diversity, collaboration, and a global mindset across clinical teamsBe a subject matter expert who has served as a trusted advisor to senior leadership on clinical risk, strategy, and performanceAlign with company strategy, policies, and ethicsBenefitsHealth, dental and vision coverages starting Day OneWellbeing programsRetirement plans with contribution matchingGenerous time offParental leaveContinuing educationCareer growth opportunitiesFlexible working arrangements wherever possibleCompetitive total rewards packageContinuing education & trainingBonus and/or incentive eligibility are determined by role and levelComprehensive benefits package; for specific details on our benefits package, please visit: Wellbeing and Benefits Selector Page - AlightCompany OverviewAlight Solutions is a cloud-based human capital technology company that offers HR and financial solutions. It was founded in 2017, and is headquartered in Chicago, Illinois, USA, with a workforce of 10001+ employees. Its website is https://www.alight.com.