AVP, Clinical Ops & Quality Strategy | Hybrid

Blue Cross and Blue Shield of Kansas; Topeka (KS); Hybrid; USD 170,000 - 260,000; Full time

Benefits offered by this job

Incentive pay program

6 weeks paid parental leave

Fertility/Adoption assistance

2 weeks paid caregiver leave

Health & fitness benefits

Job summary

A major health insurance provider in Topeka, Kansas, is seeking an AVP Chief of Clinical Operations, Quality & Strategy. This strategic role involves leading Utilization Management and clinical initiatives to enhance patient care and outcomes. The successful candidate will possess a medical degree and extensive leadership experience, specifically in managed care. This position promotes a hybrid work environment while providing vital contributions to population health. Join us to make a difference in the healthcare landscape.

Qualifications

• Minimum of 10 years of progressive, relevant clinical experience in care delivery or managed care.
• Minimum of 5 years in a senior leadership role, preferably in the health insurance industry.
• Experience in utilization management leadership or closely related area for at least 3 years.

Responsibilities

• Transform Utilization Management to improve evidence-based healthcare delivery.
• Lead and mentor a high-performing clinical team for professional growth.
• Ensure strategic alignment of clinical programs and resource optimization.
• Provide fiscal oversight for clinical programs, including budget management.
• Develop innovative clinical programs to promote whole-person care.

Skills

Population Health

Change Management

Analytical Skills

Stakeholder Engagement

Education

Medical Degree (MD or DO)

Bachelor's degree in medicine, nursing, or a related clinical field

Job description

A major health insurance provider in Topeka, Kansas, is seeking an AVP Chief of Clinical Operations, Quality & Strategy. This strategic role involves leading Utilization Management and clinical initiatives to enhance patient care and outcomes. The successful candidate will possess a medical degree and extensive leadership experience, specifically in managed care. This position promotes a hybrid work environment while providing vital contributions to population health. Join us to make a difference in the healthcare landscape.