Medical Affairs VP

TPIS; San Juan (PR); On-site; USD 225,000 - 245,000; Full time

Benefits offered by this job

Competitive compensation

EEO employer

Job summary

TPIS, San Juan, PR, seeks an executive Leader as Vice President of Medical Affairs to provide strategic clinical leadership and oversight for a complex healthcare organization. The role drives clinical excellence, regulatory compliance, and collaboration with providers and executives.

Requirements include an MD, 10+ years in clinical leadership, 6+ years overseeing multidisciplinary teams, and an active Puerto Rico medical license. Fluency in English and Spanish is expected.

Qualifications

• MD degree required.
• 10+ years of progressive clinical leadership experience.
• 6+ years of leadership supervising multidisciplinary teams.
• Active Medical License to practice in Puerto Rico required.

Responsibilities

• Provide strategic leadership for clinical operations, medical governance and healthcare quality initiatives.
• Develop and implement medical policies, clinical protocols and care management programs.
• Oversee utilization management, prior authorization, case management and disease management for evidence-based, cost-effective care.
• Ensure clinical review processes align with federal coverage determinations and regulatory requirements.
• Foster relationships with physician organizations, hospitals and provider networks for value-based care.
• Ensure compliance with federal, state and local healthcare regulations and accreditation standards.
• Participate in executive committees related to clinical quality and governance.
• Lead, mentor and evaluate clinical leadership teams for accountability and excellence.
• Support organizational initiatives to improve clinical outcomes and performance.
• Perform other executive-level responsibilities as assigned.

Skills

Leadership

Regulatory compliance

Healthcare operations

Utilization management

Team management

Education

MD

Job description

Medical Affairs VP

FULL TIME San Juan, PR, PR

Salary Range: $225,000.00 To $245,000.00 Annually

Position Summary

We are conducting a executive search for an experienced Vice President, Medical Affairs. This executive will provide strategic clinical leadership and operational oversight for a complex healthcare organization, ensuring clinical excellence, regulatory compliance, quality outcomes, and effective collaboration with healthcare providers and executive leadership.

• Provide strategic leadership for clinical operations, medical governance, and healthcare quality initiatives.
• Develop and implement medical policies, clinical protocols, and care management programs.
• Oversee utilization management, prior authorization, case management, disease management, and clinical review activities to ensure evidence-based, cost-effective care.
• Ensure clinical review processes align with applicable federal coverage determinations, medical necessity guidelines, and regulatory requirements.
• Foster strong relationships with physician organizations, hospitals, provider groups, and other healthcare stakeholders to support value-based care initiatives.
• Ensure compliance with all applicable federal, state, and local healthcare regulations, accreditation standards, and organizational policies.
• Participate in executive committees related to clinical quality, pharmacy, credentialing, medical governance, and organizational performance.
• Lead, mentor, develop, and evaluate clinical leadership teams while promoting accountability and operational excellence.
• Support organizational initiatives focused on improving clinical outcomes, operational performance, and quality of care.
• Perform other executive-level responsibilities as assigned.

Required Qualifications

• Doctor of Medicine (MD) degree required.
• Minimum of 10 years of progressive experience in clinical leadership, managed care, healthcare administration, or complex healthcare operations.
• Minimum of 6 years of leadership experience supervising multidisciplinary teams.
• Active Medical License to practice in Puerto Rico is required.

Preferred Experience

• Executive leadership experience within highly regulated healthcare environments.
• Strong knowledge of utilization management, quality improvement, clinical operations, and regulatory compliance.
• Experience collaborating with physicians, hospitals, and provider networks.
• Demonstrated ability to lead multidisciplinary teams and drive strategic initiatives.

Language Requirements

• Advanced Spanish (written and verbal)
• Advanced English (written and verbal)

Compensation

Competitive compensation package, commensurate with experience.

TPIS is an Equal Opportunity Employer (EEO Employer / Affir). We comply with all Federal, State and Local laws regarding nondiscrimination.