Opportunity

A critical leadership position at an innovative, high-growth healthcare quality analytics company, this leader will own clinical quality operations for Covera Health’s outcomes-enhancing solutions. Focused initially in the radiology space, the company works with payers and providers alike, sharing AI-driven, clinically validated quality insights with the goal of improving radiological care and patient outcomes.

The first solution, the Radiology Centers of Excellence Program, guides patients to targeted, high quality radiology centers that meet Covera Health’s quality standards. The company has already secured several marquee customers, including Walmart, Premera, and Microsoft, as well as leading provider partners such as Geisinger. Today, that program touches 2+ million patients with a goal of scaling this program to 10+ million patients by 2022. 

A second offering will be launched nationwide in Q1 2022, enabling large employers and health plans to improve the health of patients across the country. In partnership with a leading radiology software vendor, Covera Health’s proprietary AI technology will be seamlessly integrated into the IT infrastructure used by 80% of radiologists nationally, providing near real-time analytics and feedback to providers. 

Position Summary

The Vice President of Clinical Quality Operations will be responsible for fulfilling the following objectives across both of Covera Health’s solutions: 

• Own the clinical quality review processes from defining quality standards to collaborating with providers to running the internal processes.
• Be the go-to-person for any clinical quality questions.
• Lead the clinically-focused provider partnership discussions.
• Equip provider-facing teams to effectively attract, implement, and liaise with providers.
• Oversee and execute the operational processes including:
  • Prepare and run the quality review committee (QRC)
  • Implement QRC decisions and action items
  • Active, continuous monitoring of performance indicators
  • Owning the (de-)designation processes
  • Driving our quality improvement processes
  • Ensure the delivery of quality feedback
• In collaboration with the Chief Medical Officer, VP of Clinical Innovations, and other clinical leaders, evolve clinical quality guidelines by:
  • Identifying opportunities for change
  • Organizing the guideline review process
  • Co-drafting any iterations
• Constantly evolve and improve the above processes to better serve patients, providers, and payors.
• Partner with cross-functional leaders to ensure and provide cross-departmental support.

Position Requirements

Successful candidates for Vice President of Clinical Quality Operations will possess the following attributes: 

• Demonstrated ability to:
  • Reliably run and oversee world-class quality or other administrative processes
  • Partner with clinical leaders in the development of clinical guidelines
  • Effectively work with clinical counterparts at external stakeholders
  • Effectively collaborate across operations, data, and technology stakeholders.
• Experience successfully operating under ambiguity, ideally in start-up environments.
  • Strong verbal and written communicator.
  • Critical thinker; confident in sharing their perspective.
  • Willingness to think strategically in addition to driving the day-to-day work.
• Ideally, experience with:
  • Provider improvement activities and/or provider education
  • Building and running operations processes in a (health) tech environment.

EDUCATION & WORK EXPERIENCE

• Bachelor's degree required.
• 7+ years of relevant clinical quality operations experience required.
• Clinical experience strongly preferred (e.g., RN, NP, PA, MD, DO).
• Radiology experience preferred.

Compensation

An attractive compensation and benefits package, including the potential for equity, will be offered commensurate with the candidate’s experience.