VP, Clinical Quality

About Employer Direct Healthcare

Employer Direct healthcare (EDH) is on a mission to transform access to excellent care for the moments that matter most. As the leading provider of surgical benefits for self-insured employers, we bring guided access to high-quality, affordable care for employers, their employees and the family members. We understand and have experienced the challenges of navigating specialized healthcare and we are dedicated to making a change.

EDH is the market leader for Independent Centers of Excellence (CoE). We have challenged the status quo in healthcare by bringing top quality surgeons within reach of all. Our surgeon-first model is the largest and most accessible network (3-4x larger than our peers), which has delivered an ROI 3x our peers. We serve hundreds of self-funded plan sponsors across 1000+ employers, representing over 4 million people across the U.S. We've saved our clients over $700 million since we were founded! 

Ultimately, the US healthcare system at-large is flawed. Costs continue to rise while life expectancy stagnates. We are moving the needed on this problem by improving surgery outcomes - making people healthier - and lowering healthcare costs at the same time. 

 

About You:

• You have a drive and AMBITION to tackle big problems. Big problems require big ideas and a team that supports new ideas.
• You CARE deeply for your customers. Your customers aren’t just the individuals using your product. They are the driving factor in your motivation to make a change.
• You thrive in a TEAM ENVIRONMENT. Collaboration is key in innovation and creating change.
• A DIVERSE environment is incredibly important to you. You understand and desire to be a part of a diverse team with different experiences and perspectives & you cherish the differences in each individual that you interact with.
• You are DETAIL ORIENTED, but more so, focus on the execution of your content while balancing a fast-paced environment.
• You understand that PROGRESS is critical to making change. You take the time to celebrate the small and big wins. Understanding that each improvement to a process helps move towards a greater change.
• INTEGRITY guides you in life. Focusing on the truth versus just giving people the answers they want to hear.

 

If this sounds like you, we would love to connect to speak further about career opportunities at Employer Direct Healthcare.

Please apply to our role & someone from our HR Team will reach out to help you navigate our interview process.

 

VP, Clinical Quality

The VP of Clinical Quality will be responsible for improving SurgeryPlus’ clinical quality.  This includes the ongoing improvement of our network quality and credentialing rules, improving our product through the understanding the voice of our provider partners, leading our clinical validation efforts, and managing clinical escalations.

The VP of Clinical Quality should have medical training (e.g., MD, DO) and have spent significant time in the business world in consulting or product roles. The ideal candidate will need to be innovative in analyzing and developing programs to improve patient outcomes, company protocols, and internal and external processes.  The VP of Clinical Quality will work closely with EDHC executives and cross-department leadership to develop enhanced physician credentialing and review programs to ensure the integrity of our Surgeons of Excellence Network and our partnerships with high-quality surgeons across the country.

The VP of Clinical Quality must be comfortable presenting and meeting with clients and consultants, as required, to support the sale of EDHC products and enhance relationships with EDHC clients.

 

Responsibilities and Duties

• Create and operationalize enhanced surgical credentialing process
• Manage medical advisory board (in partnership with Chief Network Officer) integrating their expertise into the product
• Lead research to validate our clinical outcomes and network quality
• Work with the medical advisory board to manage clinical escalation
• Act as the clinical quality SME externally (e.g., pitches, conferences)

Requirements

• MD or DO required
• MBA or similar highly desirable
• 5+ years experience in a business setting

Benefits

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Short & Long Term Disability
• Life Insurance
• 401k with company match
• Paid Time Off
• Paid Parental Leave

 

Employer Direct Healthcare does not discriminate o