Vice President of Clinical Quality

About the Role

The Vice President of Clinical Quality serves as the senior executive responsible for the safety, efficacy, and performance of the Fabric clinical enterprise. This role bridges the gap between clinical excellence, advanced technology, and commercial success. You will act as the primary architect for clinical governance, ensuring that medical protocols and company medical practice are evidence-based and compliant while driving value-based care strategies that support the company's commercial growth.

What You'll Do

As the Vice President of Clinical Quality, you will be the primary architect and steward of Fabric’s clinical integrity, leading the strategy for patient safety, quality metrics, and regulatory excellence across the entire platform. Your primary responsibilities will include:

• Leadership of the Virtual Care Medical Group
  • Executive Oversight: Provide direct leadership and mentorship to the Clinical Leadership team, including the Medical Director, Behavioral Health Director, and Lead Clinicians.
  • Performance Management: Oversee the clinical performance of all clinicians practicing on behalf of the company. Define scopes of practice based on training and experience, and manage the full cycle of clinician performance, including individual reviews, professional development, and corrective action.
  • Culture & Engagement: Foster a culture of excellence and engagement by leading Monthly Clinical Leadership forums and maintaining ongoing rapport with clinical staff via regular communication touchpoints.
  • Resource Management: Ensure appropriate clinical leadership coverage during high-volume periods and holidays to maintain operational continuity.
• Clinical Quality, Safety, & Compliance
  • Governance: Chair the Clinical Quality Advisory Committee and the Patient Safety Committee. Curate the agenda, approve policy changes, and ensure the execution of safety initiatives.
  • Regulatory Accreditation: Lead the strategy and operational execution for regulatory compliance, including NCQA accreditation, DEA compliance, and the management of Collaborative Practice Agreements (CPAs).
  • Incident Management: Serve as the final authority on clinical quality investigations. Triage and address emergent clinical safety issues, coordinating with stakeholders to ensure rapid mitigation and root-cause analysis.
  • Policy Operationalization: Develop, review, and operationalize medical quality oversight policies and procedures, ensuring they adapt to the evolving landscape of telemedicine.
• Medical Intelligence & Product Innovation
  • Protocol Development: Oversee the end-to-end development and maintenance of both traditional and LLM-driven clinical protocols in partnership with the Medical Intelligence team.
  • Protocol Quality and Safety: Lead recurring clinical protocol reviews to ensure that model/protocol outputs and other automated workflows adhere to rigorous, evidence-based safety standards.
  • Product Strategy: Participate in Product Design & Engineering (PD&E) and Go-To-Market (GTM) review sessions as a subject matter expert. Provide clinical requirements to ensure products are clinically credible, safe, and achieve market fit.
  • Prioritization: Actively shape the roadmap for the Medical Intelligence team, helping to sequence work across clinical, product, and data initiatives.
• Commercial Strategy & Value-Based Care
  • Value-Based Care (VBC) Leadership: Serve as the clinical lead for Total Cost of Care (TCOC) savings initiatives. Collaborate with Medical Economics to leverage claims data and translate findings into actionable clinical practice changes.
  • Sales Enablement: Function as the Clinical Quality Subject Matter Expert (SME) during the sales process. Define achievable Performance Guarantees (PGs) regarding quality metrics. Define the boundaries of acceptable scope of practice for clinician service inquiries of new opportunities.
  • Client Success & Retention: Represent the clinical organization in Quarterly Business Reviews (QBRs) and high-stakes client discussions to ensure alignment on shared quality metrics.
  • Program Implementation: Design and implement the clinical programs required to meet contractual metrics and performance guarantees po