AVP, Clinical Programs & Analytics

About the role

The AVP, Clinical Programs and Analytics is responsible for leading the design, implementation, and continuous improvement of clinically oriented, data-driven initiatives that advance partner performance, clinical outcomes, quality, risk adjustment, and operational effectiveness. This role serves as an outward-facing strategic interface with external partners, including health plans, technology, analytics, and clinical enablement partners, to translate business needs into practical clinical program designs and measurable execution plans.

This role represents the organization in partner discussions related to clinical program design, data exchange, reporting expectations, care gap closure, risk adjustment, quality performance, and value-based care outcomes. The role will initially have no direct reports and will rely on strong matrix leadership, with project-based dotted-line support from analytics and technical leaders as initiatives are defined and executed.

Key Skills and Competencies

• Strong executive presence and ability to represent the organization with external partners.
• Deep understanding of clinical programs, managed care operations, value-based care, quality performance, risk adjustment, and population health.
• Demonstrated ability to translate complex clinical, operational, and data needs into executable program plans.
• Strong analytical orientation with the ability to interpret performance metrics, identify trends, and drive action.
• Experience with clinical data management, reporting platforms, dashboards, performance scorecards, and healthcare analytics tools.
• Ability to partner effectively with IT and analytics teams to define requirements, improve data quality, and support technology-enabled clinical operations.
• Excellent communication, facilitation, stakeholder management, and relationship-building skills.
• Strong project leadership skills, including governance, issue resolution, risk management, and cross-functional accountability.
• High degree of comfort operating in ambiguity and helping shape new processes, priorities, and operating models.
• Ability to influence without direct authority and lead through matrixed relationships.

Skills, Experience & Education

• Bachelor’s degree in Healthcare Administration, Business Administration, Health Informatics, Data Analytics, Finance, Economics, or a related field.
• Minimum of 12 years of progressive experience in healthcare operations, clinical programs, managed care, population health, healthcare analytics, health economics, risk adjustment, quality, or value-based care.
• Experience leading cross-functional clinical or analytics initiatives involving external partners, health plans, provider organizations, technology vendors, or data platforms.
• Experience with clinical performance measurement, quality submissions, risk adjustment, care gap closure, provider performance, utilization trends, or population health outcomes.
• Experience partnering with IT, analytics, or data management teams to improve reporting, data integrity, system workflows, dashboards, or performance management tools.
• Demonstrated experience leading initiatives in ambiguous or evolving environments where processes, scope, and accountabilities are still being defined.
• Prior leadership experience required; direct people management experience preferred but not required at role launch.
• Preferred Master’s degree in Business Administration, Healthcare Administration, Health Informatics, Data Analytics, or a related discipline.
• Experience in an MSO, IPA, ACO, health plan, payer-provider, delegated risk, Medicare Advantage, Medicaid, or value-based care environment.
• Experience with healthcare analytics tools and platforms such as Power BI, Tableau, SQL-based reporting, Epic reporting tools, population health platforms, or partner-facing clinical data applications is preferred.

Pay

The base salary for this position is $173,040 - $222,480/year. In addition, we provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs. The anticipated pay range for this role is listed in our salary posting for transparency but may vary based on factors including the candidate’s qualifications, skills, and experience.