SVP, Clinical Quality & Population Health

About the Role

Matter Health is seeking a Senior Vice President, Clinical Quality & Population Health to lead the enterprise functions that drive clinical quality, population-health outcomes, value-based performance, and operational excellence across our patient populations. Reporting to the Chief Medical Officer, this executive will lead a multidisciplinary team with accountability across Medicare Star Ratings and quality performance, clinical programs, clinical operations, coding and clinical documentation, risk adjustment, and provider credentialing.

This leader will serve as a dyad partner to the SVP of Operations, helping ensure that Matter Health’s clinical and operational strategies remain aligned and mutually reinforcing. The SVP will also serve as a key liaison to the Chief Medical Officer’s Clinical Affairs function and represent Quality and Clinical Programs in executive discussions, payer relationships, board reporting, and regulatory interactions. This is both a strategic and execution-focused leadership position.

Responsibilities

• Own Matter Health’s enterprise Medicare Star Ratings strategy and execution
• Drive performance improvement across applicable HEDIS, CAHPS, and Medicare Part D measures
• Build and sustain a culture of continuous quality improvement across clinical and operational functions
• Translate quality, clinical, claims, and operational data into targeted interventions and measurable performance improvements
• Partner with payers and internal stakeholders to identify care gaps, prioritize initiatives, establish accountability, and monitor outcomes
• Oversee clinical-quality programs aligned with CMS frameworks, NCQA standards, regulatory requirements, and value-based contracts
• Lead the design, implementation, governance, and scaling of evidence-based clinical and population-health programs
• Ensure clinical programs are patient-centered, operationally viable, measurable, and integrated across care settings
• Provide executive oversight of clinical operations to support efficient, compliant, and patient-centered care delivery
• Partner with clinical, operational, and administrative leaders to identify and resolve workflow barriers affecting performance
• Align clinical operations with value-based care targets and regulatory requirements
• Oversee clinical documentation improvement, coding accuracy, and compliant risk-adjustment programs
• Strengthen collaboration across clinical, coding, compliance, and finance teams to support accurate RAF and HCC capture
• Oversee provider credentialing and ensure processes meet regulatory standards while supporting a timely provider-onboarding experience
• Establish appropriate governance, reporting, monitoring, auditing, and corrective-action processes
• Support readiness for payer reviews, regulatory surveys, and applicable accreditation activities
• Serve as a dyad partner to the SVP of Operations and share accountability across interconnected clinical and operational priorities
• Represent quality and clinical programs in leadership forums, board reporting, payer meetings, and regulatory interactions
• Build, coach, and develop a high-performing multidisciplinary team
• Model Matter Health’s values of Empathy, Trust, Tenacity, Teamwork, and Curiosity

Qualifications

• Bachelor of Science in Nursing required
• 10 or more years of progressive leadership experience in clinical quality, population health, clinical operations, clinical-program management, or a related healthcare function
• Significant leadership experience within a large health plan, health system, hospital, multisite medical group, or value-based healthcare organization
• Demonstrated experience owning or leading an enterprise Medicare Star Ratings or comparable clinical-quality program
• Deep expertise in HEDIS and CAHPS performance and applicable CMS quality requirements
• Proven leadership experience in a value-based care environment, such as Medicare Advantage, an Accountable Care Organization, or another risk-bearing provider organization
• Experience leading multidisciplinary teams and managing leaders or specialized subject-matter experts
• Demonstrated ability to translate clinical-quality strategy into coordinated execution and measurable outcomes
• Experience designing, implementing, governing, or scaling clinical and population-health programs
• Experience using quality dashboards, claims data, clinical analytics, and value-based performance reporting
• Knowledge of clinical documentation improvement, coding accuracy, RAF, HCC capture, and risk adjustment
• Strong executive communication, relationship-building, and stakeholder-management skills
• Ability to influence across clinical, operational, financial, compliance, and administrative functions
• Demonstrated ability to operate strategically while remaining closely engaged in execution
• Ability and willingness to travel moderately to Matter Health locations and markets, including Nashville and Memphis

Preferred Qualifications

• Master’s degree in Healthcare Administration, Public Health, Nursing, Business Administration, or a related field
• Active clinical licensure, such as Registered Nurse, Nurse Practitioner, or an equivalent clinical credential
• Experience overseeing provider credentialing and provider-onboarding functions
• Experience supporting NCQA or URAC accreditation
• Experience preparing for regulatory surveys, payer reviews, or external audits
• Experience leading quality and clinical functions across multiple locations or geographically distributed teams
• Experience operating within a rapidly growing or transforming healthcare organization
• Experience serving in a dyad or shared-accountability leadership model
• Experience presenting quality and clinical-performance information to boards, payers, regulators, or executive leadership teams

What Success Looks Like

• Establishing a clear, prioritized, and accountable enterprise strategy for clinical quality and population health
• Strengthening Matter Health’s performance across Medicare Star Ratings, HEDIS, CAHPS, and applicable Part D measures
• Translating quality and clinical data into interventions that improve patient and organizational outcomes
• Building scalable clinical programs and quality infrastructure that support Matter Health’s continued growth
• Improving alignment and shared accountability across clinical and operational functions
• Strengthening clinical documentation, coding accuracy, compliant risk adjustment, and provider credentialing
• Developing a high-performing multidisciplinary team of leaders and subject-matter experts
• Establishing effective governance, reporting, and performance-management practices
• Building trusted relationships with executives, clinicians, operational leaders, payers, and other stakeholders
• Serving as both a strategic enterprise leader and an execution-focused partner who produces measurable results

Schedule

This is a remote position with moderate travel to Matter Health locations and markets, including Nashville and Memphis. Candidates located near Nashville are welcome to work from Matter Health’s Nashville office when desired. Travel requirements will vary based on organizational, leadership, clinical, and operational needs.

Benefits

• Health & Wellness
  • Medical, dental, and vision coverage
  • Employer-funded HSA options
  • Employer-paid life and disability insurance
  • Voluntary illness, accident, and hospitalization coverage
  • Access to Matter Health’s in-person and virtual care services
• Financial Security
  • Competitive compensation
  • 401(k) with company match beginning at Day 60
  • Access to financial-wellness resources
• Time Away
  • Up to four weeks of Paid Time Off
  • 10 paid company holidays
  • Two volunteer days annually

Matter Health is an equal opportunity employer committed to building a diverse and inclusive workplace.