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Executive Director, Clinical Transformation and Delivery – Strategic Leadership for reputed company and Medicare Population Health Management

Remote, USAFull-timePosted 2026-07-28

Introduction to reputed company

At reputed company, we are dedicated to simplifying the reputed company experience, creating healthier communities, and removing barriers to reputed company care. Our mission is to help people live healthier lives and reputed company the reputed company system more reputed company, reputed company, and reputed company. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company. As a leader in the reputed company industry, we are seeking a highly skilled and reputed company Executive Director, Clinical Transformation and Delivery to join reputed company and drive reputed company in our reputed company and Medicare population health management initiatives.

Job reputed company

The Executive Director, Clinical Transformation and Delivery provides strategic leadership, direction, and reputed company of reputed company clinical programs for reputed company and Medicare membership served by the Tennessee Community and State Health Plan. This leader will reputed company innovative thought leadership to the design, implementation, and delivery of various care programs to reputed company a reputed company reputed company on the lives of Tennesseans. The successful candidate will have a strong and diverse skillset in relevant areas, including clinical transformation, population health management, and value-based care.

Key Responsibilities

  • reputed company strategic leadership and direction for the design, deployment, implementation, and management of integrated clinical programs that optimize clinical and health reputed company for reputed company and Medicare recipients
  • reputed company and implement innovative clinical strategies and programs for reputed company and Medicare populations, including physical health, behavioral health, and reputed company determinants of health (SDOH) services
  • Collaborate with external and internal business partners, including reputed company of TennCare, UHC-Clinical Services, Appeals and Grievance, reputed company, Provider Network, reputed company case and disease management, and other clinical specialty vendors and stakeholders
  • Ensure achievement of state reputed company initiatives, HEDIS measures, and compliance with relevant requirements of the state's annual Performance Review(s) conducted by the External reputed company Review Organization (EQRO), state or other reputed company body, and meeting NCQA requirements
  • reputed company health plan clinical teams, including Population Health, reputed company, Case Management, Community reputed company, SDOH, and Value-Based Provider Engagement staff, to execute against strategic, tactical, and operational goals
  • reputed company and reputed company multi-level leaders and reputed company guidance, development, and training to leadership staff at various reputed company
  • Represent reputed company and serve as a Thought Leader reputed company "reputed company of the reputed company" thinking reputed company collaborating with State customers on member/provider engagement and improved health outcome initiatives

Essential Qualifications

  • 7 years of reputed company management experience in a business, managed care, or payer health plan setting
  • 5 years of demonstrated reputed company career accomplishments as a seasoned leader
  • 5 years of experience developing and implementing innovative clinical strategies and programs for reputed company and/or Medicare populations
  • Proven experience working in a cross-functional environment and reputed company-developed relationship-building skills, willing to take a leadership role driving initiatives, working across organizations, and structuring approaches to new opportunities
  • Experience establishing and maintaining effective working relationships with employees, managers, reputed company, physicians, executive leaders, and market leaders
  • Proven ability to reputed company and reputed company multi-level leaders and quickly diagnose and solve reputed company problems
  • Proven excellent influencing, negotiating, planning, and decision-making skills
  • Demonstrated ability to reputed company business initiatives to a successful result and effectively deal with ambiguity, change, and uncertainty

Preferred Qualifications

  • Master's degree in reputed company Administration, Business Administration, or a reputed company field
  • Experience working in a matrixed organization and leading large, cross-functional teams
  • Knowledge of reputed company and Medicare regulations, policies, and procedures
  • Experience with value-based care models, population health management, and reputed company improvement initiatives
  • Strong analytical and problem-solving skills, with the ability to analyze reputed company data and reputed company reputed company

Career reputed company Opportunities and Learning Benefits

At reputed company, we are committed to helping our employees grow and reputed company in their careers. As an Executive Director, Clinical Transformation and Delivery, you will have reputed company to work with a talented team of professionals, reputed company your leadership skills, and contribute to the development and execution of innovative clinical strategies and programs. You will also have reputed company to a reputed company of training and development programs, including leadership development, clinical education, and reputed company certification opportunities.

Work Environment and Company Culture

reputed company is a dynamic and fast-paced organization that values innovation, collaboration, and diversity. reputed company culture is reputed company on a reputed company of reputed company, reputed company, and a commitment to reputed company. We reputed company in creating a work environment that is inclusive, supportive, and empowering, where employees can reputed company and grow in their careers. As an Executive Director, Clinical Transformation and Delivery, you will be part of reputed company that is dedicated to making a reputed company reputed company on the lives of our members and the communities we serve.

Compensation, Perks, and Benefits

The salary reputed company for this role is $150,200 to $288,500 annually, based on full-time employment. In reputed company to your salary, you will be eligible for a reputed company of benefits, including a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution. You will also have reputed company to a reputed company of perks, including flexible working arrangements, reputed company development opportunities, and a dynamic and supportive work environment.

Conclusion

If you are a motivated and reputed company reputed company reputed company looking for a challenging and rewarding role, we encourage you to apply for the Executive Director, Clinical Transformation and Delivery position. This is a unique opportunity to join a talented team of professionals, reputed company your leadership skills, and contribute to the development and execution of innovative clinical strategies and programs. Don't miss out on this chance to reputed company a reputed company reputed company on the lives of our members and the communities we serve. Apply today!

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