SVP, Clinical Quality & Population Health

Matter Health • Nashville, TN

14h • Remote

About The Position

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. The ideal candidate will bring deep experience in Medicare Star Ratings, HEDIS, CAHPS, value-based care, and enterprise clinical-quality leadership. They will be equally comfortable establishing strategy, developing leaders, working across functions, resolving operational barriers, and maintaining accountability for measurable results.

Requirements

• 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

Nice To Haves

• 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

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

Benefits

• 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
• Competitive compensation
• 401(k) with company match beginning at Day 60
• Access to financial-wellness resources
• Up to four weeks of Paid Time Off
• 10 paid company holidays
• Two volunteer days annually

What This Job Offers

• Job Type: Full-time
• Career Level: Executive