VP Clinical Consulting & Advocacy

Alera Group•UNAVAILABLE, UNAVAILABLE

7d•Remote

About The Position

At Alera Group, we help employers build healthier, more engaged workforces while navigating the growing complexity of healthcare and benefits strategy. We are seeking a Vice President, Clinical Consulting & Advocacy to serve as a clinical advisor within Alera Group’s Health Analytics practice, helping employer clients better understand healthcare cost drivers, claims trends, and opportunities to improve outcomes while managing costs. This unique role blends clinical expertise, healthcare analytics, and client consulting, requiring a strong clinical foundation along with the ability to translate complex healthcare information into clear, actionable business recommendations. The ideal candidate is a collaborative clinician who is comfortable reviewing high-cost claims activity, partnering with carriers and vendors, and presenting findings and strategic recommendations to employer leadership teams. About Alera Group Founded in 2017, Alera Group has grown to become the 14th largest broker of U.S. business. We are passionate about our clients’ success in Employee Benefits, Property & Casualty Insurance, Retirement Plan Services, and Wealth Services. With offices nationwide, our collaborative approach allows us to deliver national strength with local service. Why Alera Group Meaningful Impact Your work helps employers improve healthcare outcomes, reduce costs, and create better experiences for employees and their families. Growth & Learning You’ll help shape the future of clinical consulting within a rapidly growing national organization while expanding your expertise across emerging healthcare strategies and innovations. Collaborative Culture We believe the best solutions come from partnership, shared expertise, and collaboration across disciplines, teams, and markets.

Requirements

Active U.S. clinical licensure required (Registered Nurse (RN) minimum; advanced clinical licensure such as Nurse Practitioner (NP), Family Nurse Practitioner (FNP), or Physician Assistant (PA) strongly preferred)
5+ years of clinical experience, including direct patient care, case management, utilization review, payer-side clinical operations, clinical consulting, or related healthcare experience
Experience interpreting healthcare claims, utilization trends, clinical data, or population health analytics to develop strategic recommendations
Strong communication and presentation skills, with the ability to translate complex clinical information into clear, actionable recommendations for executive and non-clinical audiences
Ability to work independently while managing multiple priorities in a fast-paced, highly collaborative environment
Strong problem-solving, analytical thinking, and sound clinical judgment
High degree of professionalism, emotional intelligence, collaboration, and client focus

Nice To Haves

Experience within employee benefits, self-funded health plans, health insurance carriers, TPAs, stop loss environments, or broader payer-side healthcare operations
Experience consulting with employers on healthcare cost management, population health strategy, employee wellbeing, or clinical program development
Experience reviewing high-cost claimant activity, utilization trends, cost-containment opportunities, or claims optimization strategies
Experience supporting captives, MEWAs, onsite clinics, health coaching initiatives, or alternative healthcare delivery models
Background in healthcare consulting, population health, care management, payer/provider strategy, or employer health management
Familiarity with digital health solutions, clinical innovation, virtual care, or healthcare point-solution evaluation
Experience presenting to executive leadership teams, employer clients, or industry audiences

Responsibilities

Serve as a trusted clinical advisor to employer clients, helping them better understand healthcare cost drivers, claims trends, and opportunities to improve outcomes while managing costs
Review and interpret clinical and healthcare claims data, including high-cost claimant activity, utilization trends, and potential cost-containment opportunities
Develop and implement analytics-driven clinical strategies that support improved health outcomes, employee engagement, and cost management
Translate complex clinical information into clear, actionable recommendations for employer leadership teams
Serve as a clinical resource for client engagements and broader strategic consulting initiatives
Conduct assessments of carriers, vendors, digital health solutions, and clinical point solutions
Provide leadership, mentorship, and collaborative guidance to clinical consultants, advocates, analysts, and internal partners
Partner cross-functionally with health analytics, benefits consulting, and client service teams to deliver impactful client solutions
Foster a highly collaborative environment that encourages knowledge sharing, innovation, and continuous improvement
Support the development of clinical consulting methodologies, tools, and best practices
Support initiatives involving worksite clinics, health coaching, captives, MEWAs, and alternative healthcare delivery models
Develop expertise in emerging healthcare solutions, including virtual care, oncology management, primary care innovation, specialty care strategies, and centers of excellence
Stay current on healthcare trends, regulatory developments, claims innovation, and market best practices
Participate in RFPs, prospect conversations, and strategic business development initiatives
Present clinical insights, recommendations, and healthcare strategies to employer leadership teams, executive stakeholders, and industry audiences
Support thought leadership efforts through white papers, presentations, FAQs, educational content, and market-facing resources
Represent Alera Group at client meetings, industry conferences, and relevant events