VP, Clinical Operations

Sedgwick

1d • $127,000 - $178,000 • Hybrid

About The Position

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance

VP, Clinical Operations

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?
Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.
Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
Enjoy flexibility and autonomy in your daily work, your location, and your career path.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

Requirements

• Bachelor's degree in health-related field or equivalent work experience preferred.
• Current unrestricted clinical license required.
• Certification in case management, rehabilitation nursing or a related specialty OR board certification required.
• Ten (10) years of related experience or equivalent combination of education and experience required to include five (5) years of medical case management, three (3) years of clinical quality control, and three (3) years of supervisory experience.

Responsibilities

• Manage program design, product portfolio, service delivery, customer satisfaction, renewal and profitability of specific national, regional, or otherwise assigned accounts ensuring efficient, cost effective, and high quality delivery of clinical services to clients such as Home Health, Post Acute and Physical Therapy.
• Plans for staffing needs including succession, bench-strength, and new business.
• Establishes business plan with goals and objectives for the area and locations/offices.
• Establishes policy and procedures to assure compliance to best practices, clinical operations service standards, state regulations, and client service requirements.
• Establishes and advances physical therapy clinical standards, best practices, treatment guidance, documentation expectations, and quality priorities to support consistent, defensible, and high-value clinical recommendations.
• Develops and implements annual budget and manages expenses within established budgetary guidelines.
• Assures efficient, cost effective, quality program delivery for medical and disability management.
• Responsible for clinical oversight of dedicated units.
• Provides client-facing clinical support for physical therapy program reviews, escalations, strategic discussions, and consultative conversations related to outcomes, utilization, treatment quality, and program value.
• Collaborates with Claims, Clinical Strategy leaders, Operations, Product, Network, Compliance, Finance, and Analytics partners to align physical therapy services with broader business priorities and integrated service models.
• Leverages clinical, operational, and outcomes data to identify trends, guide strategy, support program refinement, and recommend enhancements that improve effectiveness, consistency, and client impact.
• Develops training materials to meet training needs.
• Manages department's case management and utilization review directors, managers and supervisors, and units nationally. Promotes a culture of continuous improvement, collaboration, accountability, and evidence-based practice across the physical therapy clinical team.
• Partners with Clinical Business Operations and other operational leaders to ensure clinical standards are effectively supported within workflows, service expectations, process design, and quality improvement efforts.
• Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
• Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.
• Provides support, guidance, leadership and motivation to promote maximum performance.

Benefits

• Flexible work schedule.
• Referral incentive program.
• Opportunity to work in an agile environment.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
• medical, dental vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

What This Job Offers

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