VP, Clinical Operations

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.

PRIMARY PURPOSE OF THE ROLE

To 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.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

Plans for staffing needs including successsion, 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.

SUPERVISORY RESPONSIBILITIES

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.

QUALIFICATIONS

Education & Licensing - 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. Experience - 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.

TAKING CARE OF YOU

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.

WORK ENVIRONMENT REQUIREMENTS INCLUDE

When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $127,000.00 - $178,000.00/year. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com #J-18808-Ljbffr Sedgwick