Vice President Clinical Operations-Alight Leave Solutions

About the Role The Vice President Clinical Operations is senior clinical leader overseeing absence, disability, and leave management services. They ensure clinical quality, rigorous medical decisions, integration of expertise into claims operations, and collaborate with Operations, Sales, and Clients to enhance employee outcomes and drive business growth. Responsibilities Act as lead clinical expert for leave and disability case management, ensuring accurate claim decisions and effective return‑to‑work plans. Provide expert clinical consultation on complex, high‑risk, or escalated cases. Oversee clinical quality programs, including audits, peer reviews, nurse over‑reads, and retrospective reviews to ensure consistency and best practices. Lead and facilitate regular clinical roundtables guiding case strategy, functional capacity assessment, and care planning. Manage and evaluate physician consultants and senior clinical staff (RNs), overseeing recruitment, credentialing, performance, and quality of physician reviewers, IME providers, and peer review vendors. Review peer review productivity, quality, and compensation for appropriateness. Lead clinical credentialing meetings and ensure adherence to licensure and certification requirements. Design and deliver ongoing clinical training for case managers, nurses, and physician consultants. Provide guidance and training for sensitive situations, including threats to self or others. Oversee development of clinical content, including LOA guides, disability reference materials, attending physician forms, and onboarding curricula. Lead continuing medical education initiatives and external clinical lecture programs. Support client relationship management through participation in quarterly and annual reviews. Provide clinical expertise during finalist meetings, RFPs, and sales presentations. Develop and present materials articulating the clinical model, peer review approach, and value proposition. Perform targeted clinical data analysis to help clients understand trends, outcomes, and opportunities for improvement. Provide clinical input into technology platforms, diagnostic coding, vendor integrations, and clinical thought design. Design and review reports, metrics, and analytics demonstrating clinical outcomes, ROI, productivity, and quality. Requirements MD, DO, or equivalent doctoral degree in a healthcare field. Active clinical licensure and board certification. 5+ years of leadership experience in disability, leave, or absence management. Compelling communication, presentation, and analytical skills. Extensive experience with clinical auditing, quality programs, and interdisciplinary teams. Demonstrated promotion of diversity, collaboration, and a global mindset across clinical teams. Subject matter expert who has served as trusted advisor to senior leadership on clinical risk, strategy, and performance. Alignment with company strategy, policies, and ethics. Salary Pay Range Minimum: $203,500.00 USD Maximum: $240,000.00 USD Equal Opportunity Policy Statement Alight is an Equal Employment Opportunity employer and does not discriminate against anyone based on sex, race, color, religion, creed, national origin, ancestry, age, physical or mental disability, medical condition, pregnancy, marital or domestic partner status, citizenship, military or veteran status, sexual orientation, gender, gender identity or expression, genetic information, or any other legally protected characteristics or conduct covered by federal, state, or local law. In addition, we take affirmative action to employ disabled persons, disabled veterans, and other covered veterans. Alight provides reasonable accommodations to the known limitations of otherwise qualified employees and applicants for employment with disabilities and sincerely held religious beliefs, practices and observances, unless doing so would result in undue hardship. Applicants for employment may request reasonable accommodations/modifications by contacting their recruiter. #J-18808-Ljbffr Alight Solutions