Vice President Clinical Operations-Alight Leave Solutions

The Vice President Clinical Operations is the senior clinical leader overseeing absence, disability, and leave management services. They ensure clinical quality, rigorous medical decisions, and integration of expertise into claims operations. Collaborating with Operations, Sales, and Clients to enhance employee outcomes and drive business growth.

Responsibilities

• Acting as the lead clinical expert for leave and disability case management, ensuring accurate claim decisions and effective return-to-work plans.
• Providing expert clinical consultation on complex, high risk, or escalated
• Overseeing clinical quality programs, including audits, peer reviews, nurse over reads, and retrospective reviews to ensure consistency and best practices.
• Leading and facilitating regular clinical roundtables to guide case strategy, functional capacity assessment, and care planning.
• Managing and evaluating physician consultants and senior clinical staff (RNs). Overseeing recruitment, credentialing, performance, and quality of physician reviewers, IME providers, and peer review vendors. Reviewing peer review productivity, quality, and compensation for appropriateness.
• Leading clinical credentialing meetings and ensure adherence to licensure and certification requirements.
• Designing and delivering ongoing clinical training for case managers, nurses, and physician consultants. Providing guidance and training for sensitive situations, including threats to self or others.
• Overseeing development of clinical content, including LOA guides, disability reference materials, attending physician forms, and onboarding curricula. Leading continuing medical education initiatives and external clinical lecture programs.
• Supporting client relationship management through participation in quarterly and annual reviews.
• Providing clinical expertise during finalist meetings, RFPs, and sales presentations.
• Developing and presenting materials that articulate the clinical model, peer review approach, and value proposition. Performing targeted clinical data analysis to help clients understand trends, outcomes, and opportunities for improvement.
• Providing clinical input into technology platforms, diagnostic coding, vendor integrations, and clinical thought design. Designing and reviewing reports, metrics, and analytics demonstrating clinical outcomes, ROI, productivity, and quality.

Requirements

• Have MD, DO, or equivalent doctoral degree in a healthcare field.
• Possess active clinical licensure, board certification.
• 5+ years of leadership experience in disability, leave, or absence management.
• Display compelling communication, presentation, and analytical skills.
• Have extensive experience with clinical auditing, quality programs, and interdisciplinary teams.
• Demonstrate promoting diversity, collaboration, and a global mindset across clinical teams.
• Be a subject matter expert who has served as a trusted advisor to senior leadership on clinical risk, strategy, and performance.
• Align with company strategy, policies, and ethics.

Application and Interview

By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight’s employment policies. Background checks may include some or all the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test. You will be notified during the hiring process which checks are required by the position.

Alight requires all virtual interviews to be conducted on video. 

Our commitment to Inclusion

We celebrate differences and believe in fostering an environment where everyone feels valued, respected, and supported. We know that diverse teams are stronger, more innovative, and more successful.

At Alight, we welcome and embrace all individuals, regardless of their background, and are dedicated to creating a culture that enables every employee to thrive. Join us in building a brighter, more inclusive future.

As part of this commitment, Alight will ensure that persons with disabilities are provided reasonable accommodations for the hiring process. If reasonable accommodation is needed, please contact [email protected].

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.

Authorization to work in the Employing Country

Applicants for employment in the country in which they are applying (Employing Country) must have work authorization that does not, now or in the future, require sponsorship of a visa for employment authorization in the Employing Country and with Alight.

Note, this job description does not restrict management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units.

We offer you a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization.

Salary Pay Range

Minimum :

203,500.00 USD

Maximum :

240,000.00 USD

Pay Transparency Statement: Alight considers a variety of factors in determining whether to extend an offer of employment and in setting the appropriate compensation level, including, but not limited to, a candidate’s experience, education, certification/credentials, market data, internal equity, and geography. Alight makes these decisions on an individualized, non-discriminatory basis. Bonus and/or incentive eligibility are determined by role and level. Alight also offers a comprehensive benefits package; for specific details on our benefits package, please visit: Wellbeing and Benefits Selector Page - Alight

DISCLAIMER:

Nothing in this job description restricts management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units.

Alight Solutions provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, pregnancy, childbirth or related medical condition, veteran, marital, parental, citizenship, or domestic partner status, or any other status protected by applicable national, federal, state or local law. Alight Solutions is committed to a diverse workforce and is an affirmative action employer.