SVP, Clinical Quality & Population Health
- Role
- Operations
- Experience
- C-Level
- Employment
- Full-time
Open to US only. Set where you work from to check your eligibility.
No BS summary
Executive healthcare quality leader with 10+ years in clinical quality, population health, clinical operations, or clinical-program management. Must have a BSN, deep Medicare Star Ratings/HEDIS/CAHPS/value-based care experience, and be willing to travel moderately to Matter Health locations including Nashville and Memphis.
About Matter Health
Matter Health delivers primary and preventive healthcare directly to older adults living in affordable housing communities. Our mission is simple: to improve healthcare access by meeting patients where they are and building trusted relationships within the communities we serve. As we rapidly expand across the country, we are building a team of mission-driven professionals who thrive in fast-paced, collaborative environments.
Total Healthcare. Where you live.
About the Role
Matter Health is seeking a Senior Vice President, Clinical Quality & Population Health to lead the enterprise functions that drive clinical quality, population-health outcomes, value-based performance, and operational excellence across our patient populations.
Reporting to the Chief Medical Officer, this executive will lead a multidisciplinary team with accountability across Medicare Star Ratings and quality performance, clinical programs, clinical operations, coding and clinical documentation, risk adjustment, and provider credentialing.
This leader will serve as a dyad partner to the SVP of Operations, helping ensure that Matter Health’s clinical and operational strategies remain aligned and mutually reinforcing. The SVP will also serve as a key liaison to the Chief Medical Officer’s Clinical Affairs function and represent Quality and Clinical Programs in executive discussions, payer relationships, board reporting, and regulatory interactions.
This is both a strategic and execution-focused leadership position. The ideal candidate will bring deep experience in Medicare Star Ratings, HEDIS, CAHPS, value-based care, and enterprise clinical-quality leadership. They will be equally comfortable establishing strategy, developing leaders, working across functions, resolving operational barriers, and maintaining accountability for measurable results.
Responsibilities
- Own Matter Health’s enterprise Medicare Star Ratings strategy and execution
- Drive performance improvement across applicable HEDIS, CAHPS, and Medicare Part D measures
- Build and sustain a culture of continuous quality improvement across clinical and operational functions
- Translate quality, clinical, claims, and operational data into targeted interventions and measurable performance improvements
- Partner with payers and internal stakeholders to identify care gaps, prioritize initiatives, establish accountability, and monitor outcomes
- Oversee clinical-quality programs aligned with CMS frameworks, NCQA standards, regulatory requirements, and value-based contracts
- Lead the design, implementation, governance, and scaling of evidence-based clinical and population-health programs
- Ensure clinical programs are patient-centered, operationally viable, measurable, and integrated across care settings
- Provide executive oversight of clinical operations to support efficient, compliant, and patient-centered care delivery
- Partner with clinical, operational, and administrative leaders to identify and resolve workflow barriers affecting performance
- Align clinical operations with value-based care targets and regulatory requirements
- Oversee clinical documentation improvement, coding accuracy, and compliant risk-adjustment programs
- Strengthen collaboration across clinical, coding, compliance, and finance teams to support accurate RAF and HCC capture
- Oversee provider credentialing and ensure processes meet regulatory standards while supporting a timely provider-onboarding experience
- Establish appropriate governance, reporting, monitoring, auditing, and corrective-action processes
- Support readiness for payer reviews, regulatory surveys, and applicable accreditation activities
- Serve as a dyad partner to the SVP of Operations and share accountability across interconnected clinical and operational priorities
- Represent quality and clinical programs in leadership forums, board reporting, payer meetings, and regulatory interactions
- Build, coach, and develop a high-performing multidisciplinary team
- Model Matter Health’s values of Empathy, Trust, Tenacity, Teamwork, and Curiosity
Qualifications
- Bachelor of Science in Nursing required
- 10 or more years of progressive leadership experience in clinical quality, population health, clinical operations, clinical-program management, or a related healthcare function
- Significant leadership experience within a large health plan, health system, hospital, multisite medical group, or value-based healthcare organization
- Demonstrated experience owning or leading an enterprise Medicare Star Ratings or comparable clinical-quality program
- Deep expertise in HEDIS and CAHPS performance and applicable CMS quality requirements
- Proven leadership experience in a value-based care environment, such as Medicare Advantage, an Accountable Care Organization, or another risk-bearing provider organization
- Experience leading multidisciplinary teams and managing leaders or specialized subject-matter experts
- Demonstrated ability to translate clinical-quality strategy into coordinated execution and measurable outcomes
- Experience designing, implementing, governing, or scaling clinical and population-health programs
- Experience using quality dashboards, claims data, clinical analytics, and value-based performance reporting
- Knowledge of clinical documentation improvement, coding accuracy, RAF, HCC capture, and risk adjustment
- Strong executive communication, relationship-building, and stakeholder-management skills
- Ability to influence across clinical, operational, financial, compliance, and administrative functions
- Demonstrated ability to operate strategically while remaining closely engaged in execution
- Ability and willingness to travel moderately to Matter Health locations and markets, including Nashville and Memphis
Preferred Qualifications
- Master’s degree in Healthcare Administration, Public Health, Nursing, Business Administration, or a related field
- Active clinical licensure, such as Registered Nurse, Nurse Practitioner, or an equivalent clinical credential
- Experience overseeing provider credentialing and provider-onboarding functions
- Experience supporting NCQA or URAC accreditation
- Experience preparing for regulatory surveys, payer reviews, or external audits
- Experience leading quality and clinical functions across multiple locations or geographically distributed teams
- Experience operating within a rapidly growing or transforming healthcare organization
- Experience serving in a dyad or shared-accountability leadership model
- Experience presenting quality and clinical-performance information to boards, payers, regulators, or executive leadership teams
What Success Looks Like
- Establishing a clear, prioritized, and accountable enterprise strategy for clinical quality and population health
- Strengthening Matter Health’s performance across Medicare Star Ratings, HEDIS, CAHPS, and applicable Part D measures
- Translating quality and clinical data into interventions that improve patient and organizational outcomes
- Building scalable clinical programs and quality infrastructure that support Matter Health’s continued growth
- Improving alignment and shared accountability across clinical and operational functions
- Strengthening clinical documentation, coding accuracy, compliant risk adjustment, and provider credentialing
- Developing a high-performing multidisciplinary team of leaders and subject-matter experts
- Establishing effective governance, reporting, and performance-management practices
- Building trusted relationships with executives, clinicians, operational leaders, payers, and other stakeholders
- Serving as both a strategic enterprise leader and an execution-focused partner who produces measurable results
Work Location
This is a remote position with moderate travel to Matter Health locations and markets, including Nashville and Memphis.
Candidates located near Nashville are welcome to work from Matter Health’s Nashville office when desired. Travel requirements will vary based on organizational, leadership, clinical, and operational needs.
Why Matter Health
We believe where someone lives should never determine the healthcare they receive. Every team member at Matter Health plays an important role in expanding healthcare access for older adults living in affordable housing communities.
In this position, you will shape how Matter Health approaches clinical quality, population health, value-based performance, and the programs that support better patient outcomes. Your leadership will help build the clinical and operational infrastructure required to deliver consistent, high-quality, relationship-based care as the organization grows.
If you are a strategic and execution-focused healthcare leader who is energized by improving quality, developing teams, strengthening clinical programs, and turning complex performance data into meaningful results, we want to meet you.
Total Healthcare. Where you live.
Working at Matter Health
Full-time team member benefits begin the first of the month following your start date.
Health & Wellness
- Medical, dental, and vision coverage
- Employer-funded HSA options
- Employer-paid life and disability insurance
- Voluntary illness, accident, and hospitalization coverage
- Access to Matter Health’s in-person and virtual care services
Financial Security
- Competitive compensation
- 401(k) with company match beginning at Day 60
- Access to financial-wellness resources
Time Away
- Up to four weeks of Paid Time Off
- 10 paid company holidays
- Two volunteer days annually
Equal Opportunity Employer
Matter Health is an equal opportunity employer committed to building a diverse and inclusive workplace. We welcome applicants from all backgrounds and experiences and are dedicated to creating an environment where every team member feels valued, respected, and supported.
What you'll do
- Own Matter Health’s enterprise Medicare Star Ratings strategy and execution
- Drive performance improvement across applicable HEDIS, CAHPS, and Medicare Part D measures
- Build and sustain a culture of continuous quality improvement across clinical and operational functions
- Translate quality, clinical, claims, and operational data into targeted interventions and measurable performance improvements
- Partner with payers and internal stakeholders to identify care gaps, prioritize initiatives, establish accountability, and monitor outcomes
- Oversee clinical-quality programs aligned with CMS frameworks, NCQA standards, regulatory requirements, and value-based contracts
- Lead the design, implementation, governance, and scaling of evidence-based clinical and population-health programs
- Ensure clinical programs are patient-centered, operationally viable, measurable, and integrated across care settings
- Provide executive oversight of clinical operations to support efficient, compliant, and patient-centered care delivery
- Partner with clinical, operational, and administrative leaders to identify and resolve workflow barriers affecting performance
- Align clinical operations with value-based care targets and regulatory requirements
- Oversee clinical documentation improvement, coding accuracy, and compliant risk-adjustment programs
- Strengthen collaboration across clinical, coding, compliance, and finance teams to support accurate RAF and HCC capture
- Oversee provider credentialing and ensure processes meet regulatory standards while supporting a timely provider-onboarding experience
- Establish appropriate governance, reporting, monitoring, auditing, and corrective-action processes
- Support readiness for payer reviews, regulatory surveys, and applicable accreditation activities
- Serve as a dyad partner to the SVP of Operations and share accountability across interconnected clinical and operational priorities
- Represent quality and clinical programs in leadership forums, board reporting, payer meetings, and regulatory interactions
- Build, coach, and develop a high-performing multidisciplinary team
- Model Matter Health’s values of Empathy, Trust, Tenacity, Teamwork, and Curiosity
What they require
- Bachelor of Science in Nursing required
- 10 or more years of progressive leadership experience in clinical quality, population health, clinical operations, clinical-program management, or a related healthcare function
- Significant leadership experience within a large health plan, health system, hospital, multisite medical group, or value-based healthcare organization
- Demonstrated experience owning or leading an enterprise Medicare Star Ratings or comparable clinical-quality program
- Deep expertise in HEDIS and CAHPS performance and applicable CMS quality requirements
- Proven leadership experience in a value-based care environment, such as Medicare Advantage, an Accountable Care Organization, or another risk-bearing provider organization
- Experience leading multidisciplinary teams and managing leaders or specialized subject-matter experts
- Demonstrated ability to translate clinical-quality strategy into coordinated execution and measurable outcomes
- Experience designing, implementing, governing, or scaling clinical and population-health programs
- Experience using quality dashboards, claims data, clinical analytics, and value-based performance reporting
- Knowledge of clinical documentation improvement, coding accuracy, RAF, HCC capture, and risk adjustment
- Strong executive communication, relationship-building, and stakeholder-management skills
- Ability to influence across clinical, operational, financial, compliance, and administrative functions
- Demonstrated ability to operate strategically while remaining closely engaged in execution
- Ability and willingness to travel moderately to Matter Health locations and markets, including Nashville and Memphis
- Preferred: Master’s degree in Healthcare Administration, Public Health, Nursing, Business Administration, or a related field
- Preferred: Active clinical licensure, such as Registered Nurse, Nurse Practitioner, or an equivalent clinical credential
- Preferred: Experience overseeing provider credentialing and provider-onboarding functions
- Preferred: Experience supporting NCQA or URAC accreditation
- Preferred: Experience preparing for regulatory surveys, payer reviews, or external audits
- Preferred: Experience leading quality and clinical functions across multiple locations or geographically distributed teams
- Preferred: Experience operating within a rapidly growing or transforming healthcare organization
- Preferred: Experience serving in a dyad or shared-accountability leadership model
- Preferred: Experience presenting quality and clinical-performance information to boards, payers, regulators, or executive leadership teams
Benefits
- Every team member at Matter Health plays an important role in expanding healthcare access for older adults living in affordable housing communities.
- In this position, you will shape how Matter Health approaches clinical quality, population health, value-based performance, and the programs that support better patient outcomes.
- Your leadership will help build the clinical and operational infrastructure required to deliver consistent, high-quality, relationship-based care as the organization grows.
- Full-time team member benefits begin the first of the month following your start date.
- Medical, dental, and vision coverage
- Employer-funded HSA options
- Employer-paid life and disability insurance
- Voluntary illness, accident, and hospitalization coverage
- Access to Matter Health’s in-person and virtual care services
- Competitive compensation
- 401(k) with company match beginning at Day 60
- Access to financial-wellness resources
- Up to four weeks of Paid Time Off
- 10 paid company holidays
- Two volunteer days annually
Matter Health is a value-based primary care organization dedicated to enhancing healthcare access for older adults living in affordable housing communities. By bringing primary and preventive care directly to where members reside, it removes barriers to care and establishes trusted relationships that lead to better health outcomes and improved quality of life.