Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to Work®

Most Loved Workplace®

Forbes Best-in-State Employer

VP Clinical Operations

Join us in leading, advancing, and executing our clinical operations strategy.

Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.

Demonstrate Caring Counts ® by working towards the same shared goal of helping people in their time of need.

Experience a caring and inclusive culture that places a strong emphasis on drive, learning agility and promotions from within.

Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.

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 case management.

ESSENTIAL RESPONSIBLITIES

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.

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.

Develops training materials to meet training needs.

Manages department's case management and directors, managers and supervisors, and units nationally.

Oversees Quality Management program and Quality Improvements projects.

Coordinates service delivery between the company, partners, and vendors.

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.

Ability to travel nationwide as needed.

EDUCATION AND LICENSING

Bachelor's degree in health-related field or equivalent work experience preferred. Certification in case management, rehabilitation or occupational nursing or a related specialty preferred.

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 managed care experience, and three (3) years of supervisory experience.

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. Sedgwick retains the discretion to add or to change the duties of the position at any time.

TAKING CARE OF YOU

Offering flexibility and autonomy.

Supporting meaningful work that promotes critical thinking and problem solving.

Providing on-going learning and professional growth opportunities.

Promoting a strong team environment and a culture of support.

Recognizing your successes and celebrating your achievements.

We offer diverse and comprehensive benefits including medical, dental, vision, 401K, PTO, and more beginning your first day.

NEXT STEPS

If your application is selected to advance to the next round, a representative from Sedgwick will be in touch.

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. Sedgwick retains the discretion to add or to change the duties of the position at any time.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in certain jurisdictions. 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 state noted in this job posting only, the range of starting pay for this role is $127,000 - $178,000. 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.

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.