VP, Medical Affairs
625 State St, Schenectady, NY 12305, USA ? Tarrytown, NY, USA ? Virtual Req #2694
Thursday, July 24, 2025
At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Vice President, Medical Affairs to join #TeamMVP.
What's in it for you:
Growth opportunities to uplevel your career
A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
Competitive compensation and comprehensive benefits focused on well-being
An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District , one of the Best Companies to Work For in New York , and an Inclusive Workplace .
Qualifications you'll bring:
Medical Degree (MD/DO)with an active, unrestricted medical license.
A minimum of 10 years of experience in medical management, with at least 5 years in a senior leadership role, preferably within a health insurance or managed care organization.
Deep expertise in utilization management, care transitions, and quality improvement programs.
Comprehensive knowledge of healthcare regulations, including NCQA, URAC, CMS, and state-specific requirements.
Proven track record of developing and implementing clinical policies, protocols, and evidence-based care guidelines.
Strong aptitude for data-driven decision-making, with experience leveraging analytics to improve utilization, quality, and cost outcomes.
Exceptional leadership and team-building skills, with a focus on driving engagement, accountability, and results.
Outstanding communication and interpersonal skills, with the ability to work collaboratively across diverse teams and with external stakeholders.
Familiarity with advanced medical management software and emerging technologies in healthcare innovation.
Curiosity to foster innovation and pave the way for growth
Humility to play as a team
Commitment to being the difference for our customers in every interaction
Your key responsibilities:
As the VP, Medical Affairs, you will:
Strategic Leadership
Provide visionary leadership to the Medical Management team, aligning efforts with the company's mission, vision, and strategic priorities.
Develop and execute comprehensive medical strategies that enhance utilization management, care management, transitions of care, and quality improvement programs.
Serve as a trusted advisor to executive leadership, offering insights and recommendations on medical management trends and best practices.
Utilization Management
Oversee and refine the utilization management process to ensure the appropriate, cost-effective use of medical resources while maintaining the highest standards of patient care.
Evaluate clinical programs and protocols to identify opportunities for reducing unnecessary and low-value healthcare utilization without compromising quality.
Collaborate with data analytics teams to monitor utilization trends, identify variances, and implement corrective actions.
Transitions of Care
Lead initiatives that improve transitions of care, ensuring seamless care coordination across different settings (e.g., hospital to home, skilled nursing facilities, or outpatient care).
Partner with internal teams and external providers to develop protocols that reduce readmission rates and improve care continuity.
Design and evaluate programs that support members in navigating complex healthcare journeys, focusing on patient-centric solutions.
Quality and Regulatory Oversight
Establish and monitor key performance indicators (KPIs) for quality of care, patient safety, and clinical outcomes.
Ensure compliance with all applicable healthcare regulations, accreditation requirements, and organizational policies.
Promote a culture of continuous quality improvement by fostering innovation and accountability within the Medical Management team.
Cross-Functional Support
Collaborate with the sales team to support business development efforts by providing medical expertise and insights into clinical programs that align with client needs.
Partner with the network management team to ensure alignment of clinical strategies with provider relationships and contracting initiatives.
Oversee clinical delegated vendor performance, ensuring compliance with contractual and regulatory requirements while maintaining high standards of care.
Provide oversight of the credentialing process, ensuring timely and accurate credentialing of healthcare providers in compliance with regulatory and accreditation standards.
Actively participate in internal and external committees, contributing to organizational decision-making and representing the company in discussions with key stakeholders.
Stakeholder Engagement
Build and maintain productive relationships with healthcare providers, regulatory agencies, payors, and internal departments to drive alignment and collaboration.
Represent the organization at industry conferences, forums, and external engagements to showcase thought leadership and strengthen the company's reputation.
Team Development and Financial Management
Mentor and develop a high-performing, multidisciplinary medical affairs team, fostering an environment of professional growth and collaboration.
Oversee departmental budgeting and resource allocation to meet financial objectives while maintaining operational excellence.
Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.
Where you'll be:
Virtual
Pay Transparency
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.
We do not request current or historical salary information from candidates.
MVP's Inclusion Statement
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.
MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.
To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at [email protected] .
Other details
Job Family Executive
Pay Type Salary
Min Hiring Rate $312,000.00
Max Hiring Rate $390,000.00
625 State St, Schenectady, NY 12305, USA
Tarrytown, NY, USA
Virtual
