Clinical Integrity Director
Core
Operational leader managing clinical integrity governance, product testing, implementation readiness, and cross-functional coordination for a technology-enabled clinical intelligence platform.
Role type
Senior program-level operational leader (Clinical Integrity Director)
Builds
Clinical intelligence platform and agentic AI-powered solutions for health plans and providers
Domain
Healthcare technology / Utilization Management / AI-enabled clinical workflows
Deliverable
production ML models | product features | dashboards & analysis
Required skills
Utilization Management expertise, clinical program management, cross-functional project leadership, regulatory compliance knowledge, clinical UAT management, stakeholder accountability
Preferred skills
Master's in Healthcare/Business Administration, Lean/Six Sigma/Agile/PMP, experience with InterQual/MCG, AI-enabled clinical workflows
Technologies
Cohere Validate, AI-driven clinical validation tools, clinical intelligence platforms
Responsibilities
Own clinical integrity governance programs (reviews, documentation, frameworks, dashboards); Manage clinical impact assessments for policy/product changes; Own clinical requirements pipeline for Product/Engineering; Translate regulatory changes into product specifications; Manage operational readiness for releases/implementations; Lead clinical UAT process (testing, defect triage); Develop readiness scorecards; Serve as operational point of contact for Clinical Integrity; Prepare materials for RFPs/RFIs; Lead readiness activities for new client implementations.
Seniority
Senior, hands-on IC with program management