VP, Clinical Integrity

Vice President, Clinical Integrity

Department: Clinical Intelligence – Management

Location: Remote

FLSA Status: Exempt

People Leader: Yes

Travel: Less than 5%

Summary

Company Summary

Accuity partners with hospitals and health systems through a technology-enabled, physician-led model that improves clinical documentation integrity, coding accuracy, reimbursement optimization, and quality outcomes.

Job Summary

The Vice President, Clinical Integrity is a senior physician executive responsible for establishing and advancing Accuity’s clinical integrity strategy, governance framework, and clinical risk and compliance standards. Reporting to the Chief Medical Officer/Chief Medical Information Officer, this role provides enterprise leadership for the clinical accuracy, defensibility, consistency, and responsible use of Clinical Intelligence capabilities. The role also leads the Clinical Integrity escalation and disagreement function and provides consultative physician support to related cross-functional workflows.

The VP, Clinical Integrity sets standards, decision frameworks, and oversight practices that support clinically accurate and compliant outcomes across technology-enabled workflows, ensuring best practices and efficiency gains are realized. Key performance expectations include leading cross-functional efforts to reduce avoidable or recurrent internal and client disagreements by 50%, measured by both case count and dollar impact against agreed baselines; achieve 95% or higher compliance on applicable third-party and client audits; achieve 80% or higher actualization of high-value, compliant changes; and develop and implement best practices for contingency-fee clients that support the actualization of compliant changes. These goals must be pursued without compromising clinical accuracy, coding compliance, or appropriate escalation. Baselines, timeframes, attribution, and measurement methodologies will be established with executive leadership and the relevant functional owners.

This leader partners with Clinical Operations, Product, Analytics, Compliance, and client-facing teams to ensure clinical requirements are translated into scalable solutions, risks are appropriately managed, and performance remains aligned with clinical, regulatory, operational, and business expectations.

Qualifications

Education and Credentials

• Doctor of Medicine or Doctor of Osteopathic Medicine degree required.
• Current board certification in a recognized medical specialty required.
• Active, unrestricted medical license required.
• Formal training or certification in clinical informatics, healthcare quality, compliance, patient safety, or a related discipline preferred.

Experience

• 12+ years of progressive experience in physician leadership, clinical operations, clinical informatics, healthcare technology, or a related healthcare environment.
• Experience with clinical documentation integrity, coding, revenue cycle, or health-system workflows required.
• Executive-level experience leading multidisciplinary teams and complex, cross-functional clinical programs.
• Demonstrated success establishing clinical governance, quality, risk, or compliance frameworks.
• Experience translating clinical requirements into scalable operational, product, or technology standards.
• Experience with AI-enabled healthcare solutions, data-driven clinical tools, or clinical decision support preferred.

Core Competencies

• Executive Clinical Leadership: Provides credible, enterprise-level clinical guidance and influences decisions across functions.
• Clinical Judgment: Applies sound physician judgment to complex questions involving documentation, evidence, ambiguity, and clinical risk.
• Governance: Establishes clear standards, decision rights, controls, and accountability mechanisms.
• Risk and Compliance Orientation: Anticipates clinical and regulatory risks and develops practical approaches to manage them.
• Strategic Thinking: Connects clinical priorities to organizational strategy, client needs, technology direction, and business outcomes.
• Decision-Making: Makes timely, well-reasoned decisions and clearly communicates the basis, implications, and required actions.
• Cross-Functional Leadership: Builds alignment across clinical, operational, technical, compliance, and commercial teams.
• Communication: Communicates complex clinical and technical matters clearly to executive, professional, and client audiences.
• Stakeholder Management: Develops trusted relationships and balances competing priorities while protecting clinical integrity.
• Change Leadership: Guides teams through evolving technology, workflows, standards, and organizational expectations.
• People Leadership: Sets direction, develops talent, manages performance, and builds sustainable team capability.
• Execution Discipline: Converts strategy into priorities, governance practices, measurable outcomes, and consistent follow-through.
• Remote-Work Effectiveness: Leads with visibility, responsiveness, structure, and accountability in a fully remote organization.