Vice President Clinical Operations

Vice President Clinical Operations Pennsylvania/Hybrid

Jefferson Health Plans, in partnership with The French Group, seeks an exceptional leader in Care Management to serve in the critical, highly visible role of VP Clinical Operations. Owned by Jefferson Health and headquartered in Philadelphia, PA, Jefferson Health Plans (the new corporate marketing name for Health Partners Plans) continues to offer Medicaid and CHIP products in Pennsylvania and Medicare Advantage products in both Pennsylvania and New Jersey with a high-quality network of providers.

Reporting to the SVP Chief Medical Officer for Jefferson Health Plans, this VP serves as a key member of the health plan leadership team. The VP provides the strategic direction and clinical operational oversight for Precertification, Inpatient Services, Provider Appeals, DME and Ancillary Services Departments for the health plans.

This is a collaborative and strategic role requiring substantial experience leading high-performing care management teams and extensive technical knowledge of clinical operations, reporting, and value-based care.

A minimum of 7 years of progressive health plan leadership experience is required, including experience with Medicaid and Medicare products. RN (licensed in PA) with Bachelor’s Degree required; Master’s preferred.

For additional information and/or confidential consideration, please contact

Tricia French RN, BSN
President & CEO
The French Group
tfrench@frenchgroup.com
757-362-0202