SVP, Clinical Quality & Population Health
matter-health · Nashville · remote
ABOUT MATTER HEALTH
Matter Health delivers primary and preventive healthcare directly to older adults living in affordable housing communities. Our mission is simple: to improve healthcare access by meeting patients where they are and building trusted relationships within the communities we serve.
As we rapidly expand across the country, we are building a team of mission-driven professionals who thrive in fast-paced, collaborative environments and are passionate about making healthcare more accessible.
We Lead with Love in Everything We Do.
ABOUT THE ROLE
Matter Health is seeking a dynamic, hands-on Senior Vice President, Clinical Quality & Population Health to build, lead, and scale the clinical quality programs, population health strategies, and operational infrastructure that support our continued growth.
Reporting to the Chief Medical Officer, this executive will have enterprise-wide accountability for Medicare Star Ratings, HEDIS, CAHPS, clinical quality improvement, clinical programs, clinical operations, coding and risk adjustment, and provider credentialing.
We are looking for a builder, not simply someone who has managed established programs.
The ideal candidate brings a combination of executive-level strategic thinking, deep clinical quality expertise, and a proven ability to roll up their sleeves and execute. This individual has experience building or transforming clinical quality and operational functions, ideally within a startup, high-growth healthcare organization, or similarly entrepreneurial environment.
This is an opportunity for a leader who is comfortable creating structure where it doesn't yet exist, establishing processes and accountability, building high-performing teams, and personally driving initiatives from strategy through implementation.
Success requires someone who can move seamlessly between executive discussions, payer relationships, board presentations, and the day-to-day operational work necessary to achieve measurable results.
The SVP will serve as a strategic dyad partner to the SVP of Operations, ensuring clinical and operational priorities remain closely aligned. This leader will also partner with the Chief Medical Officer's Clinical Affairs function and represent clinical quality and population health in executive, payer, regulatory, and cross-functional discussions.
This is a highly visible leadership opportunity for an executive who thrives in a growing organization, takes ownership, and isn't afraid to get their hands dirty.
KEY RESPONSIBILITIES
CLINICAL QUALITY, MEDICARE STARS & HEDIS
- Own the development, implementation, and execution of Matter Health's enterprise clinical quality strategy.
- Lead Medicare Star Ratings performance improvement initiatives, including HEDIS, CAHPS, and applicable Medicare Part D quality measures.
- Establish measurable quality goals, performance dashboards, accountability structures, and continuous improvement processes.
- Identify gaps in quality performance and translate clinical, claims, and operational data into actionable improvement strategies.
- Develop and execute interventions that improve quality outcomes, close care gaps, and support value-based performance.
- Partner with payers, clinical leaders, and operational teams to drive performance against contractual and regulatory quality measures.
- Establish scalable quality improvement processes that can be replicated across new and existing markets.
- Maintain accountability for measurable results, including quality performance, regulatory readiness, and operational effectiveness.
BUILD & SCALE CLINICAL PROGRAMS
- Design, build, implement, and scale clinical and population health programs that support Matter Health's value-based care model.
- Develop the processes, workflows, governance structures, and performance expectations needed to support organizational growth.
- Translate strategic priorities into practical programs that can be successfully implemented by clinical and operational teams.
- Establish consistent clinical standards and evidence-based practices across markets.
- Evaluate existing programs, identify opportunities for improvement, and lead initiatives to strengthen effectiveness and scalability.
- Partner with clinical leadership to ensure programs are patient-centered, operationally practical, and aligned with quality and population health goals.
- Build infrastructure and processes that support rapid market expansion without compromising quality or compliance.
CLINICAL OPERATIONS & EXECUTION
- Provide executive leadership and direct operational accountability for clinical quality and clinical program execution.
- Partner closely with the SVP of Operations to align clinical strategies with day-to-day care delivery and operational performance.
- Identify workflow inefficiencies, operational barriers, and performance gaps, then lead the implementation of practical solutions.
- Establish operating rhythms, performance reviews, and accountability measures to ensure consistent execution across teams.
- Work directly with clinical, operational, and administrative leaders to resolve challenges and improve performance.
- Support the development of scalable clinical workflows that improve efficiency, consistency, and patient outcomes.
- Remain actively engaged in execution, particularly when new programs, processes, or teams are being established.
PROVIDER CREDENTIALING & COMPLIANCE
- Own the strategy, operational performance, and continuous improvement of Matter Health's provider credentialing function.
- Establish and optimize credentialing and recredentialing workflows, processes, systems, and accountability structures.
- Ensure credentialing operations support timely provider onboarding, market expansion, and organizational growth.
- Oversee compliance with applicable payer, regulatory, and accreditation requirements.
- Identify and resolve credentialing bottlenecks, operational inefficiencies, and process gaps.
- Partner with clinical leadership, operations, compliance, and other stakeholders to ensure credentialing requirements are met consistently.
- Build scalable credentialing processes, reporting mechanisms, and quality controls that support growth across multiple markets.
- Maintain executive accountability while remaining closely involved in resolving complex credentialing and operational challenges.
CODING, RISK ADJUSTMENT & DOCUMENTATION
- Oversee clinical documentation improvement, coding accuracy, and compliant risk adjustment programs.
- Partner with clinical, coding, compliance, and finance teams to strengthen HCC capture, RAF accuracy, and documentation quality.
- Establish processes and accountability measures that support accurate, compliant documentation and coding practices.
- Identify opportunities to improve clinical documentation workflows and provider education.
- Use performance data to identify gaps, monitor outcomes, and support continuous improvement.
- Ensure coding and risk adjustment initiatives align with regulatory requirements and value-based care objectives.
EXECUTIVE LEADERSHIP & CROSS-FUNCTIONAL PARTNERSHIP
- Serve as a trusted strategic partner to the Chief Medical Officer and executive leadership team.
- Build, lead, coach, and develop multidisciplinary teams across clinical quality, clinical programs, and related functions.
- Establish clear organizational structures, responsibilities, performance expectations, and accountability.
- Represent Matter Health in executive meetings, payer discussions, board presentations, regulatory interactions, and other high-level engagements.
- Translate complex clinical quality and operational performance information into clear, actionable recommendations for senior leadership.
- Collaborate across clinical, operations, finance, compliance, technology, and other functions to drive organizational priorities.
- Build strong rela