Clinical Operations Director in Central London

About The Role
Team Executive Office
Working Pattern – Hybrid 2days per week in the Vitality London Office.Full time, 37.5 hours per week.
We are happy to discuss flexible working!
Top 3 skills needed for this role:

• Clinical Director & strong strategic leadership experience
• Healthcare domain expertise
• MBB management consulting experience
• MBA qualified

What this role is all about:
Strategic oversight and executive management of Vitality\’s Medical Affairs, Medical Underwriting, Technical Claims and Medical Fraud departments. Comprehensive responsibility for the financial health and optimisation of the claims Profit & Loss (P&L) for the entire health business division. To provide senior clinical oversight, clinical product design in conjunction with other areas.
Key Actions

• Strategic leadership: Management, leadership, and development of the clinical and healthcare team at Vitality, a team of over 140, including technical experts educated up to postgraduate level
• Commercial and financial performance: Accountable for management, performance, and value of claims fund of £400m spend per annum
• Transformation and savings: Drive an largescale improvement agenda and identification and delivery of £70m+ of savings per year
• Strategy and execution: Accountability for definition, delivery and continuous refinement of healthcare strategy, across commercial strategy and delivery, operations, data, analytics, medical and clinical affairs, outcomes, and positioning, to position and maintain Vitality as the best insurer
• Technical claims management: Strategic and overall accountability for technical claims management, claims leakage, claims optimisation, to drive the automation of claims management and to increase efficiencies.
• Specialist oncology performance management and customer oversight: Take ownership ofoncology P&L of over £100m including specialist management teams overseeing members with 25%+ of claims spend per year
• Claims oversight: Direction and management of the Claims Performance function including auditing teams, rules engine teams, and complex case management teams
• Group-wide data and analytics: To work with specialised analytics teams for group claims, operations, and other areas. Accountable for understanding performance and intelligence in healthcare and operations
• Specialist technology:Take charge of the team overseeing the rules engine, and other relevant areas, responsible for processing over 100,000 claims per annum
• Executive committee and group membership (UK and Global): Membership of Health Exco; Risk Profit Group, Claims Manco

What do you need to thrive?

• Can demonstrate relevant years relevant work experience, with >5 years of board director-level experience in organisations with >£200m turnover per annum
• A broad and deep understanding of the healthcare sector, across funding, delivery, data and analytics, life sciences and medical devices, digital health, and AI
• Proven track record of designing, developing, and implementing strategies in complex, challenging environments
• Proven financial and clinical risk management skills and ability to broadly balance resources and understand complex trade-offs with limited information
• Executive presence, with sufficient gravitas to handle board-level interaction and national-level external stakeholders
• Comfort with ambiguity and responsiveness
• Highly credible presenter and communicator comfortable with audiences of all sizes and levels
• Integrity and commitment to maintaining professional standards and role modelling of leadership behaviours
• Ability to build, nurture ,and set direction through complex stakeholder relationships

So, whats in it for you?

• Bonus Schemes A bonus that regularly rewards you for your performance
• A pension of up to 12% We will match your contributions up to 6% of your salary
• Our award-winning Vitality health insurance With its own set of rewards and benefits
• Life Assurance Four times annual salary

If you are successfulin your application and join us at Vitality, this is our promise to you, we will:

• Help you to be the healthiest youve ever been.
• Create an environment that embraces you as you are and enables you to be your best self.
• Give you flexibility on how, where and when you work.
• Help you advance your career by playing you to your strengths.
• Give you a voice to help our business grow and make Vitality a great place to be.
• Give you the space to try, fail and learn.
• Provide a healthy balance of challenge and support.
• Recognise and reward you with a competitive salary and amazing benefits.
• Be there for you when you need us.
• Provide opportunities for you to be a force for good in society.

About The Company
We\’re really excited to announce that we have recently been awarded \”Top 10 Best Places To Work\” in The Sunday Times Awards 2024!
Diversity & Inclusion
At Vitality, were committed to diversity and inclusion because its good for our employees, for our business, and for society. We welcome applications from individuals of all backgrounds, experiences, and perspectives.
Vitalitys approach to sustainability
Vitality is a business that drives positive change. We reward people for making and sustaining healthier choices. But healthy people also need a healthy environment.
If we are fortunate in receiving a high volume of quality applications we may need to close this vacancy early.