VP, Quality Care and Medical Integrity en Canohealth

It's rewarding to be on a team of people that truly believe in making an impact! 

We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.

Job Summary

The VP of Quality Care and Medical Integrity is a board-certified/board eligible Internal Medicine or Family Medicine physician responsible for ensuring clinical excellence and compliance with evidence based care across the organization. This role provides expert oversight through medical record audits to evaluate Clinician clinical decision making, develop evidence based clinical guidelines to support high quality care and provide clinical expertise. The VP of Quality Care and Medical Integrity will also review quality of medical records documentation and compliance per CMS guidelines. The VP serves as a trusted authority in aligning clinical practices with regulatory standards, medical best practices, and organizational objectives.

Essential Duties & Responsibilities

Clinical Auditing & Oversight

• Conduct in-depth audits of Clinician’s medical records to ensure adherence to evidence-based clinical guidelines, best practices, and regulatory requirements.
• Identify trends in care quality, variances in treatment decisions, and opportunities for performance improvement.
• Provide objective, peer-to-peer feedback to clinicians to promote continuous learning and clinical excellence.

Guideline & Policy Development

• Lead the creation, review, and implementation of clinical practice guidelines, protocols, and care pathways based on the latest evidence and medical literature.
• Partner with clinical leadership to ensure consistency in treatment modalities across care sites.
• Maintain up-to-date knowledge of evolving clinical standards, innovations, and regulatory changes impacting primary care.
• Partner with Compliance and Quality teams to develop corrective action plans and track improvements in documentation and care delivery.

Quality Improvement & Compliance 

• Develop strategies to improve patient outcomes, reduce variation in care, and enhance overall quality metrics. Monitor performance indicators, reporting findings and recommendations to executive leadership.

Education & Leadership 

• Serve as a subject matter expert and mentor to clinical staff on evidence-based medicine, CMS compliance, and quality improvement initiatives. 
• Deliver educational sessions and case reviews to reinforce guideline adherence and best practices. 
• Represent the organization in clinical quality forums, committees, and external collaborations.

Education & Experience

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO), board-certified or board eligible in Internal Medicine or Family Medicine.
• Active and unrestricted medical license.
• Minimum 7–10 years of clinical experience, with demonstrated expertise in evidence-based medicine, quality oversight, and regulatory compliance.
• Proven experience in medical record auditing, peer review, utilization management, or risk management.
• Strong knowledge of CMS, NCQA, Joint Commission, and other healthcare regulatory requirements.
• Exceptional communication skills with ability to provide constructive peer feedback and influence change.
• Experience in developing clinical guidelines or policy preferred.

Education Requirements

Education Level

Discipline

Required

Doctor of Medicine

Internal Medicine or Family Medicine

Knowledge, Skills & Proficiencies

• Clinical authority and credibility with physician peers.
• Strong analytical skills and attention to detail.
• Ability to balance clinical judgment with regulatory and organizational requirements.
• Leadership presence with a collaborative, team-based approach.
• Commitment to advancing quality, safety, evidence-based medicine, and compliance.

Physical Requirements

This position works under usual office conditions. The associate is required to work at a personal computer as well as be on the phone for extended periods of time. Must be able to stand, sit, walk and occasionally climb. Must be able to work extended and flexible hours and weekends as needed. Physical demands include ability to lift up to 50 lbs. The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

Work Conditions

Must be able to perform essential functions such as typing, standing, sitting, stooping, and occasionally climbing. 

Travel Requirements

Amount of Expected Travel

Details

Yes

0-25

Flexibility to travel to clinical sites as needed

Tools & Equipment Used

Computer and peripherals, standard and customized software applications and tools, and usual office equipment.

Disclaimer

The duties and responsibilities described above are designed to indicate the general nature and level of work performed by associates within this classification. It is not designed to contain, or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of associates assigned to this job. This is not an all-inclusive job description; therefore, management has the right to assign or reassign schedules, duties, and responsibilities to this job at any time. Cano Health is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.

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