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Director Clinical Effectiveness Jobs (NOW HIRING)

MedStar Health

Director Clinical Engineering

Washington, DC · On-site

$104K - $135K/yr

About the Job General Summary of Position The Director Clinical Engineering directs overall ... effectiveness of department operations. Conducts performance evaluations establishes standards of ...

Merck & Co.

$86K - $118K/yr

... effectiveness, and long-term growth of the Clinical Science organization.The Executive Director leads a large organization of Clinical Scientists supporting cardiometabolic development programs and ...

Omada Health

Senior Clinical Research Scientist

Reporting to Omada's Senior Director, Clinical & Translational Research, the Senior Clinical ... Lead or support HEOR analyses, including cost-effectiveness, cost-offset, budget impact ...

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Director Clinical Effectiveness information

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$51.5K

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$167K

How much do director clinical effectiveness jobs pay per year?

As of Aug 16, 2026, the average yearly pay for director clinical effectiveness in the United States is $100,124.00, according to ZipRecruiter salary data. Most workers in this role earn between $80,000.00 and $109,000.00 per year, depending on experience, location, and employer.

What is a director of clinical effectiveness?

A Director of Clinical Effectiveness is a healthcare leader responsible for improving patient outcomes by overseeing and implementing evidence-based clinical practices. They work to enhance quality of care, patient safety, and operational efficiency through data analysis, process improvement, and collaboration with clinical teams. This role involves evaluating current clinical processes, identifying areas for improvement, and ensuring compliance with regulatory standards. Directors of Clinical Effectiveness often lead quality initiatives, manage performance metrics, and support staff education to drive best practices across healthcare organizations.

How does a director of clinical effectiveness collaborate with interdisciplinary teams to drive quality improvement initiatives?

A Director of Clinical Effectiveness works closely with physicians, nurses, data analysts, and administrative leaders to identify areas for clinical improvement and implement evidence-based practices. This collaboration often involves leading regular meetings, facilitating training sessions, and coordinating performance measurement activities. By fostering open communication and aligning the team's efforts with organizational goals, the Director ensures that quality initiatives are successfully adopted and sustained across departments. Building strong relationships and demonstrating clinical expertise are key to influencing positive change in patient care.

What are the key skills and qualifications needed to thrive as a director of clinical effectiveness, and why are they important?

To thrive as a Director of Clinical Effectiveness, you need in-depth knowledge of clinical quality improvement, healthcare regulations, and data analysis, usually backed by a healthcare degree and leadership experience. Familiarity with quality management systems, data analytics platforms, and certifications such as CPHQ (Certified Professional in Healthcare Quality) are typically required. Exceptional leadership, strategic thinking, and strong communication skills set standout candidates apart in this role. These competencies are crucial for driving organizational change, ensuring regulatory compliance, and improving patient outcomes across healthcare systems.

What is the difference between Director Clinical Effectiveness vs Clinical Program Manager?

AspectDirector Clinical EffectivenessClinical Program Manager
ResponsibilitiesOversees clinical effectiveness strategies, develops policies, and leads improvement initiativesManages specific clinical programs, coordinates activities, and ensures program goals are met
Required CredentialsTypically requires advanced degrees (e.g., MSN, MPH), certifications in healthcare quality or patient safetyUsually requires nursing or healthcare management background, relevant certifications may include PMP or project management
Work EnvironmentStrategic leadership in healthcare organizations, quality departmentsOperational setting, managing clinical projects within hospitals or clinics

The main difference is that the Director Clinical Effectiveness focuses on strategic oversight and policy development to improve clinical outcomes, while the Clinical Program Manager handles the day-to-day management of specific clinical programs. Both roles require healthcare experience and relevant certifications, but their scope and focus differ.

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Cities with the most Director Clinical Effectiveness job openings:

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Director Clinical Effectiveness jobs near you
Infographic showing various Director Clinical Effectiveness job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 72% Full Time, 17% Part Time, and 8% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $100,124 per year, or $48.1 per hour.

Director - Clinical Services

Worldwide Insurance Services

King Of Prussia, PA • On-site

Full-time

Medical, Retirement, PTO

Posted 24 days ago

Job description

Who we are.

At Blue Cross Blue Shield Global SolutionsSM (BCBS Global SolutionsSM), we make it easy for people and organizations to access and pay for healthcare abroad. By combining digital innovation with human-centered care, we go above and beyond for our customers and deliver an international healthcare experience that’s simple, efficient and human.

Whether our customers live, work, travel or study abroad, we give them the confidence and peace of mind to embrace every journey and say “yes” to new possibilities.

What we’re looking for in our Director of Clinical Services

You are a strategic clinical leader who thrives on building high-performing teams, transforming healthcare operations and creating better experiences and outcomes for members. You bring deep expertise in clinical services, utilization management and care management, but you're equally passionate about innovation, continuous improvement and helping teams perform at their best.

You excel at turning strategy into action. Whether you're improving workflows, implementing new technologies, developing clinical programs or leading operational transformation, you're energized by solving complex challenges and driving measurable results. You know how to balance clinical quality, operational efficiency and member outcomes while keeping people at the center of every decision.

Collaboration comes naturally to you. You're comfortable working across departments, influencing stakeholders, coaching teams and building strong relationships that move initiatives forward. You understand that healthcare delivery is evolving rapidly, and you see technology, data and AI-enabled tools as opportunities to elevate both the member and employee experience.

Why this role matters to our organization:

You will play a critical role in shaping the future of BCBS Global Solutions' clinical services organization—transforming traditional utilization management and care management functions into an integrated, member-centered model that improves outcomes, enhances the healthcare experience and delivers measurable value.

Here’s the work you’ll be doing to shape our clinical services:

Lead & Develop

  • Lead the day-to-day operations of the Medical Review Team, including Utilization Management, Case Management and other assigned clinical services.
  • Lead quality assurance and continuous improvement activities, including audits, trend analysis and performance improvement initiatives.
  • Establish operational priorities and ensure delivery of high-quality, timely and compliant clinical services.
  • Monitor clinical and operational performance metrics, including productivity, quality, service levels and turnaround times.
  • Use workforce, operational and performance data to identify opportunities for continuous improvement and support achievement of business objectives.
  • Hire, coach, mentor and develop a high-performing clinical team.
  • Foster a culture of accountability, innovation, collaboration and continuous improvement.
  • Coordinate staffing, scheduling and operational coverage for our 24/7 clinical environment.

Shape & Transform

  • Partner with the Senior Medical Director to execute our clinical strategy and long-term vision.
  • Design, implement and continuously improve clinical programs that enhance quality, health outcomes and member experience while supporting sustainable medical cost management.
  • Help transform clinical operations into a proactive, member-centered care navigation model.
  • Build integrated clinical workflows that connect members with care management programs, digital health solutions, providers and healthcare resources.
  • Identify opportunities for innovation, automation, predictive analytics and emerging care models.

Collaborate & Influence

  • Partner closely with teams across Clinical Services, Customer Service, Claims, Global Networks, Product, Technology, Analytics and other business functions.
  • Support implementation of provider steering, population health, disease management and preventive health initiatives.
  • Provide leadership and expertise on enterprise-wide projects and strategic initiatives.
  • Ensure clinical operations align with organizational goals, accreditation standards and regulatory requirements.

What success in this role looks like

As Director of Clinical Services, you will be responsible for driving measurable improvements across our clinical operations and care management programs.

Success in this role will be demonstrated through improvements in:

  • Clinical quality and consistency of medical reviews
  • Member outcomes, engagement and experience
  • Sustainable medical cost management
  • Productivity, workforce utilization and operational efficiency
  • Service levels, turnaround times and quality assurance performance
  • Adoption and effectiveness of clinical programs, provider steering and digital health solutions
  • Employee engagement, development and team performance

You will leverage data, performance metrics, technology and continuous improvement methodologies to evaluate results, identify opportunities and ensure our clinical programs deliver meaningful value for members, providers and the organization.

This might be the right fit for you if…

  • You thrive in a dynamic, fast-paced environment and can effectively balance competing priorities while supporting a global operation that serves members around the clock.
  • You hold a current, active and unrestricted clinical license (RN, NP, PA) in good standing within a U.S. jurisdiction.
  • You have at least 10 years of progressive healthcare experience, including significant leadership experience in clinical operations, utilization management, case management or care management programs.
  • You have experience leading multidisciplinary clinical teams and driving operational excellence.
  • You hold a master's degree in Nursing, Healthcare Administration, Public Health, Business Administration or a related field.
  • You have experience implementing and managing clinical programs within health insurance or managed care environments.
  • You understand healthcare analytics and know how to use data and KPIs to improve performance and outcomes.
  • You are comfortable leading change, adopting new technologies and implementing innovative approaches to clinical care delivery.
  • You communicate effectively with frontline teams, senior leaders and cross-functional stakeholders.
  • Bonus points if you have experience supporting healthcare delivery outside the United States or have significant international healthcare, travel or expatriate experience.

What you’ll get in return:

  • Competitive base pay + annual bonus
  • Competitive medical plans
  • Telemedicine available
  • Paid parental leave
  • Employee assistance and wellness support 24/7
  • Free international healthcare coverage

Other Great Perks:

  • Hybrid work model
  • Work abroad arrangements available
  • Generous PTO accrual program with carry-over option
  • 9 paid holidays in addition to one floating holiday and one volunteer day
  • Tuition reimbursement
  • Career/Learning and development opportunities
  • 401(k) with generous company match
  • Pet insurance offerings
  • Identify theft and legal coverages available
  • Emphasis on well-being (Virtual well-being platform, monthly mindfulness events, and giveaways)