Sandbox · 3 days ago
VHCF - Chief Transformation Officer
Richmond, VA
Full-time
Hybrid
Director/Executive
7+ years expSandbox is a public-private partnership dedicated to increasing access to primary care for uninsured and medically underserved Virginians. The Chief Transformation Officer (CTO) will lead the strategic oversight and execution of VHCF’s Rural Health Transformation initiatives, ensuring effective implementation and alignment with state and federal goals.
Business DevelopmentConsultingHuman ResourcesRecruiting
Responsibilities
Serve as the senior strategic lead for VHCF’s Rural Health Transformation portfolio, translating CMS objectives into multi-year strategies that balance policy intent, operational feasibility, and political realities
Partner closely with DMAS, executive branch leadership, and statewide stakeholders to align initiatives, mitigate risk, and ensure coordinated implementation across agencies and providers
Provide executive oversight of a multi-year, multi-million-dollar grant portfolio, including RFP design, competitive grant cycles, and phased implementation across grantee cohorts
Establish and maintain clear governance, fiscal controls, and accountability frameworks for budgets, milestones, and deliverables
Define success metrics and performance frameworks; oversee data collection, reporting, and compliance with state and federal requirements
Use data and evaluation insights to identify risks, guide course correction, and inform future investment decisions
Lead statewide investments supporting EHR modernization, interoperability, cybersecurity readiness, and provider productivity
Ensure alignment with federal standards and frameworks (e.g., FHIR, HL7, CMS Health Tech Ecosystem)
Support rural providers in selecting, implementing, and optimizing technology solutions that reduce administrative burden and improve care delivery, and increase interoperable data exchange
Identify structural, operational, and policy barriers that impede transformation efforts and facilitate cross-sector problem-solving
Support implementation leaders without duplicating operational management responsibilities housed within DMAS
Qualification
Required
7–10 years of experience in healthcare, public health, health policy, or large-scale systems transformation
Demonstrated success leading complex, multi-stakeholder initiatives involving public funding
Strong analytical background; experience in analyst, strategy, or policy roles
Proven ability to operate effectively in politically sensitive environments
Experience working with or alongside state agencies
Exceptional written and verbal communication skills
Working knowledge of EHR systems, interoperability standards and CMS Health Tech Ecosystem frameworks
Familiarity with digital health tools such as automation platforms, AI-enabled clinical support, or ambient documentation solutions
Understanding of cybersecurity, HIPAA compliance, and digital health risk considerations
Deep familiarity with Virginia's rural healthcare ecosystem (e.g., FQHCs, RHCs, free clinics, independent providers)
Understanding of provider workflow challenges, administrative burden, and technology adoption barriers in under-resourced settings
Benefits
Comprehensive benefits package that includes health, dental, and disability insurance
403(b) retirement contribution
Paid parental leave
Generous paid time off and 13 paid holidays
Company
Sandbox
Sandbox offers consulting for start-ups in business operations and human resources management.
2-10 employees
H1B Sponsorship
Sandbox has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (1)
Funding
Current Stage
Early StageLeadership Team
Jill Lemon
Co-Founder
Liz Doerr
Co-Founder and Partner
Company data provided by crunchbase