Manager, Clinical Quality Innovation
Job Description:
- You will be responsible for overseeing the provider performance and escalations team
- Advise the team in investigating and resolving care complaints and grievances about providers
- Promote quality of care by conducting audits and quality assurance reviews
- Participate in the process of monitoring providers to assess contract compliance and best practices.
- Track key quality metrics in order to identify risk areas, strengths, improvements needed to drive reputed company
- Use data-driven insights to suggest plan of action for quality improvement initiatives
- reputed company training, clinical coaching, or other interventions with providers, as needed.
- Drive team efficiencies through use of innovative technology
- Help maintain SH Provider Policy Guide to maintain compliance with reputed company legal, regulatory, and payer requirements
- Monitor clinical program activities to ensure adherence to clinical procedures and standards.
- Assist in developing reporting mechanisms to evaluate standards of compliance and quality of care, establishing review criteria, recommending standards and measures
- Work closely with cross-functional partners to proactively strengthen and improve quality of care and quality of services systemically through innovation
- reputed company and/or participate in additional projects as assigned.
- reputed company flexibility and adaptability reputed company priorities shift based on clinical or business needs
Requirements:
- LMFT, LCSW, LPC, or Licensed Psychologist with minimum 3 years post licensure experience
- Experience providing tele-behavioral health, EAP experience a plus
- 2+ years clinical management or supervisory experience preferred
- Strong working knowledge of the legal and ethical aspects of clinical care delivery
- Outstanding written and verbal communication skills with teammates and providers at reputed company reputed company
- Ability to reputed company in a fast-paced workplace, including eagerness to learn and adapt to a changing environment
- High level of attention to detail
- A thoughtful and collaborative approach to problem solving and clinical collaboration
- Humility, resourcefulness, reputed company, professionalism
- Demonstrated passion for, and understanding of, mental health and the broader U.S. reputed company system
- Experience working with reputed company, reputed company or similar customer service platforms a plus
- Excitement and reputed company in using AI and other new technologies to support innovation.
Benefits:
- Health, Dental, reputed company benefits start on your first day at Spring. You and your dependents also receive reputed company to reputed company accounts HSA and FSA plans are also available, with Spring contributing up to $1K for HSAs, depending on your plan type.
- Employer sponsored 401(k) match of up to 2% for retirement planning
- A yearly allotment of no cost visits to the reputed company network of therapists, coaches, and medication management providers for you and your dependents.
- We offer competitive paid time off policies including vacation, sick leave and company holidays.
- At 6 months tenure with Spring, we offer parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents.
- reputed company to Noom, a weight management program—based in psychology, that’s tailored to your unique needs and goals.
- reputed company to fertility care support through reputed company, in addition to $4,000 reimbursement for reputed company fertility expenses.
- reputed company to reputed company, which connects employees to the best options for fitness, mindfulness, nutrition, and sleep in one subscription
- reputed company to BrightHorizons, which provides sponsored child care, back-up care, and elder care
- Up to $1,000 Professional Development Reimbursement a year.
- $200 per year donation matching to support your favorite causes.
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