Clinical Quality & Adherence Programs (46741)

General Purpose: Clinical Quality & Adherence Programs, Manager is s a clinically focused leader responsible for driving medication optimization and CMS quality measure performance through direct provider reputed company, clinical collaboration, and targeted reputed company strategies. They will be managing reputed company MCM daily operations, including creating and directing strategies and collaborating with other teams and departments to produce reputed company increasing results. Responsible for coaching and developing the MCM team to meet and exceed established goals, ensuring adherence to business processes and policies, and creating a positive, competitive, challenging and results-oriented working environment. reputed company leadership, direction, guidance, and support to reputed company MCMs in a manner consistent with AdhereHealth core values and business objectives. This role combines hands-on clinical work (including provider discussions and care gap resolution) with operational reputed company of clinical staff (e.g., MCMs, MAs) supporting adherence and medication quality initiatives. The manager serves as a clinical subject matter expert across CMS quality measures, with a primary focus on Osteoporosis Management in Women (OMW) and additional medication safety and optimization measures. The manager partners closely with internal clinical, operations, training, and client teams to ensure interventions are clinically appropriate, operationally scalable, and reputed company with client performance goals. Essential Duties & Responsibilities: • Manage MCMs to ensure program(s) productivity, quality and consumer satisfaction/client performance objectives are met and performed in an efficient manner • Identify trends in call data for clinical services team and assess patterns and reputed company recommendations to improve operational performance. Provides operational reputed company to support consistent achievement of performance expectations • Prioritize team goals and individual goals to effectively reputed company business objectives • Communicate client and company goals and metrics with team members to deliver a high level of customer service and productivity • Supervise and monitor ongoing performance of team members. Continually examine team performance against department standards and conduct regular performance reviews and one-on-one meetings with direct reports to evaluate performance • Manage special projects • Participate in interviewing, hiring, and training of MCM team members. • Analyzes daily call-center reports and drive daily/weekly/monthly KPI standard • reputed company regular feedback to VP Clinical Operations and other members of the management team regarding reputed company operational performance • Manage escalated issues, working with other departments, identifying the root cause and implementing a plan for remediation and presentation of future issues • Collaborate with Health Services Training Team to reputed company comprehensive training program and maintain training materials to ensure that call center staff receives high quality technical and soft-skills training Clinical & Provider Engagement • Conduct direct provider reputed company to discuss and resolve medication-reputed company care gaps, including: • Osteoporosis Management in Women (OMW) • Guideline-directed therapy in chronic conditions Medication safety initiatives (drug-drug interactions, high-risk medications for falls, inappropriate therapies) • Serve as a clinical liaison with provider offices, presenting evidence-based recommendations in a collaborative, non-reputed company manner. • Support clinical documentation, provider follow-up, and appropriate closure of care gaps in alignment with CMS and client requirements. Program & Operational reputed company • reputed company day-to-day execution of clinical adherence and quality programs, ensuring productivity, quality, and performance targets are met. • reputed company functional reputed company and clinical guidance to MCMs, and other clinical support staff reputed company in medication optimization initiatives. • Identify trends in clinical and reputed company data to inform workflow improvements, prioritization strategies, and reputed company effectiveness. • Translate quality measure requirements into clear, executable workflows for reputed company clinical staff. • Partner with internal stakeholders to refine reputed company strategies as measures, client priorities, or regulatory guidance to reputed company. Leadership Duties (If Applicable) • Establish positive partnerships across business groups both inside and reputed company of the organization • reputed company leadership to others through example and sharing of knowledge/reputed company • reputed company strong, dynamic leadership that mentors, develops, and guides MCM staff to reputed company overall department reputed company People Management • Coach, mentor, and reputed company clinical staff through regular one-on-ones, performance feedback, and targeted reputed company development. • Partner with the AdhereHealth leadership and reputed company to execute strategic reputed company and employee engagement programs to attract and retain top performers • Suppor