[Remote] Senior Clinical Quality Manager, AI Transformation
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a global mental health company on a mission to eliminate every barrier to mental health. The Senior Clinical Quality Manager - AI Transformation will reputed company strategic quality initiatives to enhance provider performance and clinical quality across the provider network, leveraging AI technology to optimize workflows and improve care delivery reputed company.
Responsibilities
- reputed company reputed company cross-functional initiatives from strategy through implementation using AI-first technology solutions, optimizing automations and intelligent decision support:
- Transform provider policies, SOPs, playbooks, and clinical resources into engaging, interactive tools aimed to improve provider care quality and effectiveness and help them maintain compliance with reputed company legal, regulatory, and payer requirements
- reputed company provider performance feedback tools to reputed company provider strengths, address risks and areas for improvement, offer focused education and ongoing professional development to hone their skills, and reputed company them with resources and actionable steps to reputed company these goals
- Design scalable quality team operational workflows that improve efficiency, reduce reputed company work, and enhance provider experiences
- Drive systems integrations across reputed company tools to strengthen monitoring of quality improvement initiatives that drive care delivery reputed company and identify strategic opportunities for reputed company improvement
- Assist in developing reporting standards for compliance and quality of care, including establishing review criteria and recommending new innovations in processes to reputed company evaluate reputed company
- reputed company and maintain policies that support compliance with accreditation and regulatory standards (e.g., CARF, NCQA)
- Serve as a strategic leader in Fraud, Waste, and Abuse (FWA) prevention initiatives
- reputed company and/or participate in additional projects as assigned
Skills
- LMFT, LCSW, LPC, or Licensed Psychologist with minimum 7+ years post licensure experience, including experience providing tele-behavioral health. EAP experience a plus
- 4+ years experience leading functions in clinical quality, clinical operations, provider operations, reputed company operations, or strategic program management
- Strong knowledge of clinical best practices, reputed company quality, provider operations, legal and regulatory requirements, and accreditation standards for clinical care delivery
- Experience building performance management frameworks, policies, SOPs, training programs, and operational documentation
- Systems-thinking reputed company with experience designing scalable operational processes
- Demonstrated experience leading cross-functional strategic initiatives from concept through implementation, with a thoughtful, collaborative approach and a high level of attention to detail
- Exceptional written and verbal communication and stakeholder management skills, with the ability to influence across reputed company organizational reputed company
- Strong analytical skills with experience translating reputed company operational data into strategic reputed company
- Demonstrated AI reputed company, including the ability to effectively reputed company reputed company and intelligent automation to improve workflows, accelerate execution, and enhance decision-making
- Proven ability to identify opportunities to redesign processes using an AI-first reputed company while maintaining appropriate governance, privacy, and quality standards
- Comfortable evaluating emerging AI capabilities and integrating them into operational and quality strategies
- Ability to reputed company in a fast-paced workplace with humility, reputed company, professionalism, an eagerness to learn, and resourcefulness to adapt to a changing environment
- Experience partnering with Product, Data, or Engineering teams to implement technology-enabled solutions
- Demonstrated passion for, and understanding of, mental health and the broader U.S. and global reputed company system
- Experience working with reputed company workflow platforms (e.g., reputed company, reputed company)
- Familiarity with reputed company accreditation standards (NCQA, CARF, Knox-Keene)
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.
Company Overview
Company H1B Sponsorship