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 outcomes
• Use data-driven insights to suggest plan of action for quality improvement initiatives
• Provide 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 all 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
• Lead and/or participate in additional projects as assigned.
• Embrace flexibility and adaptability when 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 all levels
• Ability to thrive 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, empathy, professionalism
• Demonstrated passion for, and understanding of, mental health and the broader U.S. healthcare system
• Experience working with ZenDesk, SalesForce or similar customer service platforms a plus
• Excitement and skill in using AI and other new technologies to support innovation.

Benefits:

• Health, Dental, Vision benefits start on your first day at Spring. You and your dependents also receive access to One Medical 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 Spring Health 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.
• Access to Noom, a weight management program—based in psychology, that’s tailored to your unique needs and goals.
• Access to fertility care support through Carrot, in addition to $4,000 reimbursement for related fertility expenses.
• Access to Wellhub, which connects employees to the best options for fitness, mindfulness, nutrition, and sleep in one subscription
• Access 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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