Spring Health is hiring a Clinical Quality Manager

Spring Health is looking for a Clinical Quality Manager to join our Medical Affairs team. In this role, you will be responsible for investigating care quality and care service escalations and offering guidance as part of performance improvement efforts for our provider network. You will report to the Senior Director of Clinical Quality and Safety in this full-time remote position.

What You'll Do

• Investigate and resolve care complaints and grievances about providers.
• Partner with quality team members to evolve detailed guidance around provider performance management, including amplifying strengths, addressing risks, further developing skills, and creating action plans.
• Provide training, coaching, and technical assistance to providers, as needed.
• Develop and monitor Quality Improvement initiatives and activities that drive care delivery outcomes.
• Monitor program activities across the population of care providers to ensure adherence to clinical best practice standards, Spring Health policies and procedures, and contract compliance.
• Assist in maintaining Spring Health Provider Policy Guide to maintain compliance with all legal, regulatory, and payer requirements.
• Assist in developing reporting standards for compliance and quality of care, including establishing review criteria and recommending new innovations in processes to better evaluate success.
• Review and interpret data, as necessary, to assist in identifying trends.
• Lead and/or participate in additional projects as assigned.
• Embrace flexibility for continuous innovation and adaptability when priorities shift based on business needs.

What We're Looking For

• LMFT, LCSW, LPC, or Licensed Psychologist with a minimum of 3 years post licensure experience.
• Strong working knowledge of the legal and ethical aspects of clinical care delivery.
• Comfort and excitement with queue-based support execution.
• 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.

Nice to Have

• Experience providing tele-behavioral health.
• EAP experience.
• 2 years clinical management or supervisory experience.
• Experience working with ZenDesk, SalesForce or similar customer service platforms.

Team & Environment

This position is part of the Medical Affairs team and reports to the Senior Director of Clinical Quality and Safety.

Benefits & Compensation

• Compensation: $97,325 - $114,500 + equity in the form of stock options.
• Health, Dental, Vision benefits start on your first day.
• Access to One Medical accounts.
• HSA and FSA plans available, with Spring contributing up to $1K for HSAs.
• Employer sponsored 401(k) match of up to 2%.
• A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents.
• Competitive paid time off policies including vacation, sick leave and company holidays.
• At 6 months tenure, parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents.
• Access to Noom, a weight management program.
• Access to fertility care support through Carrot, plus $4,000 reimbursement for related fertility expenses.
• Access to Wellhub for fitness, mindfulness, nutrition, and sleep.
• Access to BrightHorizons for 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.

Work Mode

This is a full-time remote position.

Spring Health is proud to be an equal opportunity employer. We do not discriminate in hiring or any employment decision based on race, color, religion, national origin, age, sex, marital status, ancestry, disability, genetic information, veteran status, gender identity or expression, sexual orientation, pregnancy, or other applicable legally protected characteristic.