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US Unlimited PTO 18w maternity 18w paternity

  • Lead and develop a clinical quality team, setting standards for provider quality and documentation integrity.
  • Own provider quality outcomes, termination process, and payor audit readiness across a network of 26,000+ providers.
  • Serve as clinical subject matter expert for cross-functional teams, ensuring clinical standards are applied in product and operations.

Clinical Quality Behavioral Health Team Leadership

9 jobs similar to Senior Manager, Clinical Quality & Documentation Integrity

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US Unlimited PTO

  • Support ongoing documentation quality monitoring by reviewing provider notes for clinical completeness, risk, and payor compliance.
  • Serve as a clinical point of contact for providers, conducting outreach on documentation best practices and supporting a culture of quality.
  • Support complaint, grievance, and payor quality review workflows, including intake, clinical review, and resolution documentation.

Grow Therapy is a three-sided marketplace that empowers therapists, augments insurance payors, and serves patients, addressing the need for accessible mental healthcare. Since launching in February 2021, they have empowered over ten thousand therapists and hundreds of thousands of clients, raising over $328 million in funding at a $3 billion valuation from top investors.

US Unlimited PTO 16w maternity 16w paternity

  • Support professional practice evaluation programs to improve clinical outcomes across a network of NPs and MDs/DOs.
  • Conduct chart reviews, provide clinician feedback, and create remediation plans for documentation and evidence-based practices.
  • Collaborate with operations, product, and engineering teams to develop automated quality monitoring systems.

Headway is building a new mental healthcare system by automating insurance admin and providing software for over 75,000 providers across all 50 states. They are a Series D company with over $325M in funding, focused on scaling platform foundations to improve access to therapy.

US 12w maternity 12w paternity

  • Lead clinical quality strategy and client audit readiness for high-stakes client and consultant engagements.
  • Build longitudinal quality assurance systems to monitor member journeys and ensure service reliability.
  • Drive AI-enabled quality surveillance and pattern detection to scale quality operations.

Included Health is a healthcare company that delivers integrated virtual care and navigation, breaking down barriers to provide high-quality care for every person. The company is remote-first and offers a comprehensive benefits package, aiming to raise the standard of healthcare for everyone.

US

  • Provide executive oversight of all clinical programs, including Behavioral Health and EAP services, establishing strategic direction and quality frameworks.
  • Lead and supervise AVP-level clinical leaders, ensuring accountability and cross-functional alignment across clinical operations.
  • Develop clinical strategies, policies, and procedures, oversee utilization management, and drive quality improvement initiatives.

Uprise Health transforms the delivery and accessibility of mental and behavioral healthcare, bringing whole person care to individuals worldwide. The company values compassion, integrity, collaboration, velocity, and advocacy, and seeks to foster a culture of care and support.

US

  • Lead clinical quality initiatives and develop policies for measurement-based teletherapy at scale
  • Recruit, train, and supervise a multi-state clinical team to ensure high standards of care
  • Collaborate with Operations, Product, and Leadership to shape the future of technology-enabled mental healthcare

Allminds is an innovative mental health company delivering high-quality tele-therapy through a growing network of licensed clinicians. The company reaches more than 6,000 people across California through a network of 400+ clinicians, with a culture focused on quality and technology-enabled care.

US Unlimited PTO

  • Lead Omada's Clinical Quality department with end-to-end accountability for program integrity, performance, and continuous improvement across cardiometabolic programs.
  • Define and drive the near-term roadmap for program quality, accreditation readiness, quality analytics, and AI bias monitoring.
  • Build durable quality infrastructure that supports a growing portfolio of clinical products and care experiences, partnering across teams.

Omada Health is a virtual-first healthcare company on a mission to bend the curve of chronic disease by combining human-led care teams, connected devices, and AI-enabled technology. The company has served over two million members across 2,000+ employers and health plans, and fosters a culture of trust, context, boldness, and collaboration.

US Unlimited PTO

  • Supervise a team of 10-15 direct reports under the ECM team to ensure high-quality care management services.
  • Oversee client outreach, enrollments, and creation of Individual Care Plans, serving as an escalation point.
  • Drive the team to meet key performance indicators (KPIs) and collaborate with Directors on process improvements.

Vynca provides comprehensive care for individuals with complex needs, focusing on more quality days at home. They are a close-knit community guided by core values of Excellence, Compassion, Curiosity, and Integrity.

US Unlimited PTO

  • Manage end-to-end delegated credentialing operations across an assigned portfolio of payors, including audits and compliance.
  • Serve as the primary point of contact for delegated payor relationships and resolve issues with cross-functional teams.
  • Prepare and execute credentialing audits, ensuring documentation meets NCQA and payor-specific standards.

Grow Therapy is a three-sided marketplace that empowers therapists, augments insurance payors, and serves patients, focusing on mental healthcare accessibility. They have raised over $328M in funding, including a Series D at a $3B valuation, and are building a mission-driven team.

US

  • Oversee full lifecycle of care coordination for members in the Virtual Intensive Outpatient Program (VIOP), from screening and admissions to discharge planning.
  • Conduct clinical outreach to families, coordinate care schedules, and serve as the primary point of contact for members and their families.
  • Collaborate with multidisciplinary teams to develop individualized care plans and ensure seamless, supportive treatment experiences.

Lyra Clinical Associates partners with Lyra Health, a leading provider of evidence-based mental health care, serving more than 20 million people globally. The company has delivered more than 15 million sessions of mental health care and publishes peer-reviewed studies, fostering a culture of innovation and inclusion.