Source Job

• The Director, MSSP Quality will lead cross-functional operational initiatives across Provider Networks and Product to ensure comprehensive data integrity and optimal performance in Quality reporting.
• The Director will be responsible for managing and resolving field queries, preparing comprehensive reporting for executive and practice leadership, and formulating strategic initiatives for MSSP Quality programs across the organization.
• The role requires strong leadership capabilities, analytical experience, and the ability to collaborate effectively with cross-functional teams while translating complex quality data into actionable insights that drive organizational excellence in MSSP Quality performance.

Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. Founded in 2014, they are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.

• Investigate and resolve care complaints and grievances about providers
• Develop and monitor Quality Improvement initiatives and activities that drive care delivery outcomes
• Assist in maintaining Spring Health Provider Policy Guide to maintain compliance with all legal, regulatory, and payer requirements

Spring Health is on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. They partner with over 450 companies and provide care for 10 million people.

• Lead the development and execution of Care Access’s quality program across clinical, operational, and technology domains.
• Build and maintain a risk-based, fit-for-purpose Quality Management System (QMS) that supports Care Access’s mission.
• Collaborate with Operational Compliance, Product, Privacy, IT, and other functional partners to embed quality by design across systems and workflows.

Care Access is working to make the future of health better for all. With hundreds of research locations, mobile clinics, and clinicians across the globe, they bring world-class research and health services directly to communities that often face barriers to care.

• Lead and manage improvement projects, coordinating cross-functional teams.
• Conduct root cause analyses and process mapping exercises to identify inefficiencies.
• Develop, monitor, and evaluate performance metrics to track the effectiveness of initiatives.

Jobgether is a platform helping partner companies find qualified candidates. They use an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements.

• Oversee day-to-day operations of a Team of Analysts and/or Specialists, fostering a high-performing team.
• Lead quality improvement initiatives by managing analytics to determine the greatest areas for quality and cost interventions.
• Develop strategies to improve health plan performance, operational efficiency, and payer experience.

Aledade partners with independent practices, health centers, and clinics to build and lead Accountable Care Organizations (ACOs) anchored in primary care. They offer a comprehensive, value-based care solution that includes data analytics, guided workflows, and user-friendly technology, supported by on-the-ground experts.

• Maintain up-to-date knowledge of program policies and procedures, integrating changes promptly into QA and M&E activities
• Collect, analyze, and track service delivery data to monitor compliance, highlight trends, and identify improvement opportunities
• Collaborate with program teams to implement participant feedback tools, ensuring child-centered, culturally responsive, and strengths-based approaches

Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.

• Oversee clinical quality assurance, develop training programs, and ensure regulatory compliance.
• Design, implement, and oversee clinical quality assurance programs for in-home care delivery.
• Design and implement onboarding and continuing education programs for clinical team members.

Sprinter Health is an innovative healthcare startup dedicated to providing high-quality, in-home and virtual care across the country. They employ a multidisciplinary team of clinicians, technologists and operators backed by investors including a16z, General Catalyst, GV, and Accel.

• Oversee the provider performance and escalations team.
• Conduct audits and quality assurance reviews to promote quality of care.
• Work closely with cross-functional partners to strengthen and improve quality of care systemically through innovation.

Spring Health is on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. They partner with over 450 companies and provide care for 10 million people and their valuation has reached $3.3 billion.

• Design and implement comprehensive quality assurance frameworks and methodologies across multiple frontline channels
• Mentor frontline employees and facilitate knowledge transfer through coaching and feedback programs
• Generate actionable insights from complex performance data to drive strategic decision-making and process improvements

Twilio is shaping the future of communications. They deliver innovative solutions to hundreds of thousands of businesses and empower millions of developers worldwide, with a strong culture of connection and global inclusion.

• Support the development of Care Operations strategies and planning efforts.
• Identify, develop and execute initiatives that improve operational efficiency, compliance, and the patient and provider experience across Care Operations.
• Analyze operational data to identify trends, determine root causes, and generate actionable recommendations for improvement; drive data insights to action plans.

Equip is a virtual eating disorder treatment program that aims to ensure everyone with an eating disorder can access effective treatment. Founded in 2019, Equip has been a fully virtual company since its inception and is proud of its highly-engaged, passionate, and diverse culture.

• Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.
• Provide medical leadership of all for utilization management, cost containment, and medical quality improvement activities.
• Perform medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.

Centene is committed to helping people live healthier lives. They provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well. Centene values diversity and is an equal opportunity employer.

Lead a team of Credentialing Specialists and Operational Analysts to ensure efficient credentialing file processing. Provide coaching and training to strengthen credentialing knowledge and regulatory understanding. Monitor contractual Service Level Agreements, turnaround times, and quality metrics; drive corrective actions to maintain compliance.

Certify is on a mission to change how the US healthcare industry deals with provider data, aiming to reduce healthcare costs by streamlining access to this data.

• Monitor and optimize network adequacy, ensuring geographic and clinical coverage meets member demand.
• Define and track key performance drivers, designing reporting frameworks for real-time visibility.
• Drive cross-functional strategy to bridge network gaps, partnering with Clinical, Product, and Operations teams.

Lyra Health is the leading provider of mental health solutions for employers, supporting more than 20 million people globally. They have delivered 13 million sessions of mental health care and are known for their AI-powered platform and research-backed approach, which improves access, clinical effectiveness, and cost efficiency.

Accountable for the management, performance, quality improvement and scalability of our HCP contractor base. Work cross-functionally with Product, Medical Directors, Data, Regulatory, Patient Experience, and Pharmacy teams. Combine people leadership, operational rigour, analytical ownership, and applied AI/automation in a regulated healthcare environment.

Founded in 2019, Felix is a patient-driven digital healthcare company that puts you in control of your health and wellbeing.

• Support outreach and engagement with local primary care providers in the community with the goal of increasing PCN membership.
• Manages schedules for the PCN leadership, including complex meeting coordination and urgent needs related to PCN affairs.
• Develops presentations, briefing notes, memos, meeting agendas and formal/informal minutes for the PCN based on direction of the PCN leadership, Manager, Integrated Health Systems, and/or director/executive lead.

William Osler Health System (Osler) provides a safe and supportive health care network to grow your career. Osler is nationally recognized for its commitment to patient safety and is Accredited with Exemplary Standing. As a major Ontario hospital system, Osler serves the 1.3 million residents of Brampton, Etobicoke and surrounding communities. Guided by our accomplished senior leadership team, we are driving our vision of world-class health care inspired by our people and communities.

• Serve as an SME for the clinical functionality of the EHR system.
• Develop and deliver targeted training programs for new and existing clinical staff on EHR use.
• Act as the clinical liaison to the Product and Technology teams, translating real-world workflow needs into technical specifications for new features or enhancements.

Synapticure is a patient and caregiver-founded company that provides instant access to expert neurologists, cutting-edge treatments and trials, and wraparound care coordination and behavioral health support through a virtual care platform. Partnering with providers and health plans, Synapticure is dedicated to transforming the lives of millions of individuals and their families living with neurodegenerative diseases.

• Execute data analysis of trends and strategic opportunities for quality improvement across Aledade’s value based care portfolio.
• Track key performance indicators (KPIs) relating to risk, quality, and affordability for all health plan payer contracts.
• Support ad-hoc reporting and data analysis requests for field teams specifically relating to MSSP.

Aledade empowers independent primary care practices to succeed in value-based care. Founded in 2014, they've become the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.

• Support newly onboarded clinicians with tools, access, and workflows.
• Coach clinicians on patient communication in a virtual environment.
• Assist with administrative tasks and improve patient care efficiency.

Midi is a fast-scaling virtual care company with a mission to transform healthcare delivery, starting with women’s health and whole-person care. Their distributed clinical team delivers evidence-based care through a tech-forward platform designed for consistency and scale.

• Oversee operational and clinical performance of contracted provider partners.
• Drive execution on economic, clinical, and population health strategies.
• Proactively analyze population health data to identify opportunities for improvement.

Apree Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. They seem to have a fast-paced evolving environment.

• Drive collaboration and coordination with cross-functional teams.
• Track team progress and deliver detailed status reports, including KPIs and performance data.
• Audit call and email communications to assess quality and accuracy; compile QA feedback summaries for management and training teams.

Natera is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other.