Manager, Clinical Quality Innovation

Our mission: to eliminate every barrier to mental health.

At Spring Health, we’re on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. Our clinically validated technology, Precision Mental Healthcare, empowers us to deliver the right care at the right time—whether it’s therapy, coaching, medication, or beyond—tailored to each individual’s needs.

We proudly partner with over 450 companies, from startups to multinational Fortune 500 corporations, as a leading provider of mental health service, providing care for 10 million people. Our clients include brands you use and know like Microsoft, Target, and Delta Airlines, all of whom trust us to deliver best-in-class outcomes for their employees globally. With our innovative platform, we’ve been able to generate a net positive ROI for employers and we are the only company in our category to earn external validation of net savings for customers.

We have raised capital from prominent investors including Generation Investment, Kinnevik, Tiger Global, Northzone, RRE Ventures, and many more. Thanks to their partnership and our latest Series E Funding, our current valuation has reached $3.3 billion. We’re just getting started—join us on our journey to make mental healthcare accessible to everyone, everywhere.

Reporting to the Senior Director of Clinical Quality and Safety on the Medical Affairs team, the Manager - Clinical Quality Innovation will be responsible for leading the team responsible for investigating care quality and care service escalations as well offering outstanding guidance and consultation as part of our performance improvement efforts for providers. Moreover, you will partner with the Senior Director of Clinical Quality and Safety and stakeholders from across the organization to lead new innovations in enhancing quality of care and safety across our services. This is a full time remote position and occasional travel may be required for team or company events. 

What you’ll do: 

• 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

What success looks like in this role: 

• Lead quality team to thoroughly and efficiently investigate complaints and grievances within specified SLA’s
• Lead quality team to consistently make decisions about appropriate interventions for providers based on quality standards
• Lead quality team to deliver detailed guidance to providers to improve performance and ensure contract compliance
• Report on quality analytics monthly and develop improvement initiatives based on data
• Proactively increase team efficiencies through technology innovations
• Proactively identify opportunities to increase care quality across the organization and align stakeholders to implement improvements 
• Complete project-based work on time and at high quality

What you’ll bring:

• LMFT, LCS