Manager of Network Performance and Quality Assurance

Maven is the world's largest virtual clinic for women and families on a mission to make healthcare work for all of us. Maven's award-winning digital programs provide clinical, emotional, and financial support all in one platform, spanning fertility & family building, maternity & newborn care, parenting & pediatrics, and menopause & midlife. More than 2,000 employers and health plans trust Maven's end-to-end platform to improve clinical outcomes, reduce healthcare costs, and provide equity in benefits programs. Recognized for innovation and industry leadership, Maven has been named to the Time 100 Most Influential Companies, CNBC Disruptor 50, Fast Company Most Innovative Companies, and FORTUNE Best Places to Work. Founded in 2014 by CEO Kate Ryder, Maven has raised more than $425 million in funding from top healthcare and technology investors including General Catalyst, Sequoia, Dragoneer Investment Group, Oak HC/FT, StepStone Group, Icon Ventures, and Lux Capital. To learn more about Maven, visit us at mavenclinic.com. 

An award-winning culture working towards an important mission –  Maven Clinic is a recipient of over 30 workplace and innovation awards, including: 

• Fortune Change the World (2024)
• CNBC Disruptor 50 List (2022, 2023, 2024) 
• Fortune Best Workplaces for Millennials (2024)
• Fortune Best Workplaces in Health Care (2024)
• TIME 100 Most Influential Companies (2023)
• Fast Company Most Innovative Companies (2020, 2023)
• Built In Best Places to Work (2023)
• Fortune Best Workplaces NY (2020, 2021, 2022, 2023, 2024)
• Great Place to Work certified (2020, 2021, 2022, 2023, 2024)
• Fast Company Best Workplaces for Innovators (2022)
• Built In LGBTQIA+ Advocacy Award (2022)

Maven Clinic is seeking a Manager of Network Performance and Quality Assurance to join our team. This role will lead initiatives that enhance practice quality, ensure clinical rigor, and optimize provider network performance. 

In this role, you will play a pivotal part in driving organizational excellence by developing and managing performance improvement programs, fostering provider relationships, and aligning operational strategies with regulatory standards and organizational goals. 

The ideal candidate is a strategic thinker with a strong background in healthcare operations, a passion for improving patient outcomes, and the ability to execute projects with cross-functional teams to achieve results, 

To make our mission a reality, your skills will: 

• Own performance monitoring and feedback delivery for the provider network, including the identification of trends and delivery of process improvement initiatives that support a dynamic understanding of network performance at global and individual levels:  
  • Execute run-rate core provider performance work-streams including (but not limited to) provider service quality monitoring, clinical case review, pharmaceutical monitoring program, and continuous response to escalations/grievances 
  • Serve as responsible party for ensuring data quality, accurate reporting, and appropriate resolution of escalations  
  • Provide ongoing insights to leadership at a specified cadence and drive resulting quality improvement initiatives     
• Support Practice Group leadership and cross functional partners in operationalizing effective provider care delivery:  
  • Represent provider network interests in cross-functional workgroups focusing on the development and delivery of foundational clinical workflows (eg, Medications for Menopause Management, Ovulation Induction Program, prescription policy)  
  • Serve as key point of contact for cross functional partners who support the administrative management of the provider network in areas such as:  
    • Product development 
    • Onboarding /credentialing 
    • Provider support 
    • Workforce forecasting and enablement   
• Function as the administrative lead for provider knowledge management and training initiatives:  
  • Own ongoing maintenance of clinical policies and guidelines, including management of the provider resource library 
  • partner with cross functional teams to identify future guideline and policy needs.
    • Manage provider resource library and ensure documents are maintained and reflect up-to-date information 
    • Work cross functionally to streamline provider facing materials and establish single source of truth

Minimum Qualifications:  

• 4+ years of experience in quality management in health system, payer, and/or healthcare start-up environment
• Analytic thinking skills and basi