Associate Clinical Quality Director - Client Launch

Responsibilities include:

• Dedicated Launch Support:
• Lead and manage new client launches for any Population Health services, ensuring smooth transitions, successful program implementation, and client confidence.
• Oversee initial member engagement to ensure all technical and operational are aligned.
• Oversee clinical transitions of care from historical providers to ensure members receive seamless support.
• Collaborate with internal teams and represent Included Health with external stakeholders (including carriers, clients, or third parties) to meet client expectations and organizational goals.
• Identify and address potential risks or gaps during the launch process, ensuring minimal errors and optimal outcomes.
• Augment and automate launch processes with technology optimizations and AI to improve efficiency, reduce errors, and enhance scalability.


• Audit Reviews, Quality Assurance, and Continuous Improvement:
• Conduct detailed reviews of calls and cases to prepare for internal and external audits or reviews, synthesizing findings and communicating results to leadership to ensure alignment with quality/compliance standards.
• Collaborate with internal audit teams to develop remediation plans for audit findings and ensure ongoing compliance with client and regulatory requirements.
• Perform quality assurance reviews, including random chart and call audits, to evaluate clinical performance and identify improvement opportunities.
• Utilize AI and technology to support scalable quality assurance, enabling efficient and comprehensive evaluations of clinical workflows and outcomes.
• Partner with clinical and operational leaders to implement quality improvement initiatives and address identified gaps.
• Analyze quality metrics to ensure compliance with organizational standards and client requirements.
• Support the integration of artificial intelligence (AI) and technology to enhance clinical decision support and improve care delivery.


• Cross-Functional Collaboration:
• Work closely with engineering, product, and clinical teams to support the safe and effective integration of technology into clinical workflows.
• Collaborate with client affairs, clinical performance and effectiveness, and operational teams to align quality initiatives with client and organizational goals.
• Represent the Clinical Quality and Safety team in client meetings, escalations, and audits, serving as a trusted advisor on quality and service implementation matters.


• Other Responsibilities:
• Strictly adhere to security and HIPAA regulations to protect patient information.
• Model organizational values through humility, curiosity, and a commitment to excellence.
• Travel approximately 5-10% for internal meetings, client engagements, and audits.

Qualifications:

• Required:
• Nurse Practitioner (NP) or Physician Assistant (PA) with a current unrestricted U.S. license.
• Minimum of 5+ years of experience in healthcare quality, service implementation, or project management.
• Demonstrated experience managing service launches or large-scale projects in a healthcare setting.
• Strong technical proficiency, including experience with data feed management, system configuration, and quality assurance tools.
• Project management, data analysis, technical proficiency, and communication skills.
• Excellent written and verbal communication skills, with the ability to engage diverse stakeholders, including clinicians, clients, and technical teams.
• Systems-oriented and analytical mindset, with a deep understanding of healthcare systems and processes.
• Flexibility and adaptability to thrive in a rapidly changing environment.


• Pre