Full-Time

Clinical Quality Manager

Posted on 11/20/2024

Grand Rounds

Grand Rounds

51-200 employees

Healthcare services for underserved populations

Healthcare

Compensation Overview

$149.4k - $274.4kAnnually

+ Equity

Mid, Senior

Remote in USA

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Required Skills
Tableau
Looker
Data Analysis
Requirements
  • Physician or NP with a current unrestricted US license and 3+ years of experience
  • Board certification required for physicians
  • At least 1 years experience in a healthcare quality role or 3 years experience in progressively responsible leadership roles
  • Licensed and in good standing with state medical board(s)
  • Be able to write and communicate medical information at a level appropriate to different audiences, including other clinicians, patients, analysts/data scientists, and executives.
  • Prior experience in healthcare quality or CPHQ is valued
  • Prior experience with analysis and reporting software (Looker, Tableau) or advanced features of spreadsheets (can perform complex functions)
  • Be systems-oriented, analytical, and understand how the different parts of the healthcare system work together (or don't) to produce an observed result.
  • Agile and comfortable with working in an environment that values change.
  • Continuous improvement mindset and willingness to teach and to learn from other members of the team.
  • This is a remote position, so a reliable high-speed internet connection is required.
Responsibilities
  • Administer quality programs across service lines or populations, collaborating with clinical operations managers to address risks and lead improvements.
  • Partner with Health Economics, Research, and Clinical Affairs teams to refine clinical effectiveness measures.
  • Analyze clinical quality data, including documentation reviews, patient outcomes, satisfaction, and call evaluations.
  • Perform and audit case and call reviews to ensure consistent, high-quality feedback.
  • Identify improvement opportunities and work with management, training, and operations teams to implement solutions.
  • Investigate and address complaints, quality issues, and patient safety events, participating in RCA2 processes.
  • Support training plans by defining relevant goals for specific services or populations.
  • Represent clinical quality in client meetings, audits, and internal presentations, contributing to top priority areas.
  • Collaborate with the credentialing team to support committee activities and recommend performance improvement plans.
  • Uphold security and HIPAA regulations, modeling our culture and values in all work.

Included Health focuses on enhancing the healthcare experience for individuals who often face challenges in accessing quality care. The company provides a variety of services, including primary care, behavioral health, and virtual care, ensuring that members receive comprehensive support tailored to their needs. Their model emphasizes 24/7 on-demand care with a diverse group of providers, allowing for timely and appropriate treatment. Unlike many competitors, Included Health prioritizes underserved populations and partners with employers and consultants to deliver these services, which helps reduce overall healthcare costs while improving health outcomes. The goal of Included Health is to make quality healthcare accessible and understandable for everyone, ultimately leading to better clinical and financial results.

Company Stage

Growth Equity (Venture Capital)

Total Funding

$337.5M

Headquarters

San Francisco, California

Founded

2020

Growth & Insights
Headcount

6 month growth

-5%

1 year growth

-19%

2 year growth

-20%
Simplify Jobs

Simplify's Take

What believers are saying

  • Telehealth usage has increased 38-fold since pre-COVID levels.
  • 92% of employers plan to enhance virtual care offerings.
  • Data analytics in healthcare is projected to grow at a 24% CAGR.

What critics are saying

  • Competition from Teladoc and Amwell is intensifying.
  • Post-merger integration challenges with Doctor On Demand may affect efficiency.
  • Regulatory scrutiny on telehealth services is increasing.

What makes Grand Rounds unique

  • Included Health offers integrated primary and behavioral health services.
  • The company provides 24/7 on-demand care with diverse providers.
  • Included Health specializes in care for underserved populations.

Help us improve and share your feedback! Did you find this helpful?

Benefits

Along with comprehensive medical, dental and vision plans; all employee spouses and children can access Included Health services at no cost. For time off, take it when you need it with our unaccrued discretionary time off for all exempt employees.

INACTIVE