Associate Clinical Quality Director, Behavioral Health

Remote
Clinical Strategy and Services – Clinical Strategy and Services /
Full-time /
Remote
We’re committed to providing positive health outcomes to patients across the world, no matter their situation. We want everyone to have ‘insider access’ to great healthcare. The Clinical Quality and Safety team is responsible for assuring that the clinical care delivered by Included Health clinicians meets the highest standards of care. The Associate Clinical Quality Director will take primary responsibility for cross-functional quality efforts across multiple service lines and quality programs. Each program may target a specific innovative digital health service or population and generally includes defining key measures or outcomes; overseeing data collection and reporting, including random chart and call auditing; working with clinical and operational leaders to drive continuous improvement, recognize best practices, and address opportunities for improvement. Additionally, the Associate Clinical Quality Director is responsible for investigating and responding to complaints and internal reports related to clinical quality and presenting the work of the team to internal and external audiences, including presentations to clients. The Associate Clinical Quality Director is responsible for leading a team of clinical quality individuals; which may include quality specialist(s), quality manager(s), and/or clinical knowledge lead(s); enabling a holistic approach to quality improvement.

Most importantly, you will become part of the healthcare solution by sharing our passion for saving lives through better healthcare quality and raising the standard of healthcare for everyone, everywhere. 

We are seeking highly motivated clinicians who seek out and tackle important and challenging problems, lead with empathy, and who are passionate about promoting high-quality, evidence-based clinical care in all care settings. Clinicians who thrive in this role are inquisitive and independent, comfortable working with and interpreting data, and happy working across multiple teams and with clinicians, non-clinicians and clients in many disciplines, specialties, and professional levels.

Position is remote with the expectation of ~5-10% travel for internal meetings, client meetings, and audits.

Responsibilities include:

    • Take on leadership of cross-functional quality efforts across multiple service lines with a primary focus on behavioral health
    • Develop the quality program model for behavioral health; including but not limited to quality evaluation forms, quality and safety metrics 
    • Take ownership of care delivery quality across the organization, including building influence and collaborative relationships with stakeholders in care support, engineering, product design, and other teams with a direct or indirect impact on care quality
    • Manage quality improvement projects involving multiple team members inside and outside of the quality and safety team
    • Collaborate with clinical managers, clinical directors, and analysts to administer quality programs for one or more service lines, or across one or more populations
    • Collaborating with clinical and operational managers to identify quality risks and improvement opportunities and follow best practices in carrying out quality improvement initiatives to address them
    • Perform random case evaluations and audit case evaluations done by others for quality and consistency of feedback
    • Investigate issues, complaints, and events escalated via quality tickets. Utilize clinical expertise to recommend resolution, collaborate with behavioral health leadership to resolve quality and/or safety concerns
    • Identify quality improvement opportunities and collaborate with clinical management, training, operations management, and other teams to act on these opportunities
    • Represent the clinical quality organization in client meetings and audits
    • Investigate and respond to complaints, quality issues, and quality events identified by Included Health employees, members, or clients
    • Lead investigation of patient safety events and lead RCA2 process for preventing recurrence
    • Work with the training and clinical education team to define or review training or education objectives aligned with needs across the entire clinical delivery organization
    • Present description, strategy, and results of quality program(s) to clinicians, care team members, managers, executives, and clients
    • Partner with the Audit Manager on responding to audit requests and developing remediation plans for audit findings
    • Define priorities, understand competing interests, and exercise judgment in work within the team and in requests made of other teams
    • Recommend and assist with clinical quality performance improvement programs when necessary
    • Strictly follow security and HIPAA regulations to protect our patients’ medical information
    • Model our culture and values through humility and curiosity 
    • Continuous performance management of direct report(s)
    • Supporting the strategy for clinical education, guidelines, and policy pertaining to Behavioral Health through the management of a clinical knowledge lead team member

Qualifications:

    • Psychiatry provider (Physician, NP, or PA) with current unrestricted US license and 5+ years of experience
    • Board certification required for physicians
    • At least 2 years experience in a healthcare quality role or 5 years experience in progressively responsible leadership roles
    • Be able to write and communicate medical information at a level appropriate to different audiences, including other clinicians, patients, analysts/data scientists, and executives.
    • Be systems-oriented, analytical, and understand how the different parts of the healthcare system work together (or don’t) to produce an observed result.
    • Be flexible and comfortable with working in a rapidly-changing environment.
    • Prior experience in healthcare quality or Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Patient Safety (CPPS), Six Sigma, or other similar quality, patient safety, and/or process improvement certification or training
    • Prior experience with analysis and reporting software (Looker, Tableau) or advanced features of spreadsheets (pivot tables, database and lookup features)
    • This is a remote position, so a reliable high-speed internet connection is required.
The United States new hire base salary target range for this full-time position is:

PA/NP candidates: $145,810 - $211,428 (yearly salary), in addition to benefits
MD/DO candidates: $237,000 - 303,000 (yearly salary), in addition to benefits

This range reflects the minimum and maximum target for new hire salaries for candidates based on their respective Zone. Below is additional information on Included Health's commitment to maintaining transparent and equitable compensation practices across our distinct geographic zones.

Starting base salary for the successful candidate will depend on several job-related factors, unique to each candidate, which may include, but not limited to, education; training; skill set; years and depth of experience; certifications and licensure; business needs; internal peer equity; organizational considerations; and alignment with geographic and market data. Compensation structures and ranges are tailored to each zone's unique market conditions to ensure that all employees receive fair and competitive compensation based on their roles and locations. Your Recruiter can share your geographic zone alignment upon inquiry.

Benefits & Perks
In addition to receiving a competitive base salary, the compensation package may include, depending on the role, the following: 

Remote-first culture
401(k) savings plan through Fidelity
Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)
Full suite of Included Health telemedicine (e.g. behavioral health, urgent care, etc.) and health care navigation products and services offered at no cost for employees and dependents 
Generous Paid Time Off ("PTO") and Discretionary Time Off (“DTO") 
12 weeks of 100% Paid Parental leave
Up to $25,000 Fertility and Family Building Benefit 
Compassionate Leave (paid leave for employees who experience a failed pregnancy, surrogacy, adoption or fertility treatment) 
11 Holidays Paid with one Floating Paid Holiday
Work-From-Home reimbursement to support team collaboration and effective home office work 
24 hours of Paid Volunteer Time Off (“VTO”) Per Year to Volunteer with Charitable Organizations

Your recruiter will share more about the specific salary range and benefits package for your role during the hiring process.

About Included Health

Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com.

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Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants in accordance with the San Francisco Fair Chance Ordinance.