Clinical Quality Manager, Medication Care

OUR MISSION: ELIMINATING EVERY BARRIER TO MENTAL HEALTH.

Spring Health is a global mental health company on a mission to eliminate every barrier to mental health. We're building a world where getting support is simple, personal, and built around the person, so care can continue through every job, move, health plan, and life stage.

Our AI-native platform helps us deliver personalized support across self-guided tools, coaching, therapy, medication management, and specialty care. With outcomes independently validated by JAMA Network Open and the Validation Institute, Spring Health reaches more than 170 million people worldwide through leading employers, health plans, and partners.

As an AI-native company, we believe technology should expand the reach, quality, and humanity of care. Every Spring Health team member is expected to use AI tools thoughtfully, apply human judgment to AI outputs, and keep building AI fluency in ways that support their role and our mission.

The Clinical Quality Manager - Medication Care is responsible for driving and maintaining the highest standards of clinical quality for our Medication Providers. This position focuses on critical quality assurance programs, including investigating quality of care complaints, managing the annual peer review process, and leading initiatives to improve provider delivery of care and workflow efficiency. This role collaborates cross-functionally with Clinical Leadership, Legal/Compliance, Credentialing, Provider Operations, Clinical Operations, Clinical Product, and Business Intelligence teams to support scalable quality operations and systems optimization initiatives. This a full time, fully remote position on our team. Occasional travel may be required for team or company events/meetings.

What you'll do:

• Conduct investigations into Quality of Care (QoC) concerns by reviewing member complaints, provider documentation, and internal quality metrics to determine appropriate remediation or corrective actions in alignment with organizational policies and established quality frameworks.

• Exercise strong clinical judgment in determining provider interventions, escalations, and follow-up compliance monitoring, consulting with leadership for recommendations as appropriate.

• Partner with Medication Prescribers to obtain additional information, provide performance coaching, reinforce platform policies, procedures, and quality standards, and support ongoing quality improvement initiatives.

• Perform post-intervention compliance audits to evaluate provider improvement, identify persistent compliance gaps, and determine whether further escalation or corrective action is warranted.

• Analyze and report on quality trends, recurring performance concerns, and provider performance data to support continuous quality improvement initiatives and operational decision-making.

• Manage the annual peer review program for all Medication Prescribers, ensuring timely review completion, intervention tracking, provider follow-up, and compliance with organizational and regulatory standards.

• Maintain and optimize peer review tracking systems and documentation processes to monitor review completion, remediation activities, and quality outcomes.

• Partner with clinical leadership to operationalize peer review findings and facilitate provider performance improvement initiatives.

• Serve as a Medication Management quality subject matter expert and liaison for cross-functional initiatives involving clinical quality, provider operations, compliance, credentialing, and workflow optimization.

• Develop educational materials, slide decks, and supporting documentation required for Onboarding, Continuing Education, and other professional development activities for Medication Providers.

• Identify gaps in Medication Management policies and procedures and update/review policy manual to ensure alignment with clinical workflows, documentation standards, regulatory requirements, and organizational quality expectations.

• Collaborate with Legal/Compliance, Provider Operations, Clinical Operations, and other stakeholders on Quality of Care investigations, quality initiatives, operational projects, and systems development efforts.

What success looks like in this role:

• Thoroughly and efficiently investigate complaints and grievances within specified SLA's

• Consistently make decisions about appropriate interventions for providers based on quality standards

• Deliver detailed guidance to providers to improve performance and ensure contract compliance

• Complete Medication Provider annual peer review on time and in accordance with process evaluation expectations.

• Complete project-based work on time and at high quality

Not sure if you meet every requirement? Research shows that women and people from historically underrepresented communities often hesitate to apply for roles unless they meet every qualification compared to other similarly-qualified candidates. At Spring Health, we are committed to fostering a workplace where everyone feels valued, empowered, and supported to Thrive. If this role excites you, we encourage you to apply.

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Spring Health is proud to be an equal opportunity employer. We do not discriminate in hiring or any employment decision based on race, color, religion, national origin, age, sex, marital status, ancestry, disability, genetic information, veteran status, gender identity or expression, sexual orientation, pregnancy, or other applicable legally protected characteristic. We also consider qualified applicants regardless of criminal histories, consistent with applicable legal requirements. Spring Health is also committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans. If you have a disability or special need that requires accommodation, please let us know.