Network Performance and Quality Assurance Manager

Summary

Join Maven Clinic as the Manager of Network Performance and Quality Assurance, leading initiatives to enhance practice quality, ensure clinical rigor, and optimize provider network performance. You will develop and manage performance improvement programs, foster provider relationships, and align operational strategies with regulatory standards. This pivotal role requires a strategic mindset, a strong healthcare operations background, and a passion for improving patient outcomes. You will work cross-functionally to achieve results, monitoring provider performance, ensuring data quality, and providing insights to leadership. The ideal candidate possesses experience in quality management within a healthcare setting and strong analytical skills. Maven Clinic offers a competitive salary and benefits package, including stock options and comprehensive health and wellness programs.

Requirements

• 4+ years of experience in quality management in health system, payer, and/or healthcare start-up environment
• Analytic thinking skills and basic tooling capabilities - experience and familiarity with data visualization tools like Looker, Tableau, etc. to develop dashboards
• Demonstrated track record of success delivering on key elements of project management for projects/initiatives in a matrixed organization
• Experience and/or exposure working with clinical leadership on quality/operations teams managing quality analytics

Responsibilities

• 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

Preferred Qualifications

• Experience leveraging multiple sources of data to identify key insights and making recommendations to drive efficiency and effectiveness
• Higher education credentialing in health systems management (MHA, MPH, MBA) and quality management
• Experience leading performance feedback discussions

Benefits

• Stock options
• Maven for Mavens: access to the full platform and specialists, including care for mental health, reproductive health, family planning and pediatrics
• Whole-self care through wellness partnerships
• Hybrid work, in office meals, and work together days
• 16 weeks 100% paid parental leave and new parent stipend (for Mavens who've been with us for six months plus)
• Annual professional development stipend and access to a personal career coach through Maven for Mavens
• 401K matching for US-based employees, with immediate vesting
• Employer-covered health, dental, and insurance plan options