Senior Clinical Quality Manager, AI Transformation
Core
Leading strategic quality initiatives to strengthen provider performance, clinical quality, and operational excellence across a mental health provider network using AI-first technology solutions.
Role type
Senior Clinical Quality Manager (AI Transformation)
Builds
Scalable quality programs, provider enablement resources, and operational workflows for tele-behavioral health providers.
Domain
Mental health / Tele-behavioral health / Healthcare Quality
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure
Required skills
Clinical quality management, provider operations, regulatory compliance (CARF, NCQA), performance management frameworks, systems thinking, cross-functional leadership, AI fluency, process redesign, fraud waste and abuse prevention.
Preferred skills
EAP experience, enterprise workflow platforms (Zendesk, Salesforce), mental health system knowledge.
Technologies
Generative AI, intelligent automation, enterprise workflow platforms.
Responsibilities
Lead cross-functional initiatives optimizing automations and intelligent decision support; Transform provider policies and SOPs into interactive tools; Innovate provider performance feedback tools; Design scalable operational workflows; Drive systems integrations for quality monitoring; Develop reporting standards for compliance; Serve as strategic leader in Fraud, Waste, and Abuse prevention.
Seniority
Senior, hands-on IC with strategic leadership