Clinical Quality Manager
Clinical Quality Manager
Metro Vein Centers is seeking a Clinical Quality Manager to lead the growth and optimization of our national clinical performance. Reporting to the Director of Clinical Documentation & Coding, this remote position will serve as the technical expert for clinical quality, value-based care, and clinical documentation improvement initiatives.
What You Will Do
Clinical Auditing: Conduct deep-dive reviews of current documentation and workflows within the electronic health record (EHR) to identify gaps in quality and compliance.
Provider Education: Assist with clinical documentation training and feedback sessions for providers to ensure evidence-based standards, documentation, and coding accuracy requirements are met.
Quality Performance Monitoring: Identify all qualifying opportunities, and Develop, Implement, and Monitor MVC’s pay for performance/value-based incentive programs to ensure alignment with specific payer contracts.
Data Reporting: Develop and analyze new and existing data reports to communicate performance trends and "red flags" to leadership teams.
Process Engineering: Identify opportunities for automation and software enhancements to streamline quality reporting and documentation auditing & coding workflows as the practice grows.
Clinical Quality Leader: Establish a unified clinical roadmap that aligns national clinical guidance with regulatory & payer requirements and organizational strategy. Ensures clinical operations are within regulation and meet the highest level of quality.
Stakeholder Liaison: Build partnerships across IT, Credentialing, and Clinical Operations to ensure clinical guidance meets both business and patient needs.
Minimum Qualifications
Expertise: In-depth knowledge and experience with Healthcare Effectiveness Data and Information Sets (HEDIS), CMS Quality Payment Programs (QPP), Advanced Alternative Payment Models (APM), Merit-based Payment Systems (MIPS), and payer specific Quality Initiative Value-Based Reimbursement programs.
Technical Literacy: Ability to navigate Electronic Medical Records (EMR), data reporting (Tableau), and Google Sheets/Microsoft Office systems efficiently.
Experience: 5+ years of physician revenue cycle experience with a focus on clinical quality standards at a national level.
Leadership: 5+ years of experience leading clinical quality efforts and change management in a fast-growth environment.
Education: Associate’s degree or higher in Business, Healthcare Administration/Management, HIM, Informatics, or associated track.
Preferred Qualifications
Certifications: CPHQ or CHQM highly preferred. Open to other relatable certifications.
Coding Expertise: CPC, CPMA, CCS, RHIT, or CDIP certifications are a significant plus.
Systems: Previous experience with Athena Practice (GE Centricity) EMR.
Specialty: Experience within vascular or vein-specific clinical environments.
Clinical Background: Experience as an LPN, RN, NP/PA, or FMG/IMG.
Benefits to Support Your Wellbeing & Lifestyle
Medical, Dental, and Vision Insurance
401(k) with Company Match
Paid Time Off (PTO) + Paid Company Holidays
Company-Paid Life Insurance
Short-Term Disability Insurance
Employee Assistance Program (EAP)
Career Growth & Development Opportunities
About the Role
Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our board-certified physicians and expert staff are on a mission to improve people’s quality of life by relieving the painful, yet highly treatable symptoms of vein disease—such as varicose veins and heavy, aching legs.
With over 70 clinics across 8 states, and still growing, we’re building the future of vein care—delivering compassionate, results-driven care in a modern, patient-first environment.
We proudly maintain a Net Promoter Score (NPS) of 93, the highest patient satisfaction in the industry.
Qualifications
Expertise: In-depth knowledge and experience with Healthcare Effectiveness Data and Information Sets (HEDIS), CMS Quality Payment Programs (QPP), Advanced Alternative Payment Models (APM), Merit-based Payment Systems (MIPS), and payer specific Quality Initiative Value-Based Reimbursement programs.
Technical Literacy: Ability to navigate Electronic Medical Records (EMR), data reporting (Tableau), and Google Sheets/Microsoft Office systems efficiently.
Experience: 5+ years of physician revenue cycle experience with a focus on clinical quality standards at a national level.
Leadership: 5+ years of experience leading clinical quality efforts and change management in a fast-growth environment.
Education: Associate’s degree or higher in Business, Healthcare Administration/Management, HIM, Informatics, or associated track.
Skills
Expertise: In-depth knowledge and experience with Healthcare Effectiveness Data and Information Sets (HEDIS), CMS Quality Payment Programs (QPP), Advanced Alternative Payment Models (APM), Merit-based Payment Systems (MIPS), and payer specific Quality Initiative Value-Based Reimbursement programs.
Technical Literacy: Ability to navigate Electronic Medical Records (EMR), data reporting (Tableau), and Google Sheets/Microsoft Office systems efficiently.
Experience: 5+ years of physician revenue cycle experience with a focus on clinical quality standards at a national level.
Leadership: 5+ years of experience leading clinical quality efforts and change management in a fast-growth environment.
Education: Associate’s degree or higher in Business, Healthcare Administration/Management, HIM, Informatics, or associated track.
Benefits
Medical, Dental, and Vision Insurance
401(k) with Company Match
Paid Time Off (PTO) + Paid Company Holidays
Company-Paid Life Insurance
Short-Term Disability Insurance
Employee Assistance Program (EAP)
Career Growth & Development Opportunities
Pay
Competitive salary commensurate with experience.
Schedule
This is a remote position.