Clinical Quality Manager

About Metro Vein Centers

Metro Vein Centers is an expanding healthcare network providing advanced vein care treatments across the United States with over 70 clinics in 8 states. Our expert team delivers compassionate and effective care to alleviate symptoms like varicose veins and leg discomfort. We maintain the highest patient satisfaction scores in the industry, reflecting our patient-centric approach.

Role Overview

We seek a Clinical Quality Manager to lead and enhance clinical performance nationally. Reporting to the Director of Clinical Documentation & Coding, this remote role acts as a technical authority on clinical quality, value-based care, and documentation improvement. The goal is to integrate clinical data with operational excellence to maximize quality scores and reimbursement through thorough analysis and change management.

Key Responsibilities

• Perform comprehensive clinical audits of electronic health records to pinpoint documentation and workflow gaps.
• Provide training and feedback to providers ensuring compliance with clinical documentation and coding standards based on evidence.
• Identify opportunities and implement pay-for-performance and value-based incentive programs aligned with payer contracts.
• Create and analyze data reports to highlight performance trends and potential issues for leadership.
• Recommend process improvements including automation and software upgrades to optimize quality reporting and auditing workflows.
• Develop a unified clinical strategy aligning national clinical guidelines with regulatory and payer requirements while supporting organizational goals.
• Collaborate effectively with IT, Credentialing, and Clinical Operations to ensure clinical guidance supports both business objectives and patient care.

Minimum Qualifications

• Proven expertise in HEDIS, CMS QPP, Advanced APMs, MIPS, and payer-specific quality and value-based reimbursement programs.
• Strong technical skills in navigating EMRs, data analytics tools such as Tableau, and productivity software including Google Sheets and Microsoft Office.
• At least five years of experience in physician revenue cycle management emphasizing clinical quality at a national scale.
• Five or more years leading clinical quality initiatives and managing change in a rapidly growing environment.
• Associate degree or higher in Business, Healthcare Administration/Management, HIM, Informatics, or related fields.

Preferred Qualifications

• Certifications such as CPHQ or CHQM preferred; other relevant certifications considered.
• Coding credentials like CPC, CPMA, CCS, RHIT, or CDIP are advantageous.
• Experience with Athena Practice (GE Centricity) EMR is highly desirable.
• Background in vascular or vein-specific clinical settings is a plus.
• Clinical background as LPN, RN, NP/PA, or FMG/IMG adds value.

Employee Benefits

• Medical, Dental, and Vision insurance coverage.
• 401(k) retirement plan with company matching.
• Paid time off including company holidays.
• Life insurance paid by company.
• Short-term disability coverage.
• Access to an Employee Assistance Program (EAP).
• Opportunities for professional growth and development.

Company Culture and Values

At Metro Vein Centers, patient care is at the core of everything we do. Our mission focuses on approachable and connected vein care, emphasizing compassionate interaction backed by expertise and trust. We promote teamwork, positivity, tangible results, and continuous professional growth, fostering an inclusive and supportive work environment.

Equal Opportunity and Compliance

We are dedicated to cultivating a workplace free of discrimination, providing equal opportunity regardless of race, color, religion, sex, national origin, age, disability, gender identity or expression, sexual orientation, veteran status, or any other protected characteristic as per applicable laws. Compliance with all employment regulations is strictly maintained.