Senior Clinical Quality Manager, AI Transformation
About the role
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.
Reporting to the Senior Director of Clinical Quality and Safety on the Medical Affairs team, the Senior Clinical Quality Manager - AI Transformation is responsible for leading strategic quality initiatives that strengthen provider performance, clinical quality, and operational excellence across Spring Health's provider network. This role partners cross-functionally with Clinical Leadership, Provider Operations, Product, Business Intelligence, Credentialing, Legal and Compliance, and other teams to design scalable quality programs, optimize workflows, develop provider enablement resources, and drive continuous improvement across quality systems. This role combines clinical expertise, operational leadership, and systems thinking to improve how quality is measured, managed, and scaled. The ideal candidate is an innovative, highly collaborative leader who excels at translating complex operational challenges into sustainable solutions and embraces an AI-first mindset to improve efficiency, streamline workflows, and enhance decision-making across the Quality organization.
What you’ll do:
- Lead complex cross-functional initiatives from strategy through implementation using AI-first technology solutions, optimizing automations and intelligent decision support
- Transform provider policies, SOPs, playbooks, and clinical resources into engaging, interactive tools aimed to improve provider care quality and effectiveness and help them maintain compliance with all legal, regulatory, and payer requirements
- Innovate provider performance feedback tools to amplify provider strengths, address risks and areas for improvement, offer focused education and ongoing professional development to hone their skills, and equip them with resources and actionable steps to achieve these goals
- Design scalable quality team operational workflows that improve efficiency, reduce manual work, and enhance provider experiences
- Drive systems integrations across enterprise tools to strengthen monitoring of quality improvement initiatives that drive care delivery outcomes and identify strategic opportunities for continuous improvement
- Assist in developing reporting standards for compliance and quality of care, including establishing review criteria and recommending new innovations in processes to better evaluate success
- Develop and maintain policies that support compliance with accreditation and regulatory standards (e.g., CARF, NCQA)
- Serve as a strategic leader in Fraud, Waste, and Abuse (FWA) prevention initiatives
- Lead and/or participate in additional projects as assigned
What success looks like in this role:
- Deliver strategic initiatives on time and within scope