Clinical Program and Quality Manager
Listed on 2026-08-09
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Healthcare
Healthcare Management
Everlywell is a digital health company pioneering the next generation of biomarker intelligence - combining AI-powered technology with human insight to deliver personalized, actionable health answers. We transform complex biomarker data into life-changing insights - seamlessly integrating advanced diagnostics, virtual care, and patient engagement to reshape how and where health happens. Over the past decade, Everlywell has delivered close to 1 billion personalized health insights, transforming care for 60 million people and powering hundreds of enterprise partners.
In 2025, an estimated 1 in 94 U.S. adults received an Everlywell test, solidifying our spot as the #1 at-home testing company in the country. Fueled by AI and built for scale, we’re breaking down barriers, closing care gaps, and unlocking a more connected healthcare experience that is smarter, faster, and more personalized.
The Clinical Program and Quality Manager is a registered nurse who is responsible for providing clinical care to support all clinical programs within Everlywell in a virtual setting (including Everlywell and Everly Health Solutions). In addition to direct clinical work, the Clinical Program and Quality Manager leads day-to-day clinical operations for assigned programs (e.g. BP), including functional oversight of internal RN and MA groups, program lead RNs and MAs and RN and MA supervisors, coordination of contact MA and RN cohorts to achieve safety, quality, and service goals.
The Clinical Program and Quality Manager partners with Clinical Solutions and Network/Ops to deliver error-free execution at scale.
This role owns end-to-end clinical quality assurance and documentation review for assigned programs—including chart audits, documentation standards, clinical education and training, and continuous-improvement initiatives—ensuring care and documentation consistently meet HEDIS/CMS, client, and internal SOP standards.
This position will primarily involve working within a broader clinical and telehealth network setting to assist with fundamental tasks related to providing excellent patient care in a virtual setting. The ideal candidate for this position should be able to successfully manage multiple responsibilities and clinical oversight.
Reports to Vice President, Clinical Solutions. Works in close partnership with Telehealth and Network Operations leadership.
What You'll Do:- Partner with Network Ops on capacity planning and scheduling.
- Own daily clinical operations for assigned RN/MA programs (e.g., BP), including supervisory activities, team huddles, daily performance review, coverage plans, and service recovery.
- Provide functional leadership to internal and contractor/vendor assigned RNs and MAs, RN/MA program leads, and RN/MA supervisors
- Expectations, performance, oversight and supervisory delegations.
- Ensure coverage is distributed to prevent single-point strain and minimize program risks.
- Ensure RN/MA documentation meets HEDIS/CMS, client, and internal SOP standards.
- Maintain HIPAA, privacy, and policy adherence across internal and contractor/vendor staff.
- Maintain a living RACI for programs.
- Ensure invoice/billing for RN/MA groups monthly.
- Provide required clinical input on IVR dialer management.
- Monitor and report on clinical KPIs (staffing levels, real-time performance metrics, capacity constraints, engagement, completion, escalations, documentation, and safety events, or other operational metrics) and trigger corrective actions.
- Partner with Analytics to produce weekly/monthly clinical metrics reports and ad-hoc deep dives that support internal and client reporting and renewals.
- Present operational summaries and clinical insights to leadership and clients as requested.
- Own the quality assurance program for assigned clinical programs, including the design, execution, and continuous improvement of quality monitoring and improvement activities.
- Own and run the chart-audit program to ensure chart-audit processes are performed per quality standards.
- Execute…
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