Clinical Quality Control and Process Improvement Manager

Job Description

Job Description

About Us

Modena Health ("MH") and Modena Allergy & Asthma ("MAA") are leading and rapidly growing medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona—and ambitious plans for national expansion. We are physician-led, hospitality-focused, and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine.

Known for our high standard of excellence, we provide compassionate, patient-centered care for both pediatric and adult patients. Our model combines hospitality-driven service with innovative technology solutions that streamline operations, improve clinical outcomes, and enhance the experience for both patients and providers.

At Modena, we aim to hire great people, treat them well, and help them find meaning and purpose in our mission. Our dedicated team values collaboration, positivity, and growth while striving to improve lives through expert diagnosis, treatment, and research. We are looking for high-energy, kind, and collaborative individuals eager to grow personally and professionally while making a meaningful impact in the lives of others.

Job Summary

We are seeking an experienced and detail-oriented Clinical Quality Control and Process Improvement Manager to join our rapidly-growing, national Allergy, Asthma, and Immunology clinic. This key leadership role is responsible for developing, implementing, and monitoring high-standard clinical and administrative processes to ensure exceptional patient safety, regulatory compliance, operational efficiency, and consistent quality of care.The ideal candidate will have strong clinical knowledge combined with a passion for process optimization, data-driven decision making, and team development. This position plays a critical role in elevating our standards for both clinical procedures and front-office performance. This role is mostly on-site with expected travel between sites and nationwide. Candidate will play a major role in developing our online training platform for front desk staff, managers, nursing, and providers.

Key Responsibilities

Clinical Quality & Process Improvement

• Develop, implement, and continuously improve standardized protocols for key clinical procedures, including:
  • Administration of allergy immunotherapy injections
  • Administration of biologic medications
  • Skin testing (prick, intradermal, patch)
  • Laboratory specimen collection and processing
  • Spirometry testing
  • Fractional Exhaled Nitric Oxide (FeNO) testing
• Conduct regular audits, observations, and quality checks on nursing and clinical staff performance.
• Identify opportunities for process enhancement to reduce errors, improve patient throughput, and enhance safety.
• Ensure full compliance with OSHA, HIPAA, AAAAI guidelines, and all applicable state and federal regulations.
• Lead training programs and competency assessments for clinical staff on procedures and best practices.
• Investigate incidents, near-misses, and patient complaints related to clinical processes and implement corrective action plans.
• MIPS (Merit-based Incentive Payment System) reporting, data collection, and submission to maximize incentives and maintain compliance. Ensure providers and staff are working towards 100% MIPS compliance.
• Assis the development of online training programs for front office, managers, and nursing staff.

Administrative & Front Office Quality Control

• Monitor and optimize front office performance metrics, including:
  • Copay and patient responsibility collection rates
  • Average call answer time
  • Timely and accurate completion of patient paperwork and insurance eligibility verification
• Establish key performance indicators (KPIs) and dashboards for both clinical and administrative teams.
• Perform regular audits of documentation, billing accuracy, and workflow efficiency

General Leadership & Operations

• Collaborate with the Medical Director, Practice Administrator, and department leads to align quality goals with overall clinic objectives.
• Prepare reports on quality metrics and present findings to leadership with actionable recommendations.
• Support onboarding, ongoing education, and performance improvement for all relevant staff.
• Stay current with industry best practices, new technologies, and regulatory changes in allergy/asthma care and healthcare quality management.

Qualifications & Requirements

Required:

• Bachelor's degree in Nursing, Healthcare Administration, or related field (Master's preferred).
• Active RN license (preferred) or strong clinical background in allergy, asthma, or ambulatory care.
• Minimum 3–5 years of experience in a clinical setting.
• Prior experience in quality control, process improvement, or clinical operations leadership.
• Strong analytical skills with experience using data to drive improvements.
• Excellent organizational, communication, and leadership abilities.

Preferred:

• Certification in Healthcare Quality (CPHQ) or Lean/Six Sigma.
• Experience in an outpatient specialty clinic (allergy, pulmonology, or immunology).
• Proficiency with electronic health records (EHR) systems and quality management software.

Compensation & Benefits

• Salary Range: $100-120k annually, commensurate with experience and qualifications.
• Full benefits package including:
  • Medical, dental, and vision insurance (100% employer-paid for employee)
  • 401(k) with employer match
  • Paid time off and holidays
  • CME allowance (if clinically licensed)
  • Professional development opportunities

Physical Requirements

Ability to stand, walk, and move throughout the clinic, if applicable, for extended periods; occasionally lift objects up to 25 lbs., bend, stoop, or reach as needed. Frequent use of hands and fingers for patient care and equipment operation. Must have normal (or corrected) vision and hearing and be able to respond quickly in a fast-paced clinical environment, if applicable.

What We Offer

• Competitive salary and benefits package, including medical, dental & vision insurance, 401(k) retirement plan with employer matching, and professional development opportunities
  • In addition, we offer paid time Off (PTO), sick time, floating holiday and holiday pay
• Opportunity to shape the future of a thriving allergy and asthma practice in beautiful San Diego (and across our expanding network)
• A supportive, mission-focused culture where your contributions directly impact patient outcomes and team growth

If this role excites you, please submit your resume and a cover letter outlining your relevant experience and why you're passionate about joining our team. We look forward to hearing from enthusiastic candidates ready to drive our success!

California Consumer Privacy Act (CCPA) Notice
Modena Health ("MH") and Modena Allergy & Asthma ("MAA") complies with the California Consumer Privacy Act ("CCPA"). Personal information provided in the job application process will be collected, used, and retained in accordance with applicable privacy laws. Candidates may request additional information regarding the categories of personal information collected and the purposes for which it is used during the hiring process.