Clinical Quality Control and Process Improvement Manager

Clinical Quality Control and Process Improvement Manager Remote Overview 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. 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. Assist 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. 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 Benefits & Compensation 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 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. #J-18808-Ljbffr Modena-Allergy-Asthma