Sr. Manager of Process Improvement

Oshi Health is revolutionizing GI care with a digital clinic model that provides easy, convenient access to an integrated and multidisciplinary care team that takes a holistic approach to diagnosing, managing and treating digestive health conditions. Oshi Health has been recognized by Modern Healthcare and Builtin as the recipient of Best Place to Work awards. This recognition highlights our dedication to creating a workplace environment that prioritizes our team, fosters inclusivity, and is committed to our mission.

We take time to get to know each patient, develop a personalized, whole-person care plan that includes identification of symptom triggers and prescription of evidence-based interventions, including medications, dietary changes, and mental health support.  Our care is delivered virtually through our app, via secure messaging and telehealth visits.  When in-person diagnostics or procedures are needed, we take a concierge approach and coordinate access, care and follow up with local providers. For more information, visit us at: www.oshihealth.com

"Oshi Health will never contact job candidates via text message or any other messaging platform including WhatsApp, Signal, and Telegram. All official correspondence will occur through email. We will never ask you to share bank account information, cash a check from us, or purchase software or equipment as part of your interview or hiring process. If you have concerns, please reach out to careers@oshihealth.com, and we’ll confirm whether you’re engaging with one of our Oshi teammates!"

About the Role: 

We are seeking a dynamic and experienced Sr. Manager of Process Improvement to support our growing clinical practice in improving patient outcomes and reducing the cost of care for patients living with GI Disease. The Sr. Manager of Process Improvement will report directly to the Sr. Director of Medical Practice and support a multidisciplinary clinical team in developing and executing internal operations and processes to monitor and enhance patient care outcomes while reducing the total cost of care. The Sr. Manager of Process Improvement will work closely with the Chief Medical Officer, Clinician Leadership, and Operational Leadership. As a part of a dynamic, fast-paced and quickly growing company, this position will be critical in developing innovative and efficient strategies to scale these pivotal programs. 

What you’ll do:

Patient Outcomes

• Supports Clinical Leadership for GI Providers, Registered Dietetics, and Behavioral Health Providers in identifying and measuring meaningful clinical metrics and benchmarks. 
• Develops internal processes to assess clinical documentation to ensure compliance with evidence based care and standard of practice. 
• Works closely with data and analytics to develop reporting to develop clinical and process metrics and maintains reporting 
• Drives logistics, documentation and communication on all quality improvement projects. 
• Conducts audits, analyzes quality metrics, and implements Performance Improvement (PI) plans based on patient feedback.

Cost Savings (Utilization Management)

• Supports Clinical Leadership in implementing internal processes and clinical workflows that support our clinical principles and reduce unnecessary utilization. 
• Manages and iterates internal tracking and review processes to ensure progress toward internal KPIs
• Supports and manages weekly UM meetings and ensures clinical consultations are staffed appropriately. 
• Works closely with Data & Analytics and Product/Tech leadership to leverage technology and automated solutions to improve reporting efficiencies

Quality and Patient Experience

• Tracks incoming incident reports and facilitates standard processes for investigation and review
• Trends quality and patient experience data and submits weekly reporting to leadership.
• Identifies and investigates trends in data and works with Clinical Leadership to develop process improvement strategies
• Manages weekly meeting series to review incoming incident reports and ensure follow-through on investigative findings

Internal Operations

• Maintains accurate and standardized SOPS, job aides, and policies and procedures for the clinical team. 
• Maintains accurate and up to date internal documentation. 
• Develops SOPS, policies and procedures, and job aides as assigned by Clinical Leadership
• Supports operational efficiency through continuous process improvement
• Maintains internal trackers to ensure efficient communication with legal counsel
• Implements internal process to ensure risk mitigation and compliance with regulatory standards
• Manages third-party vendor relationships as needed

Qualities we’re looking for in candidates:

• Knowledge of care delivery utilizing MDs and APPs 
• Experience with development of clinical quality programs and leadership skills to guide and motivate teams
• Skilled in analyzing complex data, identifying trends, and developing actionable strategies to address compliance and quality challenges. 
• Ability to identify inefficiencies and streamline processes to enhance compliance and quality outcomes. 
• Strong collaboration skills to work with cross-functional teams, including operations, and medical staff. 
• Keen attention to detail to ensure accuracy and completeness in compliance documentation and quality reporting. 
• Excellent interpersonal skills to build positive relationships with internal and external stakeholders, including regulatory agencies. 

What you’ll bring to the team 

• Bachelor's degree in a relevant field; Master's degree preferred.
• 5+ years of extensive experience medical practice management, process improvement, clinical quality or external utilization management
• Proven ability to implement efficient and effective internal processes 
• Strong leadership and communication skills, with a track record of successful team collaboration and motivation.
• Detail-oriented with excellent analytical and problem-solving abilities.

We take care of our people: 

We’re revolutionizing GI care — and our employees are driving the change. We’re a hard-working and fun-loving team, committed to always learning and improving, and dedicated to doing the right thing for our members. To achieve our mission, we invest in our people:

We make healthcare more equitable and accessible:

• Mission-driven organization focused on innovative digestive care
• Thrive on diversity with monthly DEIB discussions, activities, and more
• Virtual-first culture: Work from home anywhere in the US
• Live our core values: Own the outcome, Do the right thing, Be direct and open, Learn and improve, Team, Thrive on diversity 
• Competitive compensation and meaningful equity
• Employer-sponsored medical, dental and vision plans 
• Access to a “Life Concierge” through Overalls, because we know life happens
• Tailored professional development opportunities to learn and grow

We rest, recharge and re-energize:

• Unlimited paid time off — take what you need when you need it
• 13 paid company holidays to power down
• Team events, such as virtual cooking classes, games, and more
• Recognition of professional and personal accomplishments
• Annual paid performance bonus 

Note: This job description serves as a general overview and may be subject to change based on organizational needs and requirements.

Oshi Health is an equal opportunity employer that is committed to creating a diverse work environment. To do that, we champion a workplace where each and every person is treated with dignity and respect and is valued for their unique perspective and contributions.

Oshi Health’s policy is to maintain a working environment that encourages mutual respect, promotes harmonious and congenial relationships between employees, and is free from all forms of discrimination and harassment of any employee (or applicant for employment or service provider) by anyone, including supervisors, co-workers, vendors, or clients. Harassment and discrimination in any manner or form is expressly prohibited. There is no tolerance for discrimination or unequal treatment of any kind on the basis of race, color, religion, creed, gender, sex, sexual orientation, gender identity or expression, pregnancy, sexual and reproductive health decisions, national origin, age, disability, genetic information, marital status or civil partnership/union status, familial status, military or veteran status, predisposition or carrier status, domestic violence victim status, alienage or citizenship status, unemployment status, sexual violence or stalking victim status, caregiver status, or any other characteristic protected by law.

This practice applies to all terms, conditions and privileges of employment including, but not limited to, recruitment, selection, promotion, demotion, transfer, layoff, rehire, termination of employment, development and training, compensation, benefits and retirement.

For more information, visit us at www.oshihealth.com