Clinical Quality Assurance Lead

KEY RESPONSIBILITIES

QA Program Management

• Own the clinical QA program for all Lifeforce clinicians (physicians, NPs, and PAs), including review cadence, sampling, workflows, and documentation.

• Audit telehealth visits and chart notes against the Lifeforce Clinical Evaluation Form and clinical SOPs.

• Produce monthly QA scorecards for every clinician, with quarterly and annual roll-ups, and trigger targeted reviews based on complaints, missed standards, or safety concerns.

• Escalate patient safety concerns (e.g., inappropriate recommendations, documentation errors) to clinical leadership immediately.

• Support ad hoc reporting and insights related to clinical QA.

Rippit Ownership, Reporting & Insights

• Administer Rippit (formerly MaestroQA): scorecards, rubrics, workflows, integrations, and user access.

• Build and maintain QA reporting by clinician, visit type, membership type, and evaluation domain.

• Provide team leaders and clinical leadership with data-driven insights for performance conversations.

• Identify trends in QA results and recommend improvements to the Medical Director and clinical leadership.

• Ensure Rippit remains the system of record for all clinical QA data.

Automation

• Identify and implement automation (e.g., AI-assisted screening, risk-based sampling, automated flagging, reporting) to reduce reviewer workload.

• Validate automated outputs against human review and continuously improve accuracy.

• Protect reviewer time for high-judgment reviews.

Standards & Calibration

• Maintain the Clinical Evaluation Form and align it with clinical SOPs; set scoring benchmarks.

• Write scoring anchors for evaluation criteria to ensure consistent reviewer interpretation.

• Build and maintain a calibration library of recorded visits and sample charts. Calibrate reviewers before live reviews and conduct ongoing sessions.

New Clinician Quality

• Lead QA for newly onboarded clinicians, from mock appointments to early visit and chart reviews.

• Determine when each new clinician is ready for the standard monthly scorecard cycle.

Cross-Functional Partnership

• Collaborate with the Clinical Onboarding & Training team to update training and curriculum based on QA findings.

• Flag gaps in clinical SOPs (e.g., lipid management, cardiovascular imaging, peptide/hormone therapy) and recommend updates.

• Evaluate clinicians against standards in their independent contractor agreements.

WHAT SUCCESS LOOKS LIKE