Sondermind

Part-Time Clinical Quality Specialist

Denver, CO · Part-time

Sponsorship not specifiedDetected 5 days ago

iOSCode ReviewGitData AnalysisAuditingPatient CareResearchLeadership

About the role

The Part-Time Clinical Quality Specialist role exists to safeguard and strengthen the clinical integrity of care delivered across the organization, with a focused lens on utilization management, payor-facing clinical audits, and clinical quality assurance.
This is a collaborative, provider-supportive role that combines sound clinical judgment with the rigor of utilization review and audit-readiness.
The Specialist serves as a key bridge between clinical care, payor expectations, and internal quality standards.

Apply evidence-based UM criteria to evaluate clinical documentation and support authorization and appeal processes
Clinical Quality & Provider Support
Support measurement-based care initiatives and identify opportunities to strengthen clinical outcomes across the provider network
UM findings translate into actionable provider support plans and measurable improvement in care appropriateness
Cross-functional partners rely on you as a knowledgeable, solutions-oriented collaborator on UM and quality matters
Demonstrated ability to collaborate effectively across multiple teams.
Commitment to provider support and quality management.
Familiarity with clinical technology platforms for documentation, case tracking, and data analysis to support provider quality and compliance.
Our clinicians leverage our digital tools and research to deliver increasingly high-quality care and to develop thriving practices.
Combining technology and human connection, SonderMind drives better outcomes through our comprehensive approach.

Demonstrated ability to produce clear, accurate, and defensible clinical documentation.

The hourly rate offered for this role is between $40.00-$42.00/hour, up to 30 hours per week.

At SonderMind, we believe everyone deserves one personalized, connected, and effective mental health destination to take care of their mental health and well-being at any stage of life.
Conduct prospective, concurrent, and retrospective utilization reviews to assess medical necessity, treatment appropriateness, and level of care
Partner with health plans on external UR requests and peer-to-peer review coordination
Master's degree in a mental health discipline.
Experience in utilization management, utilization review, medical necessity review, or clinical auditing - ideally in a behavioral health or payor/health plan context.
Familiarity with payor requirements, medical necessity criteria, and level-of-care guidelines.

Additionally, we expect all team members to effectively leverage modern AI technologies as part of their everyday workflow, and to continuously adapt as new tools emerge.

SonderMind does not discriminate in employment opportunities or practices based on race, color, creed, sex, gender, gender identity or expression, pregnancy, childbirth or related medical conditions, religion, veteran and military status, marital status, registered domestic partner status, age, national origin or ancestry, physical or mental disability, medical condition (including genetic information or characteristics), sexual orientation, or any other characteristic protected by applicable federal, state, or local laws.

This listing is sourced directly from Sondermind's careers page and normalized into a canonical job model.