Clinical Quality Program Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee clinical quality and ensure accreditation readiness for Pelago's care initiatives.

• Conduct clinical audits throughout the care team.

• Co-facilitate the Quality and Safety Committee.

• Act as the clinical lead for Joint Commission readiness, overseeing policy formulation to survey day.

• Convert audit findings and committee outcomes into revised policies, protocols, and tools for the care team.

• Verify that modifications have enhanced care quality.

• Organize Quality and Safety Committee meetings, transform discussions into actionable decisions and assign responsibilities, and monitor progress.

• Manage essential clinical policies, perform mock audits, initiate corrective actions, and be the clinical contact during surveys.

• Interpret Joint Commission standards into actionable guidance.

• Review documentation, clinical rationale, adherence to protocols, and interactions with members.

• Provide reports highlighting trends and recommendations.

• Detect systemic deficiencies in policies, tools, training, or processes.

• Suggest updates in collaboration with clinical, product, and operations teams.

• Keep abreast of current regulatory, licensing, and accreditation standards.

⛳️ Requirements

• Minimum of 3 years' experience in clinical quality, compliance, or auditing, which includes direct involvement in conducting clinical audits, managing quality programs, and/or preparing for accreditation or regulatory evaluations (Joint Commission, CARF, or equivalent).

• A valid, unrestricted clinical license in good standing (e.g., LCSW, LPC, LMFT, RN, or licensed psychologist).

• Knowledge of substance use disorders (SUD), mental health, or broader behavioral health care.

• Proven capacity to work autonomously.

• Excellent written communication skills.

• Highly organized and responsible.

• Comfortable with uncertainty and iterative processes.

• Applicants must reside in the United States.

🏝️ Benefits

• Generous and meaningful equity package.

• Comprehensive Medical, Dental, & Vision coverage.

• 401k Plan.

• Unlimited PTO policy, 10 paid holidays, & company-wide “Me Time” Days.

• Paid maternity, paternity & new parent leave.

• Flexible working environment.

• Annual Learning and Development stipend to facilitate ongoing education and career growth.

• Wellness Reimbursement Program.

• Access to Reproductive & Family Planning Care.

• Substance Use Support for employees and their family members.

• Incentive bonus program.

• Comprehensive benefits package.

• Incentive pay available for eligible positions.