Clinical Quality Specialist

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

📋 Description

• Develop new processes, workflows, and documentation for InStride’s Clinical Quality Management Program.

• Oversee patient safety operations, including intake, review, tracking, trend analysis, committee support, monitoring corrective actions, and promoting continuous improvement.

• Assist with complaints, grievances, and patient feedback processes.

• Create quality governance documents, work plans, program evaluations, committee charters, dashboards, and executive reports.

• Collaborate with Clinical Services on provider quality oversight, documentation reviews, monitoring tools, performance indicators, and clinical trend reporting.

• Aid in the implementation and assessment of new clinical programs and treatment models.

• Support external audits, health plan quality standards, regulatory initiatives, and prepare for future accreditation.

• Work alongside Compliance on clinical policies, procedures, standards, and quality documentation.

• Evaluate patient safety events, complaints, satisfaction data, documentation findings, and other quality metrics.

• Lead cross-functional quality and patient safety projects from initial concept to execution.

• Prepare presentations, executive summaries, dashboards, and reports for leadership.

• Enhance quality workflows through technology, automation, artificial intelligence, and scalable processes.

• Foster collaborative relationships across Clinical Services, Clinical Operations, Compliance, Product, Business Insights, and other departments.

• Act as a resource for clinical quality, patient safety, quality improvement methodologies, and regulatory best practices.

⛳️ Requirements

• A minimum of 5 years of experience in Clinical Quality, Patient Safety, Healthcare Quality Management, Accreditation, Clinical Operations, or a similar healthcare setting.

• Experience in supporting quality management, patient safety, clinical oversight, quality improvement, or regulatory compliance efforts.

• Proven experience leading intricate, cross-functional projects from planning to execution.

• Exceptional organizational skills with the capability to handle multiple competing priorities in a dynamic environment.

• Strong written and verbal communication abilities, including experience in creating executive-level reports and presentations.

• Excellent analytical and critical thinking skills with the capacity to convert data into actionable insights.

• Proven ability to cultivate relationships and influence stakeholders across various departments without direct authority.

• High degree of initiative, accountability, and follow-through.

• Proficient in Google Workspace.

• A Master’s degree in a behavioral health or healthcare-related discipline is highly desirable.

• Clinical licensure or previous clinical practice experience is preferred.

• Experience in developing or enhancing quality management or patient safety programs is advantageous.

• Experience in supporting behavioral health organizations is preferred.

• Familiarity with conducting clinical documentation reviews or quality audits is preferred.

• Experience with health plan audits, accreditation standards, or regulatory readiness is preferred.

• Experience in developing dashboards or quality reports is preferred.

• Experience utilizing AI, automation, or technological solutions to enhance quality processes and operational efficiency is preferred.

🏝️ Benefits

• 401k with matching contributions.

• Flexible Paid Time Off (PTO).

• Paid holidays.

• Paid service days.

• 4-week paid sabbatical.

• 12-week paid parental leave.

• Health benefits starting on your first day.

• Fully virtual work from home.

• Occasional in-person retreats.

• Opportunity to join a mission-driven organization that is transforming pediatric mental health treatment.

• Chance to make a significant impact by helping children and families access evidence-based care.

• Opportunity to collaborate with skilled and experienced team members.