Director of Clinical Quality

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

📋 Description

• Take charge of the clinical quality strategy for a rapidly expanding network that encompasses over 20 states, 400+ clinicians, and various care models.

• Develop and implement frameworks for performance monitoring, documentation standards, and audit readiness that are designed to scale seamlessly with organizational growth.

• Convert regulatory requirements into actionable workflows.

• Present quality trends, risk indicators, and suggestions for improvement to the extended leadership team alongside colleagues in Clinical, Operations, and Product.

• Provide insights for board-level reporting on clinical risk and compliance status.

• Define the characteristics of effective, evidence-based clinical supervision at Cartwheel and create systems to assess and enhance it.

• Oversee HIPAA compliance, incident management, complaint and grievance workflows, and payer audit preparedness across all operational jurisdictions.

• Establish a clinical compliance policy framework that proactively accommodates growth instead of merely responding to it.

• Set the performance benchmarks for Cartwheel's clinician network — not only identify when standards are not met.

• Lead and nurture a team that evolves alongside the organization.

⛳️ Requirements

• Over 5 years of experience creating clinical quality infrastructure in behavioral health — focusing on building rather than inheriting or maintaining.

• Developed clinical supervision competency frameworks within distributed or multi-site environments.

• Extensive knowledge of HIPAA, multi-state telehealth regulations, and behavioral health licensing requirements across a broad state footprint.

• Proven experience managing external regulatory relationships with payers, auditors, or state agencies.

• Clinical licensure (LCSW, LPC, or equivalent) is highly preferred.

• Approaches quality infrastructure with a mindset geared towards innovation and automation — effectively utilizes AI and technology to create scalable monitoring, reporting, and compliance systems without increasing headcount.

• Operates at a strategic level: anticipates potential quality risks and positions the organization accordingly.

🏝️ Benefits

• Comprehensive PPO medical, vision, and dental/orthodontic coverage.

• Life insurance.

• Generous paid time off, including company closure from Christmas to New Year's (12/25-1/1).

• Paid holidays and sick leave.

• Paid parental leave.

• 401K plan with employer matching.

• Significant equity ownership stake in Cartwheel.

• Flexible and remote work environment with regular in-person retreats.

• Annual learning stipend.

• Laptop provided.