Cartwheel - Director of Clinical Quality
Requirements
• 5+ years building clinical quality infrastructure in behavioral health — not inheriting or maintaining, but creating • Designed clinical supervision competency frameworks in distributed or multi-site settings • Deep working knowledge of HIPAA, multi-state telehealth regulations, and behavioral health licensing requirements across a large, active state footprint • Experience owning external regulatory relationships — payers, auditors, or state agencies • Clinical licensure (LCSW, LPC, or equivalent) strongly preferred • Approaches quality infrastructure with an innovation and automation mindset — actively leverages AI and technology to build monitoring, reporting, and compliance systems that scale without scaling headcount • Operates at the strategic level: you see where quality risks are heading before they arrive and position the organization accordingly can you do market research to answer her question • Familiarity with Joint Commission/CARF accreditation processes – ideally direct experience leading or contributing to an accreditation effort in a behavioral health or telehealth environment • Please apply even if you don't meet all of the criteria. If your past experience doesn't perfectly match the job description, but you bring other relevant experience or skills, we'd still love to hear from you. You may be a great fit!
Responsibilities
• Quality Strategy and Infrastructure: Own clinical quality strategy for a rapidly scaling network spanning 20+ states, 400+ clinicians, and multiple care models. Design and operationalize frameworks for performance monitoring, documentation standards, and audit readiness that are built to scale — not patched as the organization grows. Translate regulatory requirements into practical workflows. Present quality trends, risk signals, and improvement recommendations to the extended leadership team alongside peers in Clinical, Operations, and Product. Inform board-level reporting on clinical risk and compliance posture. • Quality Strategy and Infrastructure: • Clinical Supervision Standards: Define what effective, evidenced based clinical supervision looks like at Cartwheel and build the systems to measure and develop it. Supervision quality integrates into the broader clinical scorecard and informs how Cartwheel represents its clinical model to payers and partners. • Clinical Supervision Standards: • Compliance and Regulatory Risk: Own HIPAA compliance, incident management, complaint and grievance workflows, and payer audit readiness across all operating jurisdictions. Build clinical compliance policy infrastructure that anticipates growth rather than reacts to it. Represent Cartwheel's compliance posture in payer and partner conversations. • Compliance and Regulatory Risk: • Provider Performance and Network Standards: Set the performance standard for Cartwheel's clinician network — not just identify when it's missed. Partner with Clinical Managers and Provider Network Operations to design re-education pathways and escalation criteria that work within a 1099 model. Use trend data to drive upstream changes in onboarding, training, and network composition. • Provider Performance and Network Standards: • Organizational Quality Leadership: Lead and develop a team that grows with the organization. Shape how quality is understood and practiced across clinical, operations, product, school-facing, and support functions — not just within the clinical team. Partners across the organization should feel the influence of this role in how they design workflows, build product features, and make decisions that touch care quality. Serve as the internal authority consulted early on high-stakes decisions, translating standards into clarity that empowers rather than polices. • Organizational Quality Leadership:
Benefits
• Location: • Start date • Our hope is that Cartwheel will be your best career decision! In addition to tackling one of the biggest challenges of our time, at a company well-positioned to do so, you'll have: • Mission-oriented and inclusive colleagues who will go to bat for you • Competitive compensation • Generous PPO medical, vision, and dental/ortho coverage • Generous paid time off, including company closure from Christmas-New Years (12/25-1/1) • Paid holidays and sick leave • Paid parental leave • 401K with employer match • Meaningful equity ownership stake in Cartwheel • Flexible and remote role with regular in-person retreats • Annual learning stipend
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