Director of Clinical Quality

Cartwheel

Director of Clinical Quality overseeing the strategic design and implementation of quality and compliance in a rapidly scaling telehealth network. Leading team development and ensuring high standards across 20+ states.

Posted 5/22/2026full-timeRemote • 🇺🇸 United StatesLead💰 $155,000 - $185,000 per yearWebsite

About the role

Key responsibilities & impact

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.
Define what effective, evidenced based clinical supervision looks like at Cartwheel and build the systems to measure and develop it.
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.
Set the performance standard for Cartwheel's clinician network — not just identify when it's missed.
Lead and develop a team that grows with the organization.

Requirements

What you’ll need

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.

Benefits

Comp & perks

Generous PPO medical, vision, and dental/ortho coverage
Life Insurance
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
Laptop

ATS Keywords

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Hard Skills & Tools

clinical quality strategyperformance monitoringdocumentation standardsaudit readinessclinical supervision competency frameworksHIPAA complianceincident managementcomplaint workflowsgrievance workflowsbehavioral health licensing

Soft Skills

leadershipteam developmentstrategic thinkinginnovation mindsetcommunicationcollaborationproblem-solvingrisk assessmentreportingpresentation skills

Certifications

LCSWLPCclinical licensure