[Remote] Director of Clinical Quality (Remote)

Note: The job is a remote job and is open to candidates in USA. Cartwheel is an early-stage company focused on creating an innovative mental health program for children by collaborating with schools. The Director of Clinical Quality will lead the development and implementation of quality and compliance functions within a multi-state telehealth network, ensuring high standards of care and regulatory compliance while fostering a culture of quality across the organization.ResponsibilitiesOwn clinical quality strategy for a rapidly scaling network spanning 20+ states, 400+ clinicians, and multiple care modelsDesign and operationalize frameworks for performance monitoring, documentation standards, and audit readiness that are built to scale — not patched as the organization growsTranslate regulatory requirements into practical workflowsPresent quality trends, risk signals, and improvement recommendations to the extended leadership team alongside peers in Clinical, Operations, and ProductInform board-level reporting on clinical risk and compliance postureDefine what effective, evidenced based clinical supervision looks like at Cartwheel and build the systems to measure and develop itSupervision quality integrates into the broader clinical scorecard and informs how Cartwheel represents its clinical model to payers and partnersOwn HIPAA compliance, incident management, complaint and grievance workflows, and payer audit readiness across all operating jurisdictionsBuild clinical compliance policy infrastructure that anticipates growth rather than reacts to itRepresent Cartwheel's compliance posture in payer and partner conversationsSet the performance standard for Cartwheel's clinician network — not just identify when it's missedPartner with Clinical Managers and Provider Network Operations to design re-education pathways and escalation criteria that work within a 1099 modelUse trend data to drive upstream changes in onboarding, training, and network compositionLead and develop a team that grows with the organizationShape how quality is understood and practiced across clinical, operations, product, school-facing, and support functions — not just within the clinical teamServe as the internal authority consulted early on high-stakes decisions, translating standards into clarity that empowers rather than policesSkills5+ years building clinical quality infrastructure in behavioral health — not inheriting or maintaining, but creatingDesigned clinical supervision competency frameworks in distributed or multi-site settingsDeep working knowledge of HIPAA, multi-state telehealth regulations, and behavioral health licensing requirements across a large, active state footprintExperience owning external regulatory relationships — payers, auditors, or state agenciesApproaches quality infrastructure with an innovation and automation mindset — actively leverages AI and technology to build monitoring, reporting, and compliance systems that scale without scaling headcountOperates at the strategic level: you see where quality risks are heading before they arrive and position the organization accordinglyClinical licensure (LCSW, LPC, or equivalent) strongly preferredBenefitsCompetitive equity packageGenerous PPO medical, vision, and dental/ortho coverageLife InsuranceGenerous paid time off, including company closure from Christmas-New Years (12/25-1/1)Paid holidays and sick leavePaid parental leave401K with employer matchMeaningful equity ownership stake in CartwheelFlexible and remote role with regular in-person retreatsAnnual learning stipendLaptopCompany OverviewCartwheel offers mental health support to students in order to help schools regain balance in the midst of the student mental health crisis. It was founded in 2022, and is headquartered in Cambridge, Massachusetts, USA, with a workforce of 201-500 employees. Its website is https://www.cartwheelcare.org.