Clinical Quality & Regulatory Leader

LifeStance Health

2d•$110,000 - $125,000

About The Position

The Manager, Clinical Quality & Regulatory serves as the clinical quality lead for an assigned portfolio of regions on behalf of the Chief Medical Office. The role manages critical incidents; monitors and analyzes clinical quality, safety, and risk data; and identifies trends that inform quality improvement efforts across the organization. Working closely with regional clinical, medical, and operational leaders, the Manager identifies performance gaps, develops and implements corrective actions, and evaluates interventions through ongoing measurement and follow-through. The position also oversees regulatory, accreditation, and survey-readiness activities in assigned regions, including chart audits, compliance monitoring, corrective action planning, and verification of sustained improvement. Within a collaborative triad model, the Manager partners with the Regional Vice President and Regional Clinical/Medical Director to address quality and safety priorities, drive accountability, and support regional performance. The role escalates significant risks, trends, and opportunities to the Chief Medical Office to support organizational visibility, strategic alignment, and enterprise-wide problem solving. The position may also participate in other projects and initiatives in support of LifeStance’s mission.

Requirements

Master’s degree in a behavioral health discipline, nursing, or a related clinical field, or relevant experience.
At least five years delivering or overseeing behavioral health services, with direct exposure to clinical documentation standards and chart review.
Experience conducting or supporting investigations of adverse events, quality-of-care concerns, or grievances.
Ability to interpret regulatory and accreditation requirements and translate them into practical guidance for a site or region.
Working fluency with data, including building and interpreting trend reports and explaining findings to a non-analytical audience.
Excellent written and verbal communication and presentation skills, with the ability to influence without direct authority.
Ability to manage competing priorities across multiple regions in a fast-paced, matrixed environment.
Must be legally authorized to work in the United States.

Nice To Haves

Active, unrestricted clinical license; this is preferred but not required. Equivalent behavioral health quality, regulatory, or clinical operations experience will be considered.
Joint Commission or state licensure survey experience, including carrying a corrective action plan through closure.
Exposure to quality improvement or process improvement methodologies such as Lean or Six Sigma.
Certified Professional in Healthcare Quality (CPHQ), a comparable quality credential, or comparable experience.
Experience with focused and ongoing professional practice evaluation, peer review support, or credentialing and privileging.
Multi-state or multi-site behavioral health experience, including payer audits and medical necessity documentation review.
Residence within one of the regions the position will support.

Responsibilities

Receive, triage, and investigate critical incidents arising in assigned regions.
Coordinate multidisciplinary investigations from start to finish, engaging practice operations, clinical operations, HR, legal, and compliance leaders.
Connect critical incident investigation findings with relevant system committees, including Credentialing, Peer Review, Medical Executive Committees, and Practice Operations and Clinical Operations committees.
Aggregate incident reports, patient safety events, quality-of-care concerns, and quality metrics to identify regional trends and recurring issues.
Work with area leaders to interpret data and trends and develop proactive improvements to regional quality of care.
Partner with regional clinical, medical, and operational leaders to design and implement corrective actions and training programs, including train-the-trainer models, to address risks and prevent adverse events.
Measure and evaluate corrective actions and quality improvement initiatives through ongoing measurement, outcome analysis, and follow-up assessment.
Report regional quality, safety, and regulatory findings to the CMO office, Practice Operations, and Clinical Operations to inform enterprise-wide trend analysis, risk identification, and quality improvement strategies.
Support regional and local morbidity and mortality rounds.
Drive implementation and spread of enterprise initiatives related to patient safety, clinical quality, regulatory compliance, and accreditation standards.
Support regional adherence to state and federal requirements, accreditation standards, and LifeStance policy through scheduled chart audits and partnership with local leaders.
Support survey and state audit preparation and follow through on corrective action plans, holding parties accountable for completion.
Conduct site visits as needed to support survey visits.
Review clinical documentation against payer expectations, including medical necessity documentation, and maintain a standing survey-readiness file.
Support payer audit outcomes through chart audits and by helping local leaders develop action plans, such as training on medical necessity and chart requirements.
Participate in projects, initiatives, and other functions and responsibilities as needed to support the team and organizational mission.