Clinical Quality Specialist

InStride Health

3d•$95,000 - $105,000•Remote

About The Position

InStride Health is seeking a Clinical Quality Specialist to contribute to the growth and enhancement of its Clinical Quality and Patient Safety program. This role is designed for an individual who excels at system building, establishing structure, and collaborating across departments to elevate the quality and safety of care. Reporting to the Director of Clinical Quality, the Specialist will be instrumental in developing scalable quality programs, managing patient safety operations, leading cross-functional initiatives, and creating the necessary infrastructure for a rapidly expanding organization. The position involves close collaboration with Clinical Services, Compliance, Operations, Product, and other stakeholders to implement quality initiatives, monitor clinical performance, manage patient safety and complaint processes, support new program development, and utilize technology and AI for improved efficiency and scalability. This is a fully remote position.

Requirements

5+ years of experience in Clinical Quality, Patient Safety, Healthcare Quality Management, Accreditation, Clinical Operations, or a related healthcare environment.
Experience supporting quality management, patient safety, clinical oversight, quality improvement, or regulatory compliance activities.
Demonstrated experience leading complex, cross-functional projects from planning through implementation.
Excellent organizational skills with the ability to manage multiple competing priorities in a fast-paced environment.
Strong written and verbal communication skills, including experience preparing executive-level reports and presentations.
Strong analytical and critical thinking skills with the ability to translate data into meaningful recommendations.
Demonstrated ability to build relationships and influence stakeholders across multiple departments without direct authority.
High level of initiative, accountability, and follow-through.
Proficiency with Google Workspace.

Nice To Haves

Master’s degree in a behavioral health or healthcare-related field (e.g., Counseling, Psychology, Social Work, Public Health, Healthcare Administration, Nursing, or similar).
Clinical licensure or previous clinical practice experience.
Experience building or expanding quality management or patient safety programs.
Experience supporting behavioral health organizations.
Experience conducting clinical documentation reviews or quality audits.
Experience with health plan audits, accreditation standards, or regulatory readiness.
Experience developing dashboards or quality reporting.
Experience leveraging AI, automation, or technology solutions to improve quality processes and operational efficiency.

Responsibilities

Partner with the Director of Clinical Quality to build out new processes, workflows, and supporting documentation that strengthen and scale InStride's Clinical Quality Management Program.
Coordinate day-to-day patient safety operations, including intake, review, tracking, trend analysis, committee support, corrective action monitoring, and continuous improvement of the Patient Safety Event Reporting Program.
Support the oversight and continuous improvement of the complaints, grievance, and patient feedback processes, including intake, review, trend analysis, and identification of opportunities to improve the patient and family experience.
Support development of quality governance documents including annual work plans, program descriptions, program evaluations, committee charters, dashboards, and executive reporting.
Collaborate with Clinical Services to develop and maintain provider quality oversight activities including clinical documentation review processes, quality monitoring tools, performance indicators, and clinical trend reporting.
Partner with clinical leaders to support implementation and evaluation of new clinical programs and treatment models, including development of quality measures, implementation monitoring, and outcome evaluation.
Support external audits, health plan quality requirements, regulatory initiatives, and organizational readiness for future accreditation activities (e.g., URAC, NCQA).
Partner with Compliance to develop, review, and operationalize clinical policies, procedures, standards, and related quality documentation.
Analyze patient safety events, complaints, satisfaction data, documentation findings, and other quality indicators to identify trends, opportunities, and recommendations for leadership.
Lead cross-functional quality and patient safety projects from concept through implementation, developing project plans, facilitating meetings, and driving multiple concurrent initiatives to completion while proactively identifying barriers and ensuring accountability for deliverables.
Prepare presentations, executive summaries, dashboards, and reports that translate quality data into meaningful operational insights for leadership.
Identify opportunities to improve quality workflows through technology, automation, artificial intelligence, and scalable operational processes.
Build strong collaborative relationships across Clinical Services, Clinical Operations, Compliance, Product, Business Insights, and other operational teams to support organizational quality goals.
Serve as a trusted resource for clinical quality, patient safety, quality improvement methodologies, and regulatory best practices throughout the organization.