Director of Clinical Quality (Remote)

Cartwheel•Cambridge, MA

11h•$155,000 - $185,000•Remote

About The Position

The Director of Clinical Quality owns the strategic design, implementation, and ongoing maturation of Cartwheel's quality and compliance function. This is a builder role for someone who has done it before — with 5+ years of direct experience creating clinical quality infrastructure from the ground up in scaling behavioral health environments, not inheriting or maintaining existing systems. This role sets the standard for what high-quality, compliant care looks like across a distributed, multi-state telehealth network — and then builds the systems, frameworks, and partnerships to make that standard real and measurable. The Director operates with significant autonomy, exercises independent judgment on complex regulatory and clinical risk questions, and influences clinical and operational strategy at the leadership level.

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
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

Nice To Haves

Clinical licensure (LCSW, LPC, or equivalent) strongly preferred

Responsibilities

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.
Represent Cartwheel's compliance posture in payer and partner conversations.
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.
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.
Serve as the internal authority consulted early on high-stakes decisions, translating standards into clarity that empowers rather than polices.

Benefits

Competitive compensation
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