Equip
Director of Clinical Quality
Remote - USA · Director
Sponsorship not specifiedDetected 96 days ago
SpringCode ReviewData VisualizationComplianceAuditingHIPAAEHR/EMRPatient CareLeadershipCommunicationCollaborationMentoringPublic Speaking
About the role
- The Director of Clinical Quality serves as Equip's primary owner of clinical quality and patient safety, responsible for designing, implementing, and continuously improving clinical quality functions across Equip's virtual eating disorder program.
Responsibilities
- Design and oversee patient safety initiatives, safety reporting programs, and continuous clinical care improvement initiatives informed by safety data, audit findings, and peer review outcomes
- Develop and maintain clinical practice guidelines and documentation standards in partnership with discipline-specific leaders and the Compliance team.
- Lead clinical incident investigations and root cause analyses in collaboration with the Compliance team, developing and implementing risk mitigation strategies and monitoring patterns to identify systemic trends.
- Identify and elevate ethical care considerations, provide decision-making support on complex cases, and escalate concerns to Legal and Compliance with appropriate documentation.
- Collaborate closely with Equip's Data Insights & AI team to establish metrics and dashboards to track clinical quality metrics, translating data into actionable insights to drive improvements and contribute to long-term strategic planning for clinical quality.
- Serve as the standing operational lead of the CQC - preparing agendas, presenting quality data, and ensuring follow-through on committee decisions
- Design and continuously improve chart audit and peer review programs, analyze quality data, and translate findings into actionable insights and improvement initiatives for clinical and operational leadership.
- Interface with external payor partners on utilization management processes and escalations.
- Perform other duties as assigned.
Requirements
- Direct experience designing or leading clinical quality programs in a virtual environment (e.g., chart audits, peer review, incident management, root cause analysis, policy/guideline development).
- Proven ability to balance patient, provider, and payor interests while upholding clinical and ethical standards in a virtual care model.
- Proficiency with telehealth platforms, EMR/eClinical systems, and digital chart review
- Familiarity with HIPAA privacy requirements and safeguarding confidential information in telehealth and cloud-based settings.
- Excellent ability to translate clinical data into actionable improvement initiatives across teletherapy, tele-dietary services, and psychiatric care, with buy-in from clinicians and app-based care teams.
- Master's degree or higher in a behavioral health or clinical field (e.g., MD/DO, MSW, MFT/LMFT, LPC/LP, PsyD, PhD, APRN, NP, RN with clinical leadership focus, or equivalent).
- Independent clinical licensure applicable to your setting (e.g., MD/DO, LCSW, LMFT, LP, LPC, RN, APRN)
- 8+ years of experience in behavioral health with demonstrated expertise in either clinical quality improvement, utilization management, or a meaningful combination of both within virtual/telehealth, managed care, integrated delivery, or provider-based settings.
- Demonstrated experience reviewing behavioral health clinical documentation and applying medical necessity criteria consistent with payer and regulatory requirements in a telehealth context.
- Demonstrated knowledge of evidence-based standards relevant to behavioral health
- 3+ years of progressive leadership experience, including people management of multidisciplinary teams (therapists, dietitians, physicians/apps, QM, UM, auditing, or compliance staff) in a remote or telehealth setting.
- Familiarity with governance structures (e.g., Clinical Quality Committee) and remote collaboration tools.
- ability to leverage data to drive quality improvement in a virtual environment.
- Knowledge of payer policies for virtual behavioral health, telemedicine reimbursement considerations, and utilization management workflows within remote care.
Nice to have
- familiarity with telemedicine adaptations of these standards and familiarity with eating-disorder treatment is a plus.
Compensation
- $140,000 to $175,000 + 20% Performance Based Bonus Potential
- You can receive 5 free therapy sessions and 5 free coaching sessions per year for you and each of your dependents.
Benefits
- Competitive Medical, Dental, Vision, Life, and AD&D insurance.
- Equip pays for a significant percentage of benefits premiums for individuals and families.
- Spring Health, a 100% employer-paid mental health benefit through Guardian.
- Employee Assistance Program (EAP), a company-paid resource for mental health, legal services, financial support, and more!
- HealthJoy, a 100% employer-paid platform connecting you to a healthcare concierge who can help you navigate your benefits.
- $50/month stipend added directly to an employee's paycheck to cover home internet expenses.
- $250/month stipend to use a co-working space.
- Initial work-from-home stipend of up to $500.
- Reload of $200 on the home office stipend at the 3-year mark and then every other year after that (year 5, year 7, etc.).
This listing is sourced directly from Equip's careers page and normalized into a canonical job model.