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.

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
• Supervision quality integrates into the broader clinical scorecard and informs how Cartwheel represents its clinical model to payers and partners
• 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

Skills

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

Benefits

• Competitive equity package
• 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

Company Overview