About the Role
The Director of Clinical Quality will play a critical role in shaping and advancing the future of quality at InStride Health. As a newly created position reporting to the SVP of Clinical Operations, this leader will be charged with building foundational infrastructure, supporting accreditation and compliance, and driving clinical quality initiatives in partnership with the Clinical, Operations, and Compliance teams. This is a unique opportunity to take ownership of a growing function and make a measurable impact on care delivery, patient outcomes, and provider experience.
Responsibilities:
Clinical Quality Strategy & Program Development
- Lead the development, execution, and evaluation of InStride’s Clinical Quality Management Program (QMP), including the annual program description, work plan, and evaluation.
- Collaborate with clinical and operational leaders to define and track quality goals aligned with InStride’s mission and business objectives.
- Act as a thought partner to senior leadership on evolving clinical quality needs, risks, and opportunities.
Quality Monitoring, Improvement, and Reporting
- Maintain and enhance the Clinical Quality Scorecard in partnership with the Quality Management Committee (QMC); identify and monitor key performance indicators.
- Facilitate clinical quality audits and monitor trends to inform continuous improvement and proactive risk mitigation.
- Collaborate with data, clinical, and compliance teams to develop and implement quality improvement initiatives that improve patient experience, outcomes, and equity.
- Oversee patient and provider satisfaction surveys; analyze results and present insights to internal stakeholders and the QMC.
- Define and track key performance indicators (KPIs) for quality initiatives, audit outcomes, and accreditation readiness
Committee & Cross-Functional Leadership
- Convene and manage quality-related committees and workgroups; set agendas and drive outcomes aligned with compliance and strategic priorities.
- Educate and support internal teams on quality improvement tools, methodologies, and standards.
- Foster a culture of clinical quality by mentoring others and embedding best practices into workflows.
Accreditation & Regulatory Compliance
- Collaborate on assessing the need for and potentially pursuing future accreditation and/or NCQA CVO certification, depending on payor requirements and the evolving regulatory landscape.
- Serve as a subject matter expert and liaison across teams on accreditation and regulatory requirements.
- Lead or support preparation for audits (e.g., payer, accreditation, internal), including response plans and corrective action implementation.
What You Need to Succeed in the Role
- Master’s degree in a relevant field (e.g., healthcare administration, public health, behavioral science, project management).
- Active clinical licensure (e.g., RN, LCSW, LPC, LMFT) preferred.
- 4+ years in a healthcare delivery setting (e.g., provider group, managed care organization, hospital).
- 5+ years in Quality Management and/or Quality Improvement, with a focus on data-driven improvement efforts.
- Strong working knowledge of Medicaid programs and behavioral health care delivery.
- Familiarity with accreditation and regulatory frameworks (URAC, NCQA, CMS, HEDIS).
- Demonstrated expertise in quality frameworks, tools (e.g., PDSA, RCA), and data interpretation.
- Strategic thinker who can translate regulatory requirements and clinical insights into operational plans.
- Exceptional project management, written communication, and stakeholder engagement skills.
- Highly organized and able to prioritize and manage multiple complex initiatives in a fast-paced environment.
- Collaborative team player with a commitment to mission-driven work and continuous learning.
The expected annual salary for this role is between $140,000-$160,000. Actual starting salary will be determined on an individualized basis and will be based on several factors including but not limited to specific skill set, work experience, etc. In addition to base compensation, this role offers a target performance-based bonus.
