Head of Clinical Quality and Regulatory

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $208.5k - $220k / year

⏰ Full Time

🔴 Lead

🚔 Compliance

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 20%

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LifeStance Health

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

💼 Consulting

🛡️ Insurance

🏥 Healthcare

💰 Private Equity Round on 2016-12

Consulting • Insurance • Healthcare

LifeStance Health is a provider of comprehensive mental health services, offering care through in-person and telehealth appointments for various mental health conditions such as anxiety, depression, ADHD, and more. With a large network of licensed clinicians, including psychiatrists, psychologists, and therapists, LifeStance Health tailors care plans to fit individual needs. The company accepts a wide range of insurance plans, making mental health care accessible to a broad audience. Services include therapy, psychiatric evaluations, medication management, and psychological testing across numerous states.

📋 Description

• Lead enterprise clinical quality, patient safety, critical incident management, quality-of-care, regulatory readiness, and accreditation programs • Set strategy, operating model, standards, governance cadence, and accountability mechanisms for a nationally consistent quality function • Lead, coach, and develop regionally aligned Clinical Quality & Regulatory Managers • Manage hiring, onboarding, performance management, career development, regional coverage, and workload balancing • Partner with Clinical Operations, Practice Operations, field leaders, the COO, and senior clinical operations leadership on enterprise quality, accreditation, and risk initiatives • Ensure timely execution and completion of incident reporting and lifecycle processes • Maintain incident classification and reporting standards and consolidate regional findings into enterprise themes and risk views • Prioritize corrective action investments and validate sustained improvement • Oversee enterprise morbidity and mortality rounds • Lead accreditation surveys, state licensure reviews, regulatory readiness, market responses, and plans of correction through validated closure • Define and execute medical-necessity chart audits and support payer-audit countermeasures • Maintain continuous survey readiness and organized supporting documentation • Partner with Compliance and Legal on boundaries between clinical documentation, medical necessity review, and billing integrity • Track regulatory and accreditation changes and translate them into operational guidance • Prepare and present quality reporting to enterprise governance forums and support board-level reporting • Manage and standardize peer review processes and committee materials • Secure regional executive sponsorship for the regional triad model • Serve as an escalation point for managers • Carry a defined regional portfolio, including chart audits, investigations, trending, and countermeasure work • Lead investigations of sentinel-level events, significant legal or reputational exposure, and cross-regional patterns • Provide quality-team coverage during leave, vacancies, or surges • Define Quality team reporting cadence and quarterly enterprise roll-ups • Partner with analytics and technology teams on platform-based workflow solutions • Apply process mapping, root cause analysis, and countermeasure design • Represent clinical quality requirements in enterprise systems work, including EHR transitions and measurement-based care initiatives • Travel up to 50% to supported regions for audits, survey support, and leadership presence

🎯 Requirements

• Master's degree in a behavioral health discipline, nursing, or a related clinical field • Ten or more years in behavioral health service delivery, clinical quality, or clinical operations • Executive-level responsibility for quality strategy, regulatory oversight, performance improvement, and organizational risk management across complex healthcare environments • Six or more years of leadership experience managing directors, managers, and/or cross-functional teams • Success influencing executive stakeholders, leading large-scale quality transformation initiatives, and developing leadership pipelines • Track record of hiring, coaching, and developing clinical or quality professionals • Experience leading regulatory readiness, accreditation, state licensure, and payer audit activities related to clinical quality and documentation • Experience developing and executing corrective action plans that drive sustained compliance • Ability to build and interpret quality data and present findings to executive and board-level audiences • Willingness to carry selected direct casework alongside leadership responsibilities • Legally authorized to be employed in the United States • Awareness, inclusivity, sensitivity, humility, and experience working with diverse populations • Multi-state or national behavioral health experience preferred • Joint Commission or multi-state survey leadership experience preferred • Lean or Six Sigma green or black belt experience preferred • CPHQ or comparable quality credentials or experience preferred • Experience with peer review, credentialing and privileging, and focused or ongoing professional practice evaluation preferred • Experience implementing a quality, incident, or risk management platform preferred • Residence within one of the supported regions preferred

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • AD&D insurance • Short- and long-term disability insurance • Life insurance • 401k retirement savings with employer match • Paid parental leave • Paid time off • Holiday pay • Employee Assistance Program • Bonus and equity potential • Reasonable accommodation for disabilities