Director of Clinical Quality

Job description

About Equip Equip is the leading virtual, evidence-based eating disorder treatment program on a mission to ensure that everyone with an eating disorder can access treatment that works. Created by clinical experts in the field and people with lived experience, Equip builds upon evidence-based treatments to empower individuals to reach lasting recovery. All Equip patients receive a dedicated care team, including a therapist, dietitian, physician, and peer and family mentor. The company operates in all 50 states and is partnered with most major health insurance plans. Learn more about our strong outcomes https://equip.health/outcomes and treatment approach at www.equip.health. http://www.equip.health Founded in 2019, Equip has been a fully virtual company since its inception and is proud of the highly-engaged, passionate, and diverse Equipsters that have created Equip’s culture. Recognized by Time https://time.com/collection/time100-companies-2023/6285207/equip/ as one of the most influential companies of 2023, along with awards from Linkedin https://www.linkedin.com/pulse/linkedin-top-startups-2022-50-us-companies-rise-linkedin-news/ and Lattice https://lattice.com/blog/announcing-the-2023-finalists-for-lattices-people-success-awards, we are grateful to Equipsters for building a sustainable treatment program that has served thousands of patients and families. 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. This role drives operational excellence, evidence-based care standards, and a culture of safety and accountability — while also providing direct oversight of the Utilization Management (UM) program. The Director of Clinical Quality reports directly to the VP of Medical Operations & Quality and serves as the standing operational lead of the Clinical Quality Committee (CQC). 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 - Provide oversight of clinical care standards across all disciplines — therapy, dietary, medical, and psychiatry — ensuring alignment with evidence-based eating disorder treatment standards. - 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. - Draft and revise clinical policies and procedures as informed by incident investigations, audit findings, and regulatory requirements, managing policies through the formal review and approval workflow. including CQC review and executive ratification. - 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. - Provide direct oversight of the Utilization Management (UM) team, guiding UM team strategy by identifying and implementing operational process improvements and tracking KPIs to ensure consistent performance. - Interface with external payor partners on utilization management processes and escalations. - Perform other duties as assigned. Qualifications - 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; familiarity with telemedicine adaptations of these standards and familiarity with eating-disorder treatment is a plus. - 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). - 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. - Proven ability to balance patient, provider, and payor interests while upholding clinical and ethical standards in a virtual care model. - Familiarity with governance structures (e.g., Clinical Quality Committee) and remote collaboration tools. - Proficiency with telehealth platforms, EMR/eClinical systems, and digital chart review; ability to leverage data to drive quality improvement in a virtual environment. - Familiarity with HIPAA privacy requirements and safeguarding confidential information in telehealth and cloud-based settings. - Knowledge of payer policies for virtual behavioral health, telemedicine reimbursement considerations, and utilization management workflows within remote care. - Understanding of regulatory and accreditation requirements impacting telebehavioral health (e.g., telemedicine compliance, state licensure compacts, and any relevant telehealth guidelines) and the ability to map these to clinical practice. - 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. - Strong collaboration skills with Compliance, Legal, IT/Product, Revenue Cycle, and Operations in a virtual ecosystem. - Strong communication and interpersonal skills across internal and external stakeholders, with experience facilitating remote governance meetings, presenting quality and utilization data to executive audiences, and using dashboards and data visualization tools to drive accountable follow-through. Compensation and Benefits Compensation: - Base Pay Range: $140,000 to $175,000 + 20% Performance Based Bonus Potential Time Off: - Flex PTO policy (3-5 wks/year recommended) + 11 paid company holidays. - Generous parental leave. Core 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. - You can receive 5 free therapy sessions and 5 free coaching sessions per year for you and each of your dependents. - 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. - 401K Option! Licensing: - Equip reimburses fees associated with initial licensure and license renewals (e.g., exam fees, application to the state board, exam study materials, etc.) for any Equip-required licenses and/or cross-licensure requests. Other Benefits Work From Home Additional Perks: - $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.). - Company Laptop. Physical Demands Work is performed 100% from home with no requirement to travel. This is a stationary position that requires the ability to operate standard office equipment and keyboards, as well as to talk or hear by telephone. Sit or stand as needed. At Equip, Diversity, Equity, Inclusion and Belonging (DEIB) are woven into everything we do. At the heart of Equip’s mission is a relentless dedication to making sure that everyone with an eating disorder has access to care that works regardless of race, gender, sexuality, ability, weight, socio-economic status, and any marginalized identity. We also strive toward our providers and corporate team reflecting that same dedication both in bringing in and retaining talented employees from all backgrounds and identities. We have an Equip DEIB council, Equip For All; also referred to as EFA. EFA at Equip aims to be a space driven by mutual respect, and thoughtful, effective communication strategy - enabling full participation of members who identify as marginalized or under-represented and allies, amplifying diverse voices, creating opportunities for advocacy and contributing to the advancement of diversity, equity, inclusion, and belonging at Equip. As an equal opportunity employer, we provide equal opportunity in all aspects of employment, including recruiting, hiring, compensation, training and promotion, termination, and any other terms and conditions of employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, familial status, age, disability, weight, and/or any other legally protected classification protected by federal, state, or local law. Our dedication to equitable access, which is core to our mission, extends to how we build our "village." In line with our commitment to Diversity, Equity, Inclusion, and Belonging (DEIB), we are dedicated to an accessible hiring process where all candidates feel a true sense of belonging. If you require a reasonable accommodation to complete your application, interview, or perform the essential functions of a role, we invite you to reach out to our People team at accommodations@equip.health. #LI-Remote