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Clinical Quality – Regulatory Leader
LifeStance Health. Serve as the clinical quality lead for an assigned portfolio of regions on behalf of the Chief Medical Office .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in clinical quality management, incident investigation, and regulatory compliance within behavioral health services. Proficient in data analysis and trend reporting to enhance patient safety and quality of care.
Highest-signal resume keywords
Clinical Quality ManagementIncident InvestigationRegulatory ComplianceData AnalysisBehavioral Health Services
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical Documentation StandardsChart ReviewQuality MetricsCorrective Action ImplementationTrend ReportingAccreditation StandardsPayer Audit OutcomesLean MethodologiesSix Sigma MethodologiesProfessional Practice Evaluation
Soft Skills
Excellent Communication SkillsPresentation SkillsAbility to Manage Competing PrioritiesCollaborationProblem-Solving
Certifications & Qualifications
CPHQActive Clinical License
Industry Keywords
Behavioral HealthPatient SafetyQuality ImprovementJoint CommissionState Licensure Survey
About the role
Key responsibilities & impact- Serve as the clinical quality lead for an assigned portfolio of regions on behalf of the Chief Medical Office
- Manage, triage, and investigate critical incidents
- Coordinate multidisciplinary investigations with practice operations, clinical operations, HR, legal, and compliance leaders
- Bridge investigation findings with credentialing, peer review, Medical Executive, practice operations, and clinical operations committees
- Aggregate incident reports, patient safety events, quality concerns, and quality metrics to identify trends
- Work with area leaders to use data and trends to improve regional quality of care
- Design and implement corrective actions and training programs addressing identified risks and preventing adverse events
- Monitor and evaluate corrective actions and quality improvement initiatives through measurement, outcome analysis, and follow-up
- Report regional quality, safety, and regulatory findings to the Chief Medical Office, Practice Operations, and Clinical Operations
- Support morbidity and mortality rounds
- Drive enterprise initiatives related to patient safety, clinical quality, regulatory compliance, and accreditation
- Support adherence to state and federal requirements, accreditation standards, and company policy through chart audits
- Support survey and state audit preparation and follow through on corrective action plans
- Conduct site visits as needed for survey support
- Review clinical documentation against payer expectations and medical necessity requirements
- Support payer audit outcomes through chart audits and action plans
- Travel up to 50% to assigned regions, with periodic travel to Chief Medical Office and enterprise leadership meetings
Requirements
What you’ll need- Master's degree in a behavioral health discipline, nursing, a related clinical field, or relevant experience
- Five or more years delivering or overseeing behavioral health services, with direct exposure to clinical documentation standards and chart review
- Active, unrestricted clinical license preferred but not required
- Experience conducting or supporting investigations of adverse events, quality of care concerns, or grievances
- Ability to interpret regulatory and accreditation requirements and translate them into practical guidance
- Working fluency with data, including building and interpreting trend reports
- Excellent written and verbal communication and presentation skills
- Ability to manage competing priorities across multiple regions in a fast-paced, matrixed environment
- Legally authorized to be employed in the United States
- Joint Commission or state licensure survey experience preferred
- Exposure to Lean or Six Sigma methodologies preferred
- CPHQ or comparable quality credential or experience preferred
- Experience with focused and ongoing professional practice evaluation, peer review support, or credentialing and privileging preferred
- Multi-state or multi-site behavioral health experience, including payer audits and medical necessity documentation review preferred
- Residence within one of the regions this position will support preferred
- Ability to sit, stand, bend, talk, hear, walk while on site, and lift or move objects up to 25 pounds
- Specific vision abilities including close, distance, peripheral vision, depth perception, and ability to adjust focus
Benefits
Comp & perks- 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
- Competitive bonus plan