Director of Clinical Quality (Remote)

About the role

The Director of Clinical Quality owns the strategic design, implementation, and ongoing maturation of Cartwheel's quality and compliance function. This is a builder role for someone who has done it before - with 5+ years of direct experience creating clinical quality infrastructure from the ground up in scaling behavioral health environments, not inheriting or maintaining existing systems. This role sets the standard for what high-quality, compliant care looks like across a distributed, multi-state telehealth network - and then builds the systems, frameworks, and partnerships to make that standard real and measurable. The Director operates with significant autonomy, exercises independent judgment on complex regulatory and clinical risk questions, and influences clinical and operational strategy at the leadership level. Role type: W2, Full-Time, Salaried position Salary range: $155,000 - 185,000 cash compensation plus competitive equity package Location: Remote Start date : Summer 2026

Requirements

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

Benefits

Additional Information

Join Cartwheel to help tackle the student mental health crisis! Cartwheel is an early-stage company building a new kind of mental health program for kids that puts schools at the center. We see our role as supporting school staff who see kids every single day. Instead of going around them, we collaborate with them. This means: Earlier intervention Higher student and family engagement in care Better coordination among the trusted adults in a student's life Kids shouldn't just aspire to get out of bed and drag themselves to class. They should be able to experience joy. They deserve to envision and build a life they're excited to live. If you join Cartwheel, you'll help make this vision a reality for millions of students across the country. We're backed by top investors including A Street Ventures, Menlo Ventures, Reach Capital, General Catalyst, BoxGroup, and Able Partners, and we're looking for mission-driven teammates to join our team.

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