Clinical Quality & Regulatory Leader
LifeStance Health · United States · $110,000–$125,000 (stated in the posting)
At LifeStance Health, we strive to help individuals, families, and communities with their mental health needs. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in mental healthcare.
Thank you for taking the time to explore a career with us. As the fastest growing mental health practice group in the country, now is the perfect time to join our team!
LifeStance Health Values
Belonging: We cultivate a space where everyone can show up as their authentic self.
Empathy: We seek out diverse perspectives and listen to learn without judgment.
Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.
One Team: We realize our full potential when we work together towards our shared purpose.
Benefits
As a full-time employee of LifeStance Health, the following benefits are offered: medical, dental, vision, AD&D, short and long-term disability, and life insurance. Additional benefits include a 401k retirement savings with employer match, paid parental leave, paid time off, holiday pay and an Employee Assistance Program.
ROLE OVERVIEW
The Manager, Clinical Quality & Regulatory serves as the clinical quality lead for an assigned portfolio of regions on behalf of the Chief Medical Office. This role is responsible for managing critical incidents, monitoring and analyzing clinical quality, safety, and risk data, and identifying trends that inform quality improvement efforts across the organization.
The Manager partners closely with regional clinical/medical and operational leaders to identify performance gaps, develop and implement corrective actions, and evaluate the effectiveness of interventions through ongoing measurement and follow-through. The role also oversees regulatory, accreditation and survey readiness activities within assigned regions, including chart audits, compliance monitoring corrective action planning and verification of sustained improvement.
Operating within a collaborative triad model, the Manager works closely with the Regional Vice President and Regional Clinical/Medical Director to address quality and safety priorities, drive accountability and support regional performance. The role elevates significant risks, trends and opportunities to the Chief Medical Office to enable organizational visibility, strategic alignment and enterprise-wide problem solving.
Consistent with LifeStance's values, every member of the LifeStance team is expected to support each other and the mission, which may mean participating in projects and initiatives and performing functions and responsibilities not specifically outlined in this job description.
KEY RESPONSIBILITIES
Critical Incident Management & Investigation
- Receive, triage and investigate critical incidents arising in assigned regions.
- Coordinate multidisciplinary investigation start to finish, engaging leaders from practice operations, clinical operations, HR, legal, compliance, to support investigation and outcome.
- Bridge critical incident investigation findings with appropriate system committees including but not limited to: Credentialling, Peer Review, Medical Executive Committees, as well as relevant Practice Operation and Clinical Operations committees.
Data Analysis, Trending & Reporting
- Aggregate incident reports, patient safety events, quality of care concerns and quality metrics to identify trends and recurring system in defined region.
- Work with area leaders to understand their data and trends to make meaningful and proactive improvements to quality of care in their region.
Safety & Clinical Improvement
- Partner with regional clinical/medical and operational leaders to design and implement corrective actions and trainings programs (train the trainer models) that address identified risks, prevent adverse events.
- Monitor and evaluate the effectiveness of corrective actions and quality improvement initiatives through ongoing measurement, outcome analysis and follow-up assessment.
- Report regional quality, safety and regulatory findings to CMO office, Practice Operations, and Clinical Operations to inform enterprise-wide trend analysis, risk identification and quality improvement strategies.
- Support morbidity and mortality (M&M) rounds at the regional and local levels
- Drive implementation and spread of enterprise initiatives related to patient safety, clinical quality, regulatory compliance and accreditation standards.
Compliance, Regulatory & Accreditation Support
- Support regional adherence to state and federal requirements, accreditation standards, and LifeStance policy through scheduled chart audits and partnership with local leaders.
- Support survey and state audit preparation and drive follow-through on corrective action plans, holding accountability for completion
- Conduct site visits as needed for support of survey visits
- Review clinical documentation against payer expectations, including documentation to medical necessity, and maintain a standing survey readiness file.
- Provide support for payer audit outcomes via chart audits and supporting local leaders to develop action plans (e.g., trainings related to medical necessity, chart requirements)
REQUIREMENTS
- 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; equivalent behavioral health quality, regulatory or clinical operations experience will be considered.
- Experience conducting or supporting investigations of adverse events, quality of care concerns, or grievances.
- Demonstrated ability to interpret regulatory and accreditation requirements and translate them into practical guidance for a site or region.
- Working fluency with data, including building and interpreting trend reports and explaining findings to a non-analytical audience.
- Excellent written and verbal communication and presentation skills, with the ability to influence without direct authority.
- Ability to manage competing priorities across multiple regions in a fast-paced, matrixed environment.
- Qualified candidates must be legally authorized to be employed in the United States
PREFERRED SKILLS AND KNOWLEDGE
- Joint Commission or state licensure survey experience, including carrying a corrective action plan through closure.
- Exposure to quality improvement or process improvement methodologies (Lean, Six Sigma).
- Certified Professional in Healthcare Quality (CPHQ) or a comparable quality credential or experience.
- Experience with focused and ongoing professional practice evaluation, peer review support, or credentialing and privileging.
- Multi-state or multi-site behavioral health experience, including payer audits and medical necessity documentation review.
- Residence within one of the regions this position will support.
PHYSICAL REQUIREMENTS
- The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
- While performing the duties of this job, the employee is regularly required to sit, stand, bend, talk and hear. The employee is frequently required to walk (while on site). The employee must be able to lift and/or move objects up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus.
IN OFFICE AND TRAVEL REQUIREMENTS
- Up to 50% travel to assigned regions to support chart audit, survey readiness and regional partnership. Travel is heaviest during survey preparation and active corrective action periods.
- Periodic travel to attend Chief Medical Office and enterprise leadership meetings.
- Residence within one of the assigned regions is strongly preferred, so the manager can be on site quickly and is a known presence to local leaders and clinicians.
COMPENSATION: $110,000 - $125,000/annually in addition to a competitive bonus plan
LifeStance provides the compensation range and benefits that it in good faith believes it might pay and/or offer for this position. LifeStance reserves the right to ultimately pay more or less than the posted range and offer additional benefits and other compensation, depending on circumstances not related to an applicant’s sex or other status protected by local, state, or federal law.
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LifeStance is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees. Learn more about Diversity, Equity and Inclusion at LifeStance.
LifeStance Health complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact our Human Resources Team at ADA@lifestance.com. Please note: This contact is intended solely for accommodation requests. Inquiries regarding applications, resumes and applicant status should not be sent to this email address as they will not be reviewed or responded to. To apply for a position, please use our official careers page.