Care Quality Program Manager

In This Role You Will:

• Run the Quality and Safety Committee. Co-lead it with our Credentialing, Licensing & Quality Operations Manager: prepare each meeting, turn discussion into clear decisions and owners, and track whether follow-through actually happens.
• Lead clinical readiness for Joint Commission accreditation. Own the required clinical policies, run mock audits, drive corrective action on gaps, and serve as the day-of clinical point of contact during surveys.
• Make standards usable. Translate Joint Commission requirements into practical guidance that clinical managers and the care team can act on.
• Audit clinical work. Run structured audits of documentation, clinical reasoning, protocol adherence, and member interactions against Pelago’s standards, keeping records with integrity and confidentiality.
• Turn findings into action. Deliver reports managers can use with their teams, with patterns and recommendations, not just observations.
• Fix systemic gaps. Spot when recurring issues point to gaps in policy, tooling, training, or process; propose updates with clinical, product, and operations partners; and revisit changes to confirm they worked.
• Keep policy compliant. Maintain working knowledge of the regulatory, licensing, and accreditation requirements behind Pelago’s programs so every policy change stays grounded and current.

The Background We’re Looking For:

3+ years in clinical quality, compliance, or auditing, including hands-on experience running clinical audits, managing a quality program, and/or preparing for accreditation or regulatory surveys (Joint Commission, CARF, or similar)

• An active, unrestricted clinical license in good standing (e.g., LCSW, LPC, LMFT, RN, or licensed psychologist)
• Familiarity with substance use disorder (SUD), mental health, or broader behavioral health care
• Proven ability to work independently: you can take a task, run it, and return with clear findings without hands-on management throughout
• Strong written communication; audit findings, committee summaries, policy documents, and accreditation materials all live or die on how clearly they’re written
• Organized and accountable: you track your own follow-through and others’ without waiting to be reminded
• Comfort with ambiguity and iteration; this role will help define its own scope over time

Nice-to-have skills:

• Hands-on experience with Joint Commission standards, accreditation surveys, or healthcare regulatory compliance
• Experience with telehealth, distributed care teams, or virtual clinical programs
• Experience using AI tools to improve clinical documentation, auditing, or quality workflows