Clinical Quality Program Manager

🏢 Pelago · 📍 Remote · 💼 remote 💰 $100,000 - $100,000 / yr
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Position Summary & Responsibilities

Pelago is the leading specialty substance use care provider, built on the belief that effective treatment means matching care intensity to what each member actually needs rather than defaulting to the most expensive intervention. Our programs guide members through every stage of the substance use spectrum, from unhealthy habits to active use disorders, delivering personalized treatment for tobacco, alcohol, opioid, cannabis, and stimulant use based on individual health, habits, genetics, and goals.

With Sona, our voice-first AI Mental Health Specialist, Pelago now applies that same clinically-driven model to mental health, pairing deep clinical expertise with technology to expand access without compromising care quality. We believe technology should make clinical care more precise and more human, not replace the judgment behind it.

Pelago has scaled to helping hundreds of employers and health plans and has already helped more than 750,000 members better manage their substance use. If you're passionate about AI and making an impact on the health of others, join us and make it happen!

Overview of the Role:

As our Care Quality Program Manager, you'll lead clinical quality and accreditation readiness for Pelago's care programs. You'll run clinical audits across our care team, co-lead our Quality and Safety Committee, and serve as the clinical lead for Joint Commission readiness, from policy development through survey day.

You'll be the link between what quality reviews find and what changes as a result. That means turning audit results and committee decisions into updated policies, protocols, and care team tools, then confirming those changes improved care. You'll work closely with clinical managers, our Credentialing, Licensing & Quality Operations Manager, and our product and operations teams.

This is a high-ownership role for a clinician ready to shape a function as it grows.

This is a full time remote role, open to candidates located in the United States.

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 accred
🎯 Candidate Preparation Guide For Pelago Applicants

Key Role Competencies & Evaluation Highlights

Key Role Focus:

Interviewers strictly assess your commitment to evidence-based digital health, clinical safety, and empathetic member engagement.

📋 Preparation Priorities (Key Areas to Clarify):
  • 1. Treating digital health like a superficial consumer app without respecting clinical outcomes
  • 2. Ignorance of HIPAA, employer health plan dynamics, and health insurance structures
  • 3. Lack of empathy for vulnerable populations struggling with substance use disorders
✨ Recommended Role Alignment Hook:

I scale digital health solutions that prove rigorous clinical efficacy while delivering undeniable ROI to self-insured employers.

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