Clinical Quality Program Manager

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 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.