Director of Clinical Quality and Outcomes, BCBA-D Preferred

This is a fully remote position, open to applicants in New York.

📋 Description

• Define and implement clinical quality on a large scale.

• Set clear, measurable benchmarks for what constitutes “good” across assessments, treatment plans, supervision, and session delivery, transforming subjective clinical judgment into objective, repeatable frameworks.

• Take ownership of outcomes and clinical performance metrics.

• Design and monitor essential quality KPIs (progress rates, goal mastery, utilization, treatment fidelity, reassessment cadence). Develop dashboards and systems to highlight high- and low-performing providers.

• Create audit and feedback mechanisms.

• Establish scalable QA processes for session notes, treatment plans, and documentation. Identify trends, initiate corrective actions, and ensure clinics are consistently audit-ready.

• Integrate clinical standards into technology and products.

• Collaborate closely with Product and Engineering to translate clinical best practices and payer requirements into workflows—such as treatment plan scaffolding, in-session prompts, documentation validation, and compliance safeguards.

• Align care delivery with payer expectations and evidence-based standards.

• Ensure that clinical services meet payer guidelines and mitigate audit risks, denials, and clawbacks. Stay ahead of changing requirements and embed them into systems.

• Facilitate value-based care models.

• Define and track outcomes that are significant to payers and families. Assist in designing pilots and frameworks for value-based reimbursement (e.g., outcomes-based incentives, utilization efficiency, time-to-progress) and ensure reliable measurement and delivery against these metrics.

• Serve as a clinical advocate in payer partnerships.

• Support discussions with payers by translating clinical performance into clear, persuasive narratives. Position Alpaca as a high-quality, outcomes-driven partner worthy of preferred rates and network status.

• Lead provider training and clinical enablement.

• Design onboarding, continuous training, and performance enhancement programs for BCBAs and RBTs. Create playbooks that assist clinicians in improving outcomes and efficiency.

• Establish and manage clinical quality infrastructure.

• Over time, recruit and lead a team focused on QA, training, and clinical performance. Develop systems that can scale across states, payers, and care models.

• Link outcomes to growth.

• Collaborate with Growth and Provider Success teams to ensure that strong outcomes result in increased referrals, retention, and payer relationships.

⛳️ Requirements

• Extensive experience in ABA clinical practice (BCBA certification required; BCBA-D and multi-site or leadership experience preferred).

• A well-defined perspective on what high-quality care entails—and the capability to operationalize that vision.

• Experience working with payers, including knowledge of medical necessity, audits, and reimbursement dynamics.

• Familiarity with or interest in value-based care models and outcomes-driven reimbursement.

• Ability to work cross-functionally with technology, operations, and payer relations/RCM teams.

• A propensity for building systems rather than merely addressing isolated issues.

• A passion for influencing how care is delivered—and compensated—on a national scale.

• Highly ambitious and eager to create something impactful at a rapid pace.

• Comfortable working harder and moving faster than the average person.

• Flourish in environments characterized by minimal structure and significant accountability.

🏝️ Benefits

• Attractive compensation package.

• Competitive salary.

• Significant equity opportunities.

• Comprehensive health benefits.

• Flexible paid time off.

• Dinner provided when working late.