Director of Clinical Quality and Outcomes, BCBA-D Preferred

🔥 30 minutes ago

🗽 New York – Remote

🗽 New York – Remote

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

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Alpaca Health

WebsiteLinkedInAll Job Openings

2 - 10 employees

Founded 2024

🏥 Healthcare

👥 B2C

Healthcare • B2C

Alpaca Health is a provider network that delivers personalized Applied Behavior Analysis (ABA) therapy for children with autism spectrum disorder and developmental delays. They connect families with local, independent clinicians (BCBAs and therapists) and offer flexible care models — in-home, in-clinic, in-school, in-daycare, in-community, and virtual sessions — designed to integrate into a family’s daily routine. Alpaca Health provides diagnostic support (including free online screening tools and ADOS-2 assessments for young children), accepts many major insurance plans and is in-network with 100+ payers across states such as Texas, Colorado, North Carolina, and Hawaii.

📋 Description

• Define and operationalize clinical quality at scale • Establish clear, measurable standards for what “good” looks like across assessments, treatment plans, supervision, and session delivery. Turn subjective clinical judgment into objective, repeatable frameworks. • Own outcomes and clinical performance metrics • Design and track core quality KPIs (progress rates, goal mastery, utilization, treatment fidelity, reassessment cadence). Build dashboards and systems to identify high- and low-performing providers. • Build audit and feedback systems • Create scalable QA processes across session notes, treatment plans, and documentation. Identify patterns, drive corrective action, and ensure clinics are audit-ready by default. • Embed clinical standards into the technology and product • Partner closely with Product and Engineering to translate clinical best practices and payer requirements into workflows—treatment plan scaffolding, in-session prompts, documentation validation, and compliance guardrails. • Align care with payer expectations and evidence-based standards • Ensure clinical delivery meets payer requirements and reduces audit risk, denials, and clawbacks. Stay ahead of evolving requirements and encode them into systems. • Enable value-based care models • Define and track outcomes that matter to payers and families. Help design pilots and frameworks for value-based reimbursement (e.g., outcomes-based incentives, utilization efficiency, time-to-progress), and ensure we can reliably measure and deliver against them. • Act as a clinical voice in payer partnerships • Support conversations with payers by translating clinical performance into clear, compelling narratives. Help position Alpaca as a high-quality, outcomes-driven partner worthy of preferred rates and network status. • Drive provider training and clinical enablement • Design onboarding, ongoing training, and performance improvement programs for BCBAs and RBTs. Create playbooks that help clinicians improve outcomes and efficiency. • Build and lead clinical quality infrastructure • Over time, hire and manage a team focused on QA, training, and clinical performance. Establish systems that scale across states, payers, and care models. • Close the loop between outcomes and growth • Partner with Growth and Provider Success to ensure strong outcomes translate into stronger referrals, retention, and payer relationships.

🎯 Requirements

• Deep experience in ABA clinical practice (BCBA required; BCBA-D and multi-site or leadership experience preferred) • A strong point of view on what high-quality care looks like—and the ability to operationalize it • Experience working with payers, including understanding of medical necessity, audits, and reimbursement dynamics • Exposure to or interest in value-based care models and outcomes-driven reimbursement • Comfort working cross-functionally with technology, operations, and payer relations/RCM teams • A bias toward building systems, not just solving one-off problems • A desire to influence how care is delivered—and paid for—at a national scale • Extremely ambitious and want to build something meaningful at high velocity. • Comfortable working harder and moving faster than most people. • Thrive in environments with little structure and high accountability.

🏖️ Benefits

• Strong compensation package • Competitive salary • Meaningful equity • Health benefits • Flexible PTO • Dinner when working late