Director of Clinical Quality and Outcomes, BCBA-D Preferred

🕒 vor 3 Monaten

🗽 New York – Remote

🗽 New York – Remote

⏰ Vollzeit

🔴 Experte

👔 Direktor

👻 Geisterscore 69%

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Alpaca Health

WebsiteLinkedInAlle Stellen

2 - 10 Mitarbeiter

Gegründet 2024

🏥 Gesundheitswesen

👥 B2C

Healthcare • B2C

Alpaca Health ist ein Anbieternetzwerk, das personalisierte angewandte Verhaltensanalyse-Therapien (ABA) für Kinder mit Autismus-Spektrum-Störungen und Entwicklungsverzögerungen bietet. Sie verbinden Familien mit lokalen, unabhängigen klinischen Fachleuten (BCBAs und Therapeuten) und bieten flexible Versorgungsmodelle an – zu Hause, in Kliniken, in Schulen, in Kindertagesstätten, in der Gemeinschaft und in virtuellen Sitzungen –, die darauf ausgelegt sind, sich in den täglichen Ablauf einer Familie zu integrieren. Alpaca Health bietet diagnostische Unterstützung (einschließlich kostenloser Online-Screening-Tools und ADOS-2-Bewertungen für junge Kinder) an, akzeptiert viele große Versicherungspläne und ist mit über 100 Kostenträgern in Staaten wie Texas, Colorado, North Carolina und Hawaii im Netzwerk.

Beschreibung

• 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.

🎯 Anforderungen

• 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.

🏖️ Vorteile

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

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