Quality Assurance Specialist – BCBA

🔥 0 minutes ago

🌾 Iowa – Remote

🌾 Iowa – Remote

💵 $94k - $98k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔧 QA Engineer (Quality Assurance)

👻 Ghost score 20%

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Carelinks ABA

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2024

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Carelinks ABA is a provider of Applied Behavior Analysis (ABA) therapy focused on empowering children with autism and supporting their families through individualized, evidence-based in-home and community-based services. The company delivers care through Registered Behavior Technicians and licensed clinicians, offers parent training, interdisciplinary collaboration with schools and providers, and handles insurance coordination. Carelinks ABA operates multiple locations across several U. S. states and emphasizes building communication, social, daily-living, and pre-academic skills to help each child reach their full potential.

📋 Description

• Partner with the VP of Clinical Operations, Area Clinical Directors, BCBAs, authorization, billing, and operational teams to bridge clinical excellence and payer expectations • Stay current on payer policies, authorization requirements, medical necessity standards, CASP guidance, and regulatory changes impacting ABA • Translate complex payer requirements into practical guidance for clinical teams • Review treatment plans, assessments, reassessments, progress notes, BSPs, authorization documentation, and other clinical records for quality and compliance • Analyze denials, partial approvals, authorization feedback, and payer audits to identify trends and prevent recurring issues • Train and coach BCBAs on documentation, treatment planning, medical necessity, and payer-specific expectations • Develop and maintain internal audit processes, clinical policies, SOPs, documentation templates, and quality standards • Partner across clinical, authorization, billing, and operations teams on payer changes and quality concerns • Monitor clinical quality indicators and identify areas of risk • Support incident reporting, SafetyCare standards, ethics and compliance initiatives, and fraud, waste, and abuse prevention • Monitor AI-supported documentation quality tools and use findings to drive clinician education and process improvement • Maintain a reduced caseload of approximately 2–4 clients, with approximately 15 billable hours per week

🎯 Requirements

• Master's degree or higher in Applied Behavior Analysis, Psychology, or a related field • Active BCBA certification in good standing • 3+ years of certified clinical ABA experience, including supervisory responsibilities • Strong working knowledge of Medicaid, managed care, and commercial payer requirements within ABA • Experience with treatment authorizations, medical necessity standards, clinical documentation requirements, and payer audits or reviews • Ability to interpret payer policies and translate them into practical clinical workflows • Strong understanding of CASP guidance, ABA documentation standards, HIPAA/PHI requirements, ethics, and clinical compliance • Exceptional attention to detail and ability to recognize patterns across clinical and payer data • Strong communication, training, coaching, and cross-functional collaboration skills • Experience with multiple payers and/or multiple state Medicaid programs, clinical audits, authorization denials, corrective-action processes, policy development, or organizational quality assurance is strongly preferred

🏖️ Benefits

• Health insurance • Paid time off • 401(k) • Continuing education support • Professional development opportunities • Ongoing clinical training • Mentorship • Opportunities to grow within Carelinks