Director of Clinical Quality and Outcomes (BCBA-D Preferred)

What You’ll Do

• 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)
• Create dashboards and systems to identify high- and low-performing providers
• Build audit and feedback systems
• Build 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
• 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
• 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)
• 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

Who You Are

• 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