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

Role

Director of Clinical Quality and Outcomes

• We are hiring a Director of Clinical Quality and Outcomes to define, build, and scale the clinical excellence layer of Alpaca Health.
• This role is not traditional clinical oversight. It is about turning clinical quality into a system-one that is measurable, enforceable, and embedded directly into how care is delivered across hundreds of independent providers.
• You will own how Alpaca defines “great care,” translate that into clear standards, and ensure those standards are consistently met through a combination of training, audits, and product-driven workflows.
• You will work at the intersection of clinical practice, payer expectations, and product-helping us build a platform where high-quality care is the default, not the exception.
• All while balancing the clinical autonomy that independent practice owners crave, while ensuring compliant, evidence-backed, and outcome-generating care.

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). 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.

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.

Health benefits

• Flexible PTO
• Dinner when working late