Quality Assurance Specialist (BCBA)

At Carelinks ABA, clinical quality isn't just about providing great ABA—it also means understanding the complex payer and regulatory landscape that determines how care is documented, authorized, and maintained.

We're looking for an experienced BCBA who understands both sides of that equation: strong clinical care and the payer requirements that support it. Our Quality Assurance Specialist (QAS) will help ensure our clinical practices, documentation, and systems remain clinically meaningful while meeting the expectations of Medicaid programs, managed care organizations, commercial insurers, and other funding sources.

This is not a traditional full-caseload BCBA role. It's an opportunity for an experienced clinician with strong payer and compliance knowledge to influence clinical quality across a growing organization.

• You'll work closely with our VP of Clinical Operations, Area Clinical Directors, BCBAs, authorization, billing, and operational teams to bridge the gap between clinical excellence and payer expectations.

  You'll:

  • Stay current on payer policies, authorization requirements, medical necessity standards, CASP guidance, and regulatory changes impacting ABA
  • Translate complex payer requirements into clear, practical guidance for our 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 when payer changes or quality concerns require organization-wide action
  • Monitor clinical quality indicators and proactively 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

Help Shape the Standard

If you're a BCBA who understands that excellent clinical care and payer compliance need to work together—and you know how to navigate both—we want to hear from you.

This is an opportunity to stay connected to clinical practice while becoming a key resource for BCBAs and leadership, helping Carelinks anticipate payer expectations, strengthen clinical systems, and protect the quality and continuity of care for the families we serve.

If that sounds like the kind of impact you're ready to make, we'd love to connect.