Market Clinical Services Director

Anna Autism Care • Boston, MA

2d • $150,000 - $170,000 • Hybrid

About The Position

The Market Clinical Services Director (MCSD) is the senior clinical leader for ANNA’s Massachusetts market. In partnership with the Market Executive Director, the MCSD forms the market leadership dyad and is jointly accountable for market performance, including clinical quality, team and family satisfaction, and financial sustainability. The MCSD reports to the Chief Clinical Officer and is accountable for the quality of clinical services across Massachusetts, clinician professional development, and expansion of ANNA’s clinical presence in the state.

Clinical Directors report to the Market Executive Director for operational and people management, and have a dotted-line relationship to the MCSD for clinical quality, model fidelity, treatment planning, case review, and clinical development. Within standards established by the Chief Clinical Officer, the MCSD has clinical decision-making authority. The role provides clinical expertise, mentorship, and consistent support to Clinical Directors, BCBAs, Behavior Analyst Trainees (BATs), and Behavior Technicians throughout Massachusetts.

The role’s success is measured by fidelity to ANNA’s NDBI-based clinical model, clinician skill progression and retention, client outcomes, family satisfaction, and ANNA’s clinical reputation with payers, referral partners, and the academic community. ANNA provides ABA services to young autistic children under age six and their families using a neurodiversity-affirming, Naturalistic Developmental Behavioral Intervention approach. The position is hybrid, with two to three days per week onsite across Massachusetts centers and remaining work performed remotely or in the community. Additional onsite presence may be needed during center openings or significant clinical needs. Regular travel to centers across Massachusetts is required.

Requirements

• Master’s degree in Applied Behavior Analysis, Psychology, Special Education, or a closely related field.
• Board Certified Behavior Analyst (BCBA) in good standing.
• Massachusetts Licensed Applied Behavior Analyst (LABA), or license-eligible and able to obtain licensure before starting.
• At least 8 years of clinical experience in ABA, including at least 5 years as a BCBA and 3 years in a clinical leadership role at Clinical Director level or above.
• Demonstrated experience training and supervising BCBAs, supervisees, trainees, and behavior technicians, including training others to train.
• Deep expertise in Naturalistic Developmental Behavioral Intervention approaches and early intervention for children under age six.
• Demonstrated experience building or operating clinical quality and fidelity systems.
• Proven ability to lead, influence, and drive change through dotted-line relationships rather than direct reporting authority.
• Strong clinical judgment, written communication, and coaching skills.
• Willingness to travel regularly to centers across Massachusetts.

Nice To Haves

• Doctoral degree and/or BCBA-D.
• Experience in a multi-site or multi-state behavioral health organization.
• Experience with accreditation processes, including the Autism Commission on Quality (ACQ).
• Familiarity with Massachusetts payer clinical criteria and appeals processes, including MassHealth, Carelon, Tufts, BCBS MA, and Optum.
• Peer-reviewed publication, conference presentation history, or academic affiliation.
• Experience in a high-growth or start-up environment.

Responsibilities

• Own clinical quality across Massachusetts centers and ensure services reflect ANNA’s neurodiversity-affirming, NDBI-based model.
• Oversee state-level fidelity monitoring, documentation, reporting, and quality improvement, ensuring centrally developed assessment tools, scoring methods, and evaluation protocols are used consistently.
• Ensure alignment with ANNA’s treatment planning templates, clinical documentation standards, and case review processes.
• Consult on complex cases, program design, and advanced clinical decisions; escalate matters requiring organizational precedent to the Chief Clinical Officer.
• Gather and relay clinical feedback from Massachusetts teams to the Chief Clinical Officer and central clinical team.
• Train BATs to deliver Behavior Technician onboarding with fidelity, assess competency, and ensure they pass before independently onboarding new technicians.
• Train and support Clinical Directors in clinical training and oversight responsibilities, including supervising BATs and evaluating training fidelity.
• Conduct monthly minimum training-fidelity checks across the market and provide coaching or remediation where performance falls below standard.
• Oversee Clinical Directors’ supervision of BATs and ensure consistent, effective supervision across centers.
• Train and support Clinical Directors in delivering BCBA and BAT training, and monitor training execution across Massachusetts.
• Ensure clinical supervision, mentorship, and skills progression expectations are met across clinical roles.
• Adapt centrally developed training materials to Massachusetts requirements with Chief Clinical Officer approval, and provide feedback on training curricula and delivery.
• Execute the Massachusetts clinical professional development plan, including BCBA candidate supervision, continuing education, and clinician skills progression.
• Provide dotted-line clinical oversight and hands-on mentorship to Clinical Directors and the BCBA team.
• Hold weekly 30-minute clinical support one-on-ones with each Clinical Director and lead bi-weekly Market Clinical Meetings.
• Co-lead monthly Market All-BCBA Meetings with the Market Executive Director.
• Provide clinical input to Clinical Director and BCBA hiring, promotion recommendations, calibration meetings, and performance discussions.
• Build a market culture of clinical curiosity, ethical practice, and continuous improvement through regular center presence.
• Exercise clinical decision-making authority for implementation of clinical standards, including model fidelity, treatment quality, competency, and remediation.
• Require and oversee clinical corrective action plans and partner with the Market Executive Director to secure resources and ensure completion.
• Determine clinical leaders’ readiness for staff to perform designated clinical, training, and supervision responsibilities, requiring coaching or reassessment when needed.
• Provide required clinical sign-off on Clinical Director hiring and promotion decisions in partnership with the Market Executive Director.
• Take immediate protective action when a practice poses significant risk to client safety or ethical care, including pausing the activity and promptly escalating to the Chief Clinical Officer.
• Escalate unresolved clinical and operational disagreements to the Chief Clinical Officer and Chief Operations Officer.
• Meet with the Market Executive Director at least weekly to align on priorities, clinical quality, staffing, and performance.
• Co-lead the bi-weekly Market Performance Update and Monthly Business Review for the Chief Clinical Officer, Chief Operations Officer, and CEO.
• Attend weekly Clinic Health Meetings led by Clinical Directors and contribute clinical problem-solving on authorizations, protocol modifications, parent training, caseload balancing, and team performance.
• Partner with the Market Executive Director on payer relationships, contract discussions, payer inquiries, and audit responses in coordination with the Revenue Cycle team.
• Support client service request denials and appeals with clinical justification, medical necessity documentation, and peer-to-peer reviews.
• Consult on caseload composition and balancing across pods to protect clinical quality, clinician development, and client outcomes.
• Prepare new centers for launch by ensuring clinical staffing, training, supervision structures, and model fidelity are in place.
• Develop relationships with universities, academic training programs, professional associations, and clinical community partners to expand ANNA’s clinical presence.
• Collaborate on state-level research projects and community, academic, and research partnerships.
• Attend and present at regional and national conferences, representing ANNA’s clinical model, outcomes, and approach to care.
• Support community outreach through university relationships, practicum and internship pipelines, and clinical presentations to referral sources.
• Ensure Massachusetts clinical practice aligns with BACB ethical standards, state licensure requirements, payer criteria, and accreditation standards including ACQ.
• Partner with the Chief Clinical Officer to keep ANNA’s clinical standards aligned with Massachusetts regulatory, accreditation, and payer requirements.
• Support clinical review, root cause analysis, and corrective action for clinically significant incidents.
• Support readiness for accreditation reviews, payer audits, and regulatory reviews, including documentation review and clinician preparation.
• Escalate clinical risk, ethical concerns, and deviations from practice standards to the Chief Clinical Officer.

Benefits

• 401(k) with company match.
• Health, dental, and vision insurance.
• Generous paid time off and paid holidays.
• Support for professional development, including certification maintenance and conference attendance.
• Bonus potential.

What This Job Offers

• Job Type: Full-time
• Career Level: Director