Quality Assurance Supervisor (BCBA)

Carelinks ABA•St. Louis, MO

About The Position

Carelinks ABA is seeking an experienced BCBA to oversee clinical quality and help ensure the organization’s clinical practices, documentation, and systems meet the expectations of Medicaid programs, managed care organizations, commercial insurers, and other funding sources. The role bridges clinical excellence and payer requirements and is not a traditional full-caseload BCBA position. The Quality Assurance Supervisor works with the VP of Clinical Operations, Area Clinical Directors, BCBAs, and authorization, billing, and operational teams. The position carries a reduced caseload of approximately 2–4 clients and an expectation of approximately 15 billable hours per week, while focusing on organization-wide quality, payer compliance, clinical systems, and clinician education.

Requirements

Master’s degree or higher in Applied Behavior Analysis, Psychology, or a related field.
Active BCBA certification in good standing.
At least 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.

Nice To Haves

Experience with multiple payers and/or multiple state Medicaid programs.
Experience with clinical audits, authorization denials, corrective-action processes, policy development, or organizational quality assurance.

Responsibilities

Stay current on payer policies, authorization requirements, medical necessity standards, CASP guidance, and regulatory changes affecting ABA.
Translate payer requirements into clear, practical guidance and workflows 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 with clinical, authorization, billing, and operations teams on payer changes and organization-wide quality concerns.
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 inform clinician education and process improvement.
Maintain a reduced clinical caseload of approximately 2–4 clients and approximately 15 billable hours per week.