Quality Assurance Supervisor (BCBA)

Carelinks ABA•St. Louis, MO

1d•$94,000 - $98,000

About The Position

Carelinks ABA is seeking an experienced Board Certified Behavior Analyst (BCBA) to serve as Quality Assurance Supervisor (QAS). The role bridges clinical quality and payer compliance, helping ensure clinical practices, documentation, and systems remain meaningful and meet the requirements of Medicaid programs, managed care organizations, commercial insurers, and other funding sources. This is not a traditional full-caseload BCBA role; the supervisor will influence clinical quality across the organization while maintaining a reduced caseload of approximately 2–4 clients and an expectation of approximately 15 billable hours per week. The QAS works closely with the VP of Clinical Operations, Area Clinical Directors, BCBAs, and authorization, billing, and operational teams. The role translates payer and regulatory requirements into practical clinical guidance, reviews records for quality and compliance, identifies trends in payer feedback and denials, and supports clinician education and organization-wide quality improvement. The position also supports incident reporting, safety, ethics and compliance, fraud, waste, and abuse prevention, and monitoring of AI-supported documentation quality tools.

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 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 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.
Maintain a reduced clinical caseload of approximately 2–4 clients and approximately 15 billable hours per week.