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

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<h2><strong>📌 About Alpaca Health</strong></h2><p style="min-height:1.5em"><strong>Alpaca Health enables clinicians to become entrepreneurs, starting in autism care.</strong></p><p style="min-height:1.5em">We help clinicians launch and scale their own clinics by providing AI-powered software, payer contracting, and full back-office infrastructure. Our goal is simple: shift power in healthcare away from large consolidated entities and back to clinicians.</p><p style="min-height:1.5em">We've raised over $14M in funding from early-stage investors like Core Innovation Capital, Adverb Ventures, and South Park Commons, and are building for long-term category leadership. More importantly, we're serving hundreds of patients, while growing 30% MoM.</p><p style="min-height:1.5em"><strong>This role is full-time. This role is remote-friendly, but we are also excited to welcome a new team member on-site at our New York City office.</strong></p><p style="min-height:1.5em"></p><h2>🎯 Role: Director of Clinical Quality and Outcomes</h2><p style="min-height:1.5em">We are hiring a Director of Clinical Quality and Outcomes to define, build, and scale the clinical excellence layer of Alpaca Health.</p><p style="min-height:1.5em">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.</p><p style="min-height:1.5em">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.</p><p style="min-height:1.5em">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.</p><p style="min-height:1.5em">All while balancing the clinical autonomy that independent practice owners crave, while ensuring compliant, evidence-backed, and outcome-generating care.</p><p style="min-height:1.5em"></p><h2>🚧 What You’ll Do</h2><p style="min-height:1.5em"><strong>Define and operationalize clinical quality at scale</strong><br>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.</p><p style="min-height:1.5em"><strong>Own outcomes and clinical performance metrics</strong><br>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.</p><p style="min-height:1.5em"><strong>Build audit and feedback systems</strong><br>Create scalable QA processes across session notes, treatment plans, and documentation. Identify patterns, drive corrective action, and ensure clinics are audit-ready by default.</p><p style="min-height:1.5em"><strong>Embed clinical standards into the technology and product</strong><br>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.</p><p style="min-height:1.5em"><strong>Align care with payer expectations and evidence-based standards</strong><br>Ensure clinical delivery meets payer requirements and reduces audit risk, denials, and clawbacks. Stay ahead of evolving requirements and encode them into systems.</p><p style="min-height:1.5em"><strong>Enable value-based care models</strong><br>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.</p><p style="min-height:1.5em"><strong>Act as a clinical voice in payer partnerships</strong><br>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.</p><p style="min-height:1.5em"><strong>Drive provider training and clinical enablement</strong><br>Design onboarding, ongoing training, and performance improvement programs for BCBAs and RBTs. Create playbooks that help clinicians improve outcomes and efficiency.</p><p style="min-height:1.5em"><strong>Build and lead clinical quality infrastructure</strong><br>Over time, hire and manage a team focused on QA, training, and clinical performance. Establish systems that scale across states, payers, and care models.</p><p style="min-height:1.5em"><strong>Close the loop between outcomes and growth</strong><br>Partner with Growth and Provider Success to ensure strong outcomes translate into stronger referrals, retention, and payer relationships.</p><p style="min-height:1.5em"></p><h2>🧠 Who You Are</h2><ul style="min-height:1.5em"><li><p style="min-height:1.5em">Deep experience in ABA clinical practice (BCBA required; BCBA-D and multi-site or leadership experience preferred)</p></li><li><p style="min-height:1.5em">A strong point of view on what high-quality care looks like—and the ability to operationalize it</p></li><li><p style="min-height:1.5em">Experience working with payers, including understanding of medical necessity, audits, and reimbursement dynamics</p></li><li><p style="min-height:1.5em">Exposure to or interest in value-based care models and outcomes-driven reimbursement</p></li><li><p style="min-height:1.5em">Comfort working cross-functionally with technology, operations, and payer relations/RCM teams</p></li><li><p style="min-height:1.5em">A bias toward building systems, not just solving one-off problems</p></li><li><p style="min-height:1.5em">A desire to influence how care is delivered—and paid for—at a national scale</p></li><li><p style="min-height:1.5em">Extremely ambitious and want to build something meaningful at high velocity.</p></li><li><p style="min-height:1.5em">Comfortable working harder and moving faster than most people.</p></li><li><p style="min-height:1.5em">Thrive in environments with little structure and high accountability.</p></li></ul><p style="min-height:1.5em"></p><h2><strong>🚀 Why Join</strong></h2><ul style="min-height:1.5em"><li><p style="min-height:1.5em">Direct exposure to company-building at an early stage.</p></li><li><p style="min-height:1.5em">Real ownership of critical initiatives from day one.</p></li><li><p style="min-height:1.5em">The opportunity to materially impact families and clinicians.</p></li><li><p style="min-height:1.5em">A fast learning curve that few roles can match.</p></li><li><p style="min-height:1.5em">Strong compensation package</p></li></ul><p style="min-height:1.5em">💵 Competitive salary<br>📈 Meaningful equity<br>🏥 Health benefits<br>🏖️ Flexible PTO<br>🍱 Dinner when working late</p><p style="min-height:1.5em"></p>

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