See how your profile stacks up against this role.
We compared the job requirements to your profile to show where you're strong and where you fall short.
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:
We're looking for more than an experienced BCBA. We want someone who truly understands the ABA payer landscape.
You should be comfortable navigating the relationship between clinical recommendations, medical necessity, documentation, authorization requirements, and reimbursement. When a payer changes its expectations or an authorization comes back with questions, you should know how to dig into the issue, understand what is driving it, and help the organization respond appropriately.
Qualifications include:
Experience with multiple payers and/or multiple state Medicaid programs, clinical audits, authorization denials, corrective-action processes, policy development, or organizational quality assurance is strongly preferred.
The QAS will remain connected to clinical practice while having the capacity to focus on organization-wide quality.
The position carries a reduced caseload of approximately 2–4 clients, with an expectation of approximately 15 billable hours per week.
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.
After you apply, unlock the direct contact details of the people who actually make the call. A quick follow-up makes you 5x more likely to land an interview.
Marcus Rivera
Chief Revenue Officer
Iowa Ortho
HealthEdge
Care Access
CARE
Nutrafol
