BCBA (Board Certified Behavior Analyst) - Help Medicaid Families Finally Access ABA

Job Description

Job Description

Somewhere in San Antonio right now, a mother just got off the phone. Her child was diagnosed with autism three months ago. She's been calling ABA providers ever since — nights, weekends, lunch breaks at work. She's left voicemails that never got returned. She's been told they don't take her insurance. She finally found a provider who did. The waitlist? 2.5 years.

She has Medicaid. And in Texas, that's exactly how this story goes.

Over 80% of Medicaid families seeking ABA therapy in Texas never receive it. Not because there aren't enough BCBAs. Not because the science isn't there. But because the process of getting BCBAs officially approved and enrolled to serve Medicaid patients — a process called credentialing — takes upwards of 6 months of navigating bureaucratic red tape. It's so long, so painful, and so operationally brutal that most ABA companies have quietly made a business decision: it's not worth it. So they opt out. And families like hers are left with nowhere to go.

We decided to do something different.

And we didn't do it overnight. As a company, we sat with this problem for a long time — asking hard questions, thinking carefully about what it would actually take to change this reality. This kind of deliberate thinking isn't common in this industry. Most companies in Texas see the complexity of Medicaid and move on. We saw it and asked: what would it take to build something that could actually work?

The answer took months. We went out and obtained contracts with every single Medicaid plan in Texas. All of them. In a state with a fragmented, complex Medicaid landscape, that alone is something almost no ABA provider has done. It means that when a Medicaid family in San Antonio calls us, we can say yes — regardless of which plan they're on.

But contracts alone aren't enough. Medicaid is genuinely hard to work with. The authorization requirements are stringent. The billing rules are complex, with strict regulations around concurrent billing and documentation that trip up even well-intentioned providers. So we built the operational infrastructure to handle all of it — the systems, the processes, the support — so that our BCBAs can focus on what they do best, and families can actually receive the care they've been waiting for.

We are now one of the only ABA companies in Texas that can proudly say all three of those things at once — that we have contracts with every single Medicaid plan in Texas, that we've built the operational infrastructure to actually work within it, and that we have the heart and the drive to make sure families like hers finally get the care they've been waiting for. 

And we're looking for 20 BCBAs in San Antonio who want to be part of what that makes possible.

The mother on the phone deserves someone to answer and we're building the team that will.

Good question. Because the kind of mission we just described doesn't come from just nowhere.

Bright Pathways ABA was built on a single belief: that care works better when it feels human. When therapists are trusted partners, not just providers. When families are collaborators, not just recipients. And when every child is seen as a full, complex person — with strengths, with spark, with a story that goes way beyond their diagnosis. We call it our Human-First philosophy, and it shapes everything we do — from how we structure caseloads to how we show up for each other every day.

We're a company that's still in the exciting early chapters of our story — and we think that matters. It means we haven't hardened into the habits that make so many other organizations in this space feel as " transactional " as they do. There's no "that's how we've always done it" here, because we're still in the exciting, generative work of figuring out what we want to become. The people who join us now aren't just filling a role — they're active builders of something that's still taking shape. We want our BCBAs to bring their ideas, their instincts, and their voice to that process. We're here to support them in doing exactly that. The best version of Bright Pathways will be built together — and we mean that genuinely.

And it's exactly why this Medicaid mission lives at the center of who we are. Because Human-First means nothing if it only reaches the families who already have easy access to care.

This is not an immediate hire . Here's how it works:

The credentialing process to serve Medicaid patients takes upwards of 6 months. Although this is a long time, we're using it as a head start by hiring 20 BCBAs today so that in 6 months, we're ready to hit the ground running.

• You apply and are selected for the role

• We immediately begin credentialing you across all 10+ Medicaid plans in Texas — this is entirely on us, nothing is required from you

• You continue in your current job as normal while we handle everything in the background and keep you updated on progress

• After approximately 6 months, once Medicaid credentialing is approved, we reach out with the good news

• You are officially offered your full-time role at Bright Pathways — and from day one, you're ready to serve Medicaid families

• Delivering and overseeing relationship-centered ABA therapy in homes, schools, and via telehealth

• Conducting assessments and developing individualized, strengths-based treatment plans

• Guiding and mentoring RBTs as true collaborators in the therapy process

• Partnering with families in ways that feel empowering, respectful, and genuinely relational

• Helping shape our clinical model and culture as we grow

• Reside in San Antonio

• Hold a current BCBA certification and are licensed in Texas

• Are craving more than just a job — you want to help build something that actually matters

• Lead with curiosity and see strengths before deficits

• Believe therapy should feel personal, not procedural

• Understand that the best outcomes are a team effort, and show up that way

Location: San Antonio, TX Setting: Hybrid — in-home visits and telehealth Schedule: Full-time preferred; part-time considered

• $80,000 – $100,000 annual compensation

• Paid time off and holidays

• Flexible scheduling built around your life

• Manageable caseloads — protected on purpose

• Genuine clinical autonomy

• A real seat at the table — your voice will help shape what we become