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

About Alpaca Health

Alpaca Health enables clinicians to become entrepreneurs, starting in autism care.

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.

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.

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.

Role: Director of Clinical Quality and Outcomes

We are hiring a Director of Clinical Quality and Outcomes to define, build, and scale the clinical excellence layer of Alpaca Health.

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.

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.

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.

All while balancing the clinical autonomy that independent practice owners crave, while ensuring compliant, evidence-backed, and outcome-generating care.

What You’ll Do

Define and operationalize clinical quality at scale
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.

Own outcomes and clinical performance metrics
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.

Build audit and feedback systems
Create scalable QA processes across session notes, treatment plans, and documentation. Identify patterns, drive corrective action, and ensure clinics are audit-ready by default.

Embed clinical standards into the technology and product
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.

Align care with payer expectations and evidence-based standards
Ensure clinical delivery meets payer requirements and reduces audit risk, denials, and clawbacks. Stay ahead of evolving requirements and encode them into systems.

Enable value-based care models
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.

Act as a clinical voice in payer partnerships
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.

Drive provider training and clinical enablement
Design onboarding, ongoing training, and performance improvement programs for BCBAs and RBTs. Create playbooks that help clinicians improve outcomes and efficiency.

Build and lead clinical quality infrastructure
Over time, hire and manage a team focused on QA, training, and clinical performance. Establish systems that scale across states, payers, and care models.

Close the loop between outcomes and growth
Partner with Growth and Provider Success to ensure strong outcomes translate into stronger referrals, retention, and payer relationships.

Who You Are

• Deep experience in ABA clinical practice (BCBA required; BCBA-D and multi-site or leadership experience preferred)

• A strong point of view on what high-quality care looks like—and the ability to operationalize it

• Experience working with payers, including understanding of medical necessity, audits, and reimbursement dynamics

• Exposure to or interest in value-based care models and outcomes-driven reimbursement

• Comfort working cross-functionally with technology, operations, and payer relations/RCM teams

• A bias toward building systems, not just solving one-off problems

• A desire to influence how care is delivered—and paid for—at a national scale

• Extremely ambitious and want to build something meaningful at high velocity.

• Comfortable working harder and moving faster than most people.

• Thrive in environments with little structure and high accountability.

Why Join

• Direct exposure to company-building at an early stage.

• Real ownership of critical initiatives from day one.

• The opportunity to materially impact families and clinicians.

• A fast learning curve that few roles can match.

• Strong compensation package

Competitive salary
Meaningful equity
Health benefits
Flexible PTO
Dinner when working late