Regional Manager ABA (Must be a BCBA)

Job Description

Job Description

  Service Line: Applied Behavior Analysis 

Reports To : Chief Operating Officer

Location : Maui, Hawaii

Employment Type : Full-Time

Position Summary

The Regional Manager – ABA is a hybrid clinical and operational leadership position responsible for both the delivery of high-quality patient care and the performance and growth of Pediatric Therapies Hawaii’s ABA service line. The role will generally be divided approximately 50/50 between direct clinical responsibilities as a BCBA and administrative, operational, and business development responsibilities, with the balance flexing based on patient volume, staffing, and business needs. As the primary operational leader for ABA, the Regional Manager will have direct supervisory responsibility for all ABA employees, including BCBAs, RBTs, and support staff, and will be accountable for clinical quality, patient outcomes, team performance, operational execution, and service-line growth. Business development responsibilities will include referral development, building relationships with physicians and community partners, conducting outreach, advancing growth initiatives, and identifying new opportunities to expand ABA services. The Regional Manager reports directly to the COO and serves as the primary link between ABA clinical operations and the broader organizational strategy of PTH.

Key Responsibilities

Clinical Leadership

• Provide direct clinical services as a BCBA based on patient volume, staffing, and business needs.
• Maintain high standards of clinical quality and evidence-based ABA practice.
• Monitor patient outcomes and ensure treatment plans and services are clinically appropriate and effectively implemented.
• Provide clinical guidance, mentorship, and support to BCBAs and RBTs.
• Promote consistent clinical standards, documentation, and ethical practices across the ABA service line.
• Identify clinical risks or concerns and take appropriate action.
• Support the development of a strong clinical culture focused on patient outcomes and quality of care.

Team Leadership & Supervision

• Directly supervise all ABA employees, including BCBAs, RBTs, and support staff.
• Establish clear performance expectations and hold team members accountable for results.
• Conduct regular coaching, feedback, and performance discussions.
• Support employee development, training, and professional growth.
• Address performance issues, conflicts, and other employee matters in a timely and appropriate manner.
• Build and maintain a high-performing, collaborative ABA team.
• Ensure appropriate staffing and coverage based on patient and business needs.

ABA Operations

• Serve as the primary operational leader for the ABA service line.
• Oversee day-to-day ABA operations, including scheduling, caseload management, staffing, productivity, capacity, and patient flow.
• Develop, implement, and continuously improve ABA workflows, procedures, and operating standards.
• Identify operational barriers and implement practical solutions.
• Establish and monitor appropriate operational and clinical performance metrics.
• Use data and performance information to identify trends, improve outcomes, and drive accountability.
• Coordinate with other departments to ensure effective integration of ABA with the broader organization.
• Ensure the ABA service line operates in accordance with applicable regulatory, payer, and organizational requirements.

Business Development & Growth

• Develop and maintain relationships with physicians, healthcare providers, schools, community organizations, and other potential referral sources.
• Conduct community outreach and represent Pediatric Therapies Hawaii professionally within the community.
• Develop strategies to increase appropriate ABA referrals and strengthen referral relationships.
• Identify opportunities to expand ABA services and improve access to care.
• Participate in the development and implementation of growth initiatives.
• Identify emerging opportunities, barriers, and market needs and communicate recommendations to the COO.

Leadership & Organizational Responsibilities

• Partner directly with the COO on the development and execution of ABA service-line priorities.
• Translate organizational objectives into clear operational priorities for the ABA team.
• Communicate operational, clinical, staffing, and growth issues to the COO in a timely manner.
• Take ownership of problems and work toward solutions rather than simply escalating issues.
• Participate in organizational initiatives and projects that support the overall mission and strategic objectives.
• Perform other duties and responsibilities as assigned based on the needs of the organization.

Required Qualifications

• Active BCBA certification.
• Eligible to practice as a BCBA in the State of Hawaii.
• Minimum of five (5) years of BCBA clinical experience.
• Demonstrated ability to work effectively with patients, families, and clinical professionals.
• Demonstrated ability to lead, organize, prioritize, and manage multiple responsibilities in a clinical environment.
• Strong communication, interpersonal, and problem-solving skills.
• Ability to work independently, make sound decisions, and take ownership of outcomes.

Preferred Qualifications

• Previous experience supervising BCBAs and/or RBTs.
• Experience managing an ABA program, clinic, team, or service line.
• Pediatric ABA experience.
• Experience with referral development, community outreach, or healthcare relationship management.
• Experience working with Medicaid and commercial insurance.
• Demonstrated experience improving clinical or operational performance.
• Experience building, expanding, or scaling an ABA program.
• Experience working in a multidisciplinary healthcare environment.

Core Competencies

Clinical Leadership – Maintains strong clinical standards while balancing patient needs, staffing realities, and operational requirements.

People Leadership – Sets clear expectations, develops employees, provides effective feedback, and holds people accountable.

Operational Ownership – Identifies problems, develops solutions, executes, and follows through to measurable results.

Communication – Communicates clearly and effectively with patients, families, employees, physicians, referral sources, and organizational leadership.

Relationship Building – Develops productive relationships that strengthen patient care, referrals, community presence, and organizational growth.

Adaptability – Effectively manages changing priorities, patient volumes, staffing needs, and business conditions.

Initiative – Identifies opportunities and problems proactively rather than waiting for direction.

Accountability – Takes ownership for the performance, quality, and outcomes of the ABA service line.

Performance Expectations

Success in this role will be demonstrated through:

• High-quality clinical care and positive patient outcomes.
• A well-managed, accountable, and engaged ABA team.
• Effective staffing, scheduling, and utilization of ABA resources.
• Consistent operational execution and adherence to established processes.
• Timely identification and resolution of operational and clinical issues.
• Growth in appropriate ABA referrals and community relationships.
• Development of a scalable ABA service line capable of supporting continued organizational growth.
• Effective partnership with the COO and other leaders.

Physical Demand Capacity

• Requires the manual dexterity and general strength and endurance
• Lifting—routinely loads of 5-35 pounds from
• Floor to waist and Waist to shoulder
• Shoulder to overhead
• Carrying—routinely loads of 5-10# for 40-50’
• Pushing---routinely loads of 5-150# on casters, runners or pulleys
• Sustaining a grip---routinely for 1-2 minutes of 40-50# 
• Guarding a “lift load” routinely of 120-140#
• Sitting---routinely for uninterrupted periods of 30-45 minutes