Director of Clinical Compliance & Quality

Job Description

-------------------

At Momentum Behavior Services, we are an independently owned, BCBA-led organization, and we understand what it takes to deliver quality ABA services. From clinical decision-making to collaboration and staff development, we know the work goes well beyond a treatment plan. Your experience, judgment, and ideas matter here.

Our Director of Clinical Compliance and Quality will lead clinical compliance and quality assurance programs across Momentum Behavior Services (MBS). Serving as the organization's primary subject matter expert, this position oversees clinical regulatory compliance, payer requirements, medical necessity, treatment integrity, documentation standards, auditing, and quality improvement across multiple states.

The Director collaborates with executive leadership, Clinical Operations, Training, and Operational Compliance to standardize clinical practices, mitigate compliance risks, improve treatment quality, and support organizational growth in accordance with professional, ethical, regulatory, and payer standards.

Salary

$115,000–$130,000 Annually

Schedule

Full-time Monday–Friday

Setting

Remote with quarterly travel required

Benefits

Flexible medical, dental, and vision coverage, plus life and AD&D insurance, short- and long-term disability, 401(k) with company matchResponsibilities --------------------

The essential duties of this position include, but are not limited to:* Develop, implement, and oversee organizational clinical compliance and quality assurance programs, policies, procedures, and departmental processes across all operating states. * Interpret and monitor federal and state healthcare regulations, Medicaid and commercial payer requirements, clinical coverage criteria, and medical necessity standards; identify compliance risks and implement preventative measures. * Establish and maintain centralized clinical compliance resources, including source-of-truth documentation, clinical reference guides, documentation rubrics, treatment planning protocols, supervision standards, and job aids. * Design and oversee internal clinical audit programs, including reviews of treatment plans, session notes, supervision hours and ratios, protocol fidelity, medical necessity, and other clinical documentation. * Evaluate audit findings, identify deficiencies, and collaborate with clinical leadership to develop, monitor, and resolve corrective action plans while mitigating payer denial and recoupment risks. * Oversee NoteGuardAI and other clinical auditing technologies, including system utilization, documentation accuracy, alerts, and compliance trends. * Lead clinical documentation readiness for external payer audits, regulatory reviews, accreditation assessments, and organizational compliance evaluations. * Develop standardized clinical outcome measures and quality improvement initiatives in collaboration with executive leadership, Clinical Operations, and data and systems teams. * Establish and monitor clinical quality dashboards tracking learner progress, treatment outcomes, supervision quality, protocol adherence, and utilization across provider, clinic, regional, and organizational levels. * Analyze clinical performance data and audit trends, conduct root-cause analyses, and implement corrective and preventative improvements. * Collaborate with the Director of Training to provide clinical compliance education, documentation guidance, mentoring, and quality improvement training to BCBAs, Clinic Directors, and other Clinical Team Members. * Partner with the Director of Operational Compliance and Clinical Operations to align clinical practices with privacy, licensure, credentialing, regulatory, and operational requirements while supporting quality client care. * Support new clinic openings, organizational expansion, and integrations through standardized clinical compliance onboarding, supervision oversight, and documentation controls. * Provide clinical compliance consultation and translate regulatory and payer requirements into practical workflows, resources, and guidance for Clinical Team Members. * Maintain accurate records, utilize organizational systems appropriately, communicate professionally, report and escalate safety or compliance concerns, participate in required organizational activities, maintain applicable credentials, protect confidential information, and perform other duties as assigned.

The Director of Clinical Compliance and Quality provides leadership and supervision to assigned Clinical Compliance and Quality Team Members. Supervisory responsibilities may include:* Establish departmental goals, performance expectations, priorities, and accountability standards. * Direct and monitor team responsibilities, workloads, projects, and deliverables while providing coaching, feedback, mentoring, and professional development. * Conduct performance evaluations and address employee performance, conduct, attendance, and other workplace concerns in collaboration with Human Resources and appropriate leadership. * Participate in recruitment, selection, onboarding, retention, and workforce planning activities. * Promote consistent application of organizational policies and professional standards while supporting departmental growth, resource planning, and process improvement. Skills & Qualifications ----------------------------

• Active Board Certified Behavior Analyst (BCBA) certification in good standing for a minimum of five years.
• Master's degree in Applied Behavior Analysis, Psychology, or a closely related field.
• Minimum of five years of progressive ABA experience, including clinical supervisory or leadership responsibilities and multi-site or multi-state clinical compliance experience.
• Demonstrated experience developing and overseeing clinical compliance programs, internal audits, documentation standards, corrective action processes, and quality assurance initiatives.
• Extensive knowledge of Medicaid, commercial payer, managed care, medical necessity, and applicable clinical regulatory requirements.
• Experience developing clinical compliance resources, standardized documentation tools, policies, and clinical workflows.
• Experience utilizing CentralReach or comparable electronic medical record or practice management systems and clinical documentation auditing technology.
• Ability to obtain and maintain any additional professional licensure or credentialing required in applicable jurisdictions.

All required licenses, certifications, registrations, and credentials must remain current and in good standing throughout employment in the position.

Preferred Qualifications

• Experience leading or supporting accreditation initiatives, regulatory surveys, or external clinical compliance audits.
• Experience developing clinical outcome measures, quality improvement programs, and provider-facing performance dashboards.
• Experience utilizing NoteGuardAI or comparable AI-assisted clinical documentation auditing technology.
• Experience building or expanding clinical compliance or quality assurance programs within a multi-state healthcare organization.

Knowledge, Skills, and Abilities

Successful performance in this position requires the ability to

• Demonstrate advanced knowledge of ABA clinical practice, medical necessity, treatment integrity, documentation standards, and clinical quality assurance.
• Interpret complex regulatory and payer requirements and develop effective clinical compliance frameworks, audit programs, and corrective action processes.
• Analyze clinical data, audit findings, and performance indicators to identify risks, trends, and improvement opportunities.
• Lead, supervise, coach, and develop employees while effectively managing departmental priorities, projects, and deadlines.
• Communicate clearly and professionally, build collaborative relationships, and translate complex clinical requirements into practical guidance.
• Exercise sound judgment, discretion, confidentiality, and independent decision-making while adapting to organizational needs and effectively utilizing clinical systems and technology.

Physical and Functional Requirements

The physical and functional requirements below represent those necessary to perform the essential functions of this position, with or without reasonable accommodation. The employee must be able to:

• Sit, stand, and walk for prolonged or intermittent periods while performing administrative and clinical oversight responsibilities.
• Perform extended computer-based work, including record reviews, data analysis, documentation, and virtual meetings.
• Operate computers, tablets, phones, and other required equipment.
• Communicate effectively and observe and respond appropriately to relevant conditions during remote and onsite activities.
• Travel to organizational locations for audits, assessments, and meetings as required.

Work Environment

The Director of Clinical Compliance and Quality primarily works remotely, with periodic travel to organizational clinics and other business locations. The work environment may include:

• Extended computer-based work, virtual meetings, and frequent interaction with clinical and operational leadership.
• Remote work requiring reliable internet access and a professional workspace supporting confidentiality and information security.
• Periodic work in active clinical environments with varying noise and activity levels, including potential exposure to challenging learner behaviors, communicable illnesses, or bodily fluids.

Travel Requirements

This position requires approximately 15–20% travel throughout the United States for clinical audits, quality assessments, leadership meetings, training, accreditation activities, and other business needs.

At Momentum Behavior Services, we celebrate diversity and are committed to creating an inclusive environment for all team members. We are proud to be an Equal Opportunity Employer.