Board Certified Behavior Analyst

Star Spectrum ABA Therapy; Albemarle (NC); On-site; USD 110,000 - 140,000; Full time

Job summary

Star Spectrum ABA Therapy is seeking an experienced clinical leader to supervise BCBAs, BCaBAs/QBAs, and RBTs, ensuring treatment integrity and ethics compliance across the clinic.

The role combines leadership with hands-on clinical work, including assessments, FBAs, and programming aligned with family goals and real-world skill development. You will coach staff, monitor outcomes, and help shape policies as the company grows.

Qualifications

• Experience supervising BCBAs, BCaBAs/QBAs, and RBTs.
• Strong knowledge of BACB ethics and NC Medicaid rules.
• Excellent coaching, feedback, and leadership abilities.

Responsibilities

• Oversee initial assessments, FBAs, and reassessments to ensure quality and medical necessity.
• Ensure individualized, strengths-based treatment plans that integrate with family goals and real-world skills.
• Lead staff development, clinical meetings, and ongoing competency checks.
• Coordinate with OT/ST services to keep goals integrated and avoid silos.
• Support compliance, prior authorizations, and HIPAA/BACB adherence.
• Maintain a family-centered communication approach and provide escalation handling when needed.
• Partner with leadership on staffing, policies, and growth decisions.

Job description

• Own clinical quality across the clinic (treatment integrity, progress, safety).
• Set and maintain clinical standards aligned with BACB ethics, NC/Medicaid rules, and Star Spectrum’s play-based, kind, non-directive approach.
• Review assessments, treatment plans, and progress reports for quality, medical necessity, and consistency.
• Step in on complex or stalled cases and coach BCBAs through clinical problem-solving.
• Monitor outcomes, utilization, and caseload health; flag kids who are not making meaningful progress.

Supervision & Team Development

• Supervise and mentor BCBAs, BCaBAs/QBAs (if used), and RBTs.
• Ensure BACB supervision requirements are met (including RBT 5% monthly supervision).
• Provide regular 1:1s, field observation, modeling, and written/verbal feedback.
• Lead clinical meetings, case reviews, and skill-building for staff.
• Support hiring, onboarding, competency checks, and performance coaching of clinical staff.
• Protect culture: care, kindness, compassion, joyful play, and proactive (not bossy) teaching.

Assessments, Programming & Client Oversight

• Oversee or complete initial assessments, FBAs, and reassessments as needed.
• Ensure individualized, strengths-based treatment plans that fit the child’s personality and family goals.
• Align programming with early intervention (typically ages 2–12) and real-world skill building.
• Coordinate care as OT/ST come online so goals stay integrated, not siloed.
• Support intake-to-first-session flow so families are not left waiting.

Compliance, Documentation & Payers

• Support prior authorizations, re-auths, and medical-necessity language.
• Ensure HIPAA, BACB, and NC Medicaid/telehealth rules are followed.
• Partner with billing/ops so clinical work matches what is authorized and billed.

Family Partnership

• Model and require family-centered communication (clear, warm, no jargon overload).
• Support parent training and home generalization.
• Handle clinical escalations and hard conversations with families when needed.
• Keep families feeling supported, not processed.

Operations & Growth (with CEO / ops)

• Partner with leadership on staffing levels, scheduling quality, and clinic capacity.
• Help shape policies, clinical procedures, and training as the company scales.
• Represent the clinical voice in growth decisions (new locations, hybrid models, new services).
• Maintain a small caseload if the role is player-coach; otherwise keep enough floor time to stay connected to the work.

Typical split in a growing clinic:

roughly 50–70% leadership/supervision/quality, 20–40% direct clinical work (assessments + limited caseload), remainder meetings, compliance, and family/staff support.