High-Acuity Behavior Analyst / BCBA

ICBD Holdings; Orlando (FL); On-site; USD 80,000 - 100,000; Full time

Benefits offered by this job

21 paid days off

Medical, dental, and vision insurance

401(k) with employer match

Job summary

A leading provider in autism care is seeking a High Acuity Behavior Specialist to provide clinical consultation and supervision for complex client cases. This role will involve mentoring clinicians, developing stabilization strategies, and participating in case reviews. The ideal candidate must have over 7 years of experience in behavior analysis, strong communication skills, and the ability to work in a fast-paced environment. Competitive benefits and 21 paid days off are offered.

Qualifications

• Minimum 7+ years of clinical experience in applied behavior analysis.
• Strong clinical expertise with severe behavior and psychiatric complexities.
• Demonstrated ability to mentor experienced clinicians.

Responsibilities

• Provide advanced consultation to clinicians managing complex cases.
• Support clinicians in developing stabilization strategies for high-acuity cases.
• Participate in pre-service case review meetings for complex referrals.

Skills

Clinical consultation

Behavior analysis

Communication skills

Problem-solving

Organizational skills

Education

Master's degree in Applied Behavior Analysis or related field

Tools

Microsoft Office Suite

Job description

High Acuity Behavior Specialist – ABA Centers (San Juan, PR)

**Must reside in Puerto Rico or Willing to Relocate**

Spanish preferred but NOT required

Comprehensive Relocation Package

• Relocation Support: $15K
• Sign-On Incentive: Up to $20K
• Vehicle Stipend: $250
• Housing Support: Up to $2K (Monthly)

**STUDENT LOAN FORGIVENESS UP TO $24K**

Who We Are

We are the nation’s fastest-growing provider of autism care, delivering high-quality Applied Behavior Analysis (ABA) therapy across a rapidly expanding footprint. Since our founding in 2020, we’ve scaled from a single clinic to nearly 70 operating areas in more than a dozen states, supported by a high-performance corporate infrastructure and data-driven decision-making.

Recognized as the #5 fastest-growing private company in America by Inc. magazine, ABA Centers of America is a self-funded, founder-led organization—a rarity in today’s healthcare landscape. We’ve achieved this growth without private equity, relying instead on operational discipline, smart capital allocation, and a relentless focus on outcomes.

Our corporate team plays a mission-critical role in this success—developing scalable systems, managing risk, and driving the analytics that power our growth. If you’re a strategic thinker who thrives in a fast-paced, purpose-driven environment, we offer a unique opportunity to help shape the future of autism care—while building on a legacy of operational excellence.

Our Origin Story

ABA Centers of America was founded by a father whose personal journey navigating autism care for his daughter revealed deep gaps in access, consistency, and quality across the system. Determined to disrupt the status quo in the autism care field and eliminate the unacceptably long wait lists for treatment, he built a company rooted in compassion, clinical excellence, and a relentless commitment to care that makes a difference.

Recognition & Awards

• Inc. 5000 –5th Fastest-Growing Private Company in America
• Financial Times – #1 on "The Americas' Fastest Growing Companies"
• EY Entrepreneur Of The Year® U.S. Overall
• South Florida Business Journal’s Top 100 Companies
• Florida Trend Magazine's 500 Most Influential Business Leaders
• Inc. Best in Business, Health Services

About the Role

POSITION SUMMARY & PURPOSE

The High Acuity Behavior Specialist provides advanced clinical consultation and supervision to support the safe and effective treatment of complex client cases through the organization’s Collaborative Case Review (CCR) framework. This role partners with clinicians, clinic leadership, admissions, and diagnostic teams to guide admission decisions, stabilize high-acuity cases, and strengthen clinician capacity to manage clients with elevated behavioral, psychiatric, medical, or environmental complexity. The position operates within a ratio-based clinical supervision model and focuses on case consultation and clinical support rather than policy development, operational management, or formal quality auditing.

The principal functions of the position identified shall not be considered as a complete description of all the work requirements and expectations that may be inherent in the position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

POSITION ESSENTIAL DUTIES & RESPONSIBILITIES

Clinical Consultation & Case Stabilization

• Provide advanced consultation to clinicians managing cases with elevated behavioral, psychiatric, medical, or environmental complexity.
• Support clinicians and clinic leadership in developing and implementing stabilization strategies for high-acuity cases.
• Identify and recommend additional clinical support, resources, or interventions needed to safely maintain services for complex clients.
• Assist clinical teams in implementing treatment recommendations resulting from Collaborative Case Review discussions.
• Partner with Clinical Directors and clinic leadership to mitigate safety risks and promote sustainable treatment environments.
• Provide mentorship and clinical guidance to clinicians navigating complex treatment decisions.
• Support clinicians in determining appropriate timelines for fading enhanced clinical supports as cases stabilize and team capacity increases.
• Maintain accurate documentation and tracking of case consultation, recommendations, and follow-through.
• Operate within a defined supervision ratio of approximately 1 FTE per 50 clients receiving active Collaborative Case Review supervision, ensuring consistent oversight and sustainable clinical support.

Pre-Service & Admission Consultation

• Participate in pre-service case review meetings for complex referrals identified during the admissions and diagnostic process.
• Collaborate with the admissions team to review complex referral leads and identify cases that may require advanced clinical oversight prior to admission.
• Participate in admission pipeline discussions when behavioral, psychiatric, or environmental risks may impact service readiness.
• Work with diagnostic and assessment teams to ensure appropriate risk identification and safe assessment planning for complex clients.
• Provide consultation to support safe and informed admission decisions when elevated clinical risk factors are present.
• Support coordination between admissions, assessment teams, and clinical leadership when additional clinical safeguards or resources are necessary prior to admission.
• Participate in post-admission follow-up reviews for newly admitted complex cases, typically within the first month of services, to support early stabilization and alignment with treatment planning.
• Support pre-service case review volume generated through the admissions and diagnostic pipeline, including participation in approximately 30 structured pre-service case review meetings per month consisting of pre-admission consultation and post-admission stabilization follow-ups.

Qualifications

Required Qualifications:

• Minimum 7+ years of clinical experience in applied behavior analysis, with demonstrated experience supporting complex or high-acuity cases.
• Strong clinical expertise working with individuals presenting with severe behavior, psychiatric complexity, or multi-factor treatment challenges.
• Demonstrated ability to provide clinical consultation and mentorship to experienced clinicians.
• Experience collaborating with clinical leadership, admissions teams, and multidisciplinary professionals to support complex treatment decisions.
• Excellent communication and problem-solving skills with the ability to navigate complex clinical situations.
• Strong organizational skills with the ability to manage multiple cases and consultation responsibilities simultaneously.
• Proficiency in Microsoft Office Suite, including Teams, Excel, PowerPoint, and SharePoint.
• Ability to interpret clinical data and patterns to support stabilization planning and risk mitigation.

Benefits

• 21 paid days off (15 days of PTO, which increases with tenure, plus 6 holidays).
• Flexible Spending Account (FSA) and Health Savings Account (HSA) options.
• Medical, dental, vision, long-term disability, and life insurance.
• Generous 401(k) with up to 6% employer match.

About ABA Centers of America

ABA Centers of America is committed to maintaining a culture led by seasoned professionals who share a vision of becoming the nation’s leading provider of autism care. We acknowledge this form of healthcare demands unique, personal dedication. By identifying individuals possessing the right blend of compassion and expertise, we can provide our clinical team members with the support and opportunities they need to flourish.

Join our mission and help build the future with purpose!

ABA Centers of America participates in the U.S. Department of Homeland Security E-Verify program.