Board Certified Behavior Analyst

Clinical Leadership & Quality

- 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

- Keep documentation audit-ready (session notes, supervision logs, authorizations, consents).

- 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.