Apollo Behavior

Medical Director

• Stay ahead of payer changes. Review and interpret updates to various payer manuals and translate them into clear guidance for our clinical team
• Review and approve all treatment plans. Serve as the final clinical approver of treatment plans and reassessment (around 100 per month) before they are submitted to payors for prior authorization
• Coach and elevate the team. Provide specific feedback to treating BCBAs and Clinical Directors that help them grow and develop as clinicals in their ability to create top tier and compliant treatment plans and other related documentation.
• Drive quality and compliance. Track denials, identify trends, and recommend training, templates or workflows that reduce errors and improve outcomes.
• Be a resource. Help clinicians understand the “why” behind payer requirements and best practices in ABA.

Director of Clinical Quality, Compliance