Director of Clinical Quality, Compliance

Apollo Behavior

Director of Clinical Quality and Compliance at Apollo Behavior. Reviewing treatment plans prior to authorization while ensuring compliance with payer standards.

Posted 7/6/2026full-timeRemote • 🇺🇸 United StatesLead💰 $85,000 - $110,000 per yearWebsite

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

Master’s Degree in Applied Behavior Analysis (or equivalent)
Experience working in prior authorization review with Georgia payors
BCBA certification and licensed in Georgia
Computer Skills: Intermediate to advanced Microsoft Office, including Excel, PowerPoint, and Word. Skill with database systems preferred. Proficiency with CentralReach and the ability to use various workflow management software and comfortability with the use of AI tools to support documentation review and efficiency.
Willingness to complete and pass required background checks

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Apollo Behavior Website LinkedIn All Job Openings 201 - 500 employees ⚕️ Healthcare Insurance 📚 Education 🌍 Social Impact 💰 $4.2M Venture Round on 2023-02 Healthcare Insurance
Education
Social Impact Apollo Behavior is a leading provider of applied behavior analysis (ABA) therapy, specializing in services for children with autism. The organization focuses on a highly personalized and individualized approach, offering center-based, in-home, and telehealth treatment options. Apollo Behavior is committed to helping children reach their full potential through creative and stimulating activities facilitated by Board Certified Behavior Analysts who provide close oversight and tailored programs. Director of Clinical Quality, Compliance Job not on LinkedIn 🔥 13 minutes ago 🇺🇸 United States – Remote 💵 $85k - $110k / year ⏰ Full Time 🔴 Lead 👨‍⚕️ Medical Director Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
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. 🎯 Requirements
Master’s Degree in Applied Behavior Analysis (or equivalent)
Experience working in prior authorization review with Georgia payors
BCBA certification and licensed in Georgia
Computer Skills: Intermediate to advanced Microsoft Office, including Excel, PowerPoint, and Word. Skill with database systems preferred. Proficiency with CentralReach and the ability to use various workflow management software and comfortability with the use of AI tools to support documentation review and efficiency.
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Hard Skills & Tools

Treatment Plan ApprovalClinical DocumentationQuality AssuranceData AnalysisCompliance Tracking

Soft Skills

CoachingFeedback DeliveryTeam Development

Certifications

BCBA CertificationLicensed In Georgia