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Senior Director of In-Home ABA Programs

Remote | Full-Time | $110,000–$120,000 Annually | BCBA Required | No Billable-Hour Requirement

Alpha & Omega Kids Developmental Services is seeking an experienced, highly organized, and operationally minded BCBA to serve as our Senior Director of In-Home ABA Programs.

This senior leader will oversee our Regional Lead BCBAs, BCBAs, mid-level clinicians, and Registered Behavior Technicians while building the systems needed to support a high-quality, scalable in-home ABA program.

This is not a traditional Clinical Director position focused primarily on individual case oversight. It is a hands-on program leadership role combining clinical leadership, regional operations, workforce planning, scheduling, staffing, authorizations, documentation, billing performance, family support, and program development.

The ideal candidate has substantial in-home ABA leadership experience and has successfully built, expanded, or improved an in-home program. This individual must understand the unique operational challenges of providing ABA services across dispersed geographic areas, including clinician capacity, travel, scheduling, client–staff matching, cancellations, supervision, documentation, authorization utilization, and continuity of care.

Service Locations

AOK’s primary in-home ABA presence is currently in New York City, and we are actively working to establish and expand services in:

• Richmond, Virginia
• Tucson, Arizona
• Savannah, Georgia
• Alpharetta, Georgia

This is a fully remote position; however, candidates residing in New York, Virginia, Arizona, or Georgia are strongly preferred.

Candidates must hold active behavior-analyst licensure or be eligible and willing to obtain licensure in at least one of these states. Additional state licensure may be requested as the program expands.

No Billable-Hour Requirement

This is a dedicated leadership position with no ongoing caseload or minimum billable-hour expectation. The Senior Director’s primary responsibility is to lead, strengthen, and scale the in-home ABA program.

The individual may occasionally assist with assessments, client overlaps, high-risk cases, or urgent clinical needs; however, these activities will not carry a recurring billable-hour quota.

Leadership Scope

The Senior Director of In-Home ABA Programs will oversee:

• Regional Lead BCBAs
• BCBAs and mid-level clinicians
• Registered Behavior Technicians
• Regional clinical and operational performance
• Client acceptance, scheduling, staffing, and continuity of care
• Parent communication, concerns, and escalations
• Clinical documentation and report quality
• Authorization utilization and renewal readiness
• RBT supervision and clinical compliance
• Billable-hour and service-delivery performance
• Timesheet, session-note, and signature compliance
• High-risk clinical and operational matters

Key Responsibilities

• Build and execute the strategic vision for AOK’s in-home ABA program
• Develop a scalable in-home service-delivery model that supports clinical quality, employee sustainability, family satisfaction, and responsible growth
• Lead, support, and hold Regional Lead BCBAs accountable for the performance of their assigned regions
• Establish consistent clinical and operational expectations across all service regions
• Oversee the performance and professional development of BCBAs, mid-level clinicians, and RBTs
• Develop effective systems for managing geographic coverage, clinician availability, travel, caseload capacity, cancellations, make-up hours, and schedule changes
• Partner with scheduling and staffing teams to improve client–staff matching and continuity of care
• Monitor authorizations, supervision, documentation, utilization, billable hours, cancellations, and regional performance
• Address parent concerns and resolve escalated clinical or service-delivery issues
• Support the recruitment, onboarding, training, performance management, and retention of clinical team members
• Collaborate with intake, scheduling, recruiting, HR, credentialing, authorizations, billing, marketing, and executive leadership
• Identify and resolve barriers affecting client starts, staffing, retention, service consistency, and billing
• Develop policies, workflows, training, audits, and quality-assurance systems
• Ensure services remain ethical, family-centered, clinically appropriate, and compliant with BACB, payer, and regulatory requirements
• Support new-market launches and the continued growth of existing regions
• Serve as AOK’s senior BCBA subject-matter expert for the in-home ABA program

Daily Responsibilities

• Monitor and respond to clinical and operational emails, calls, texts, and other communications
• Review and accept appropriate new clients
• Coordinate the scheduling, staffing, and restaffing of new and existing cases
• Follow up on missing or incomplete timesheets
• Address missed-break requirements and related compliance concerns
• Follow up on late assessments, treatment plans, progress reports, and other required documentation
• Review and edit clinical reports for quality, accuracy, medical necessity, and payer compliance
• Monitor documentation and billing-related tasks that could delay claim submission
• Support Regional Lead BCBAs with staffing, employee, parent, and case-management concerns
• Address urgent clinical, scheduling, authorization, and operational issues

Weekly Responsibilities

• Review authorizations for current clients and pending assessments
• Analyze the previous week’s billable hours and service-delivery performance by region
• Participate in approximately two to four leadership or management meetings
• Lead or participate in the weekly staffing meeting
• Conduct approximately five to ten one-on-one meetings with Regional Lead BCBAs, BCBAs, and mid-level clinicians
• Audit BCBA billing, documentation, and report-completion responsibilities
• Audit required signatures on timesheets, session notes, and related documentation
• Update regional caseload and capacity tracking
• Review and update the staffing needs of new and existing clients
• Meet with newly hired technicians as a group to provide orientation, support, and clear expectations
• Identify performance barriers and assign clear follow-up actions

Monthly Responsibilities

• Audit each BCBA’s billable hours from the previous month
• Provide recognition, coaching, or performance feedback based on billable-hour results
• Review expiring authorizations and send reminders to responsible clinicians
• Analyze monthly billable hours and service-delivery performance by region
• Audit cancellation logs and identify families requiring attendance outreach or formal cancellation letters
• Complete RBT supervision audits
• Conduct mid-month BCBA billable-hour audits
• Participate in and support annual performance reviews
• Audit BCBA calendars for the upcoming month
• Audit supervision percentages from the previous month
• Lead or participate in the monthly regional meeting
• Participate in the monthly marketing, hiring, and referral-development meeting
• Report regional trends, risks, staffing needs, and growth opportunities to executive leadership

Responsibilities as Needed

• Interview BCBA and mid-level clinical candidates
• Conduct parent calls and resolve escalated family concerns
• Participate in high-risk case meetings
• Provide client overlaps and direct clinical support when necessary
• Complete or support assessments based on urgent program needs
• Lead clinical and operational training meetings
• Address urgent staffing, compliance, authorization, documentation, or billing matters
• Provide direct regional leadership support when needed

Required Qualifications

• Current and active BCBA certification in good standing
• Master’s degree in behavior analysis, psychology, education, or a related field
• Active behavior-analyst licensure—or eligibility and willingness to obtain licensure—in at least one of the following states: New York, Virginia, Arizona, or Georgia
• Willingness to obtain additional state licensure as the program expands
• Substantial leadership experience within an in-home ABA organization
• Demonstrated experience building, restructuring, or scaling an in-home ABA program
• Experience leading Regional Lead BCBAs, BCBAs, mid-level clinicians, or comparable clinical leaders
• Strong understanding of in-home scheduling, geographic staffing, travel, caseload capacity, and workforce utilization
• Experience managing parent concerns and complex clinical or operational escalations
• Working knowledge of authorizations, assessments, documentation, supervision requirements, billing readiness, and payer expectations
• Experience reviewing and editing ABA assessments, treatment plans, progress reports, and authorization reports
• Ability to analyze billable hours, utilization, supervision, cancellations, and regional performance data
• Strong leadership, communication, organization, and problem-solving skills
• Ability to balance strategic program development with hands-on daily management
• Ability to establish accountability while maintaining a supportive, solutions-oriented culture

Preferred Qualifications

• Residence in New York, Virginia, Arizona, or Georgia
• Multi-state or multi-region ABA leadership experience
• Experience launching in-home ABA services in new markets
• Experience supporting Medicaid and commercial insurance programs
• Experience with CentralReach or a comparable ABA practice-management platform
• Experience developing clinical leadership structures, performance scorecards, audits, and program-level KPIs
• Existing payer enrollment or professional licensure in more than one AOK service state

Compensation

The salary range for this position is $110,000–$120,000 annually, based on experience, qualifications, licensure, and demonstrated success leading and building in-home ABA programs.

Comprehensive Benefits and Perks

• Fully remote position
• Four-day workweek every other week
• 30 days of paid time off, plus paid holidays
• Employer-sponsored health insurance
• Free Teladoc services
• Employer-sponsored life insurance
• Short-term and long-term disability insurance
• Paid Family Leave
• Employee Assistance and Wellness Programs
• Employee Referral Program

Continuing Education and Professional Development

• Up to $1,000 annually toward CEUs, conferences, certifications, and specialty training

What Success Looks Like

The successful candidate will build an in-home ABA program that is clinically strong, operationally organized, responsive to families, and prepared to scale.

Regional Lead BCBAs and clinicians will have clear expectations, reliable support, and consistent accountability. Families will experience greater continuity of care, cases will be staffed using realistic geographic and workforce considerations, documentation will be completed on time, authorizations will be closely managed, and leadership will have reliable data regarding capacity, clinical quality, billing performance, and growth.

About Alpha & Omega Kids

Alpha & Omega Kids Developmental Services provides compassionate, family-centered care designed to help children develop meaningful skills and reach their fullest potential. Our services are built around collaboration, individualized care, and a commitment to improving access for the families and communities we serve.

Alpha & Omega Kids Developmental Services is an equal opportunity employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other status protected by applicable law.