About Alpaca HealthAlpaca Health enables clinicians to become entrepreneurs, starting in autism care. We help clinicians launch and scale their own clinics by providing AI-powered software, payer contracting, and full back-office infrastructure. Our goal is to shift power in healthcare away from large consolidated entities and back to clinicians.We’ve raised over $14M in funding from early-stage investors and are building for long-term category leadership, while serving hundreds of patients and growing 30% MoM.This role is full-time and remote-friendly, with the option to welcome a new team member on-site at our New York City office.Role: Director of Clinical Quality and OutcomesWe are hiring a Director of Clinical Quality and Outcomes to define, build, and scale the clinical excellence layer of Alpaca Health.This role is not traditional clinical oversight. It is about turning clinical quality into a measurable, enforceable system embedded directly into how care is delivered across hundreds of independent providers.You will own how Alpaca defines “great care,” translate that into clear standards, and ensure those standards are consistently met through training, audits, and product-driven workflows—at the intersection of clinical practice, payer expectations, and product.What You’ll DoDefine and operationalize clinical quality at scale by establishing clear, measurable standards across assessments, treatment plans, supervision, and session delivery.Own outcomes and clinical performance metrics by designing and tracking core quality KPIs (progress rates, goal mastery, utilization, treatment fidelity, reassessment cadence) and building dashboards to identify high- and low-performing providers.Build audit and feedback systems by creating scalable QA processes across session notes, treatment plans, and documentation, identifying patterns and driving corrective action.Embed clinical standards into the technology and product by partnering with Product and Engineering to translate clinical best practices and payer requirements into workflows (treatment plan scaffolding, in-session prompts, documentation validation, compliance guardrails).Align care with payer expectations and evidence-based standards to meet payer requirements and reduce audit risk, denials, and clawbacks.Enable value-based care models by defining and tracking outcomes that matter to payers and families and supporting pilots and frameworks for value-based reimbursement.Act as a clinical voice in payer partnerships by translating clinical performance into compelling narratives to support preferred rates and network status.Drive provider training and clinical enablement by designing onboarding, ongoing training, and performance improvement programs for BCBAs and RBTs, and creating playbooks to improve outcomes and efficiency.Build and lead clinical quality infrastructure by over time hiring and managing a team focused on QA, training, and clinical performance, and establishing systems that scale across states, payers, and care models.Close the loop between outcomes and growth by partnering with Growth and Provider Success so strong outcomes translate into stronger referrals, retention, and payer relationships.Who You AreDeep experience in ABA clinical practice (BCBA required; BCBA-D and multi-site or leadership experience preferred).A strong point of view on what high-quality care looks like—and the ability to operationalize it.Experience working with payers, including medical necessity, audits, and reimbursement dynamics.Exposure to or interest in value-based care models and outcomes-driven reimbursement.Comfort working cross-functionally with technology, operations, and payer relations/RCM teams.A bias toward building systems, not just solving one-off problems.A desire to influence how care is delivered—and paid for—at a national scale.Extremely ambitious and motivated to build something meaningful at high velocity.Comfortable working harder and moving faster than most people.Thrives in environments with little structure and high accountability.Why JoinDirect exposure to company-building at an early stage.Real ownership of critical initiatives from day one.The opportunity to materially impact families and clinicians.A fast learning curve.Strong compensation package.What we offerCompetitive salaryMeaningful equityHealth benefitsFlexible PTODinner when working late
