About this role

Building and maintaining strong collaborative relationships with payer clinical representatives
Serving as a trusted partner to payers and families for effective communication
Investigating, managing, and resolving complex clinical escalations
Collaborating with clinicians and leadership to develop client safety solutions
Serving as a primary point of contact for payer case managers
Facilitating communication between clients, payers, and internal teams
Maintaining knowledge of payer clinical policies and requirements
Monitoring changes to payer policies and proactively communicating updates
Reviewing and analyzing payer-related data for clinical outcomes and utilization
Providing education and guidance to internal clinical teams

BCBA Credential Preferred (Master’s degree from an accredited college or university in relevant disciplines)
3+ years of experience as a BCBA (Clinical Director) or in a similar role
Experience working with EasterSeals (ESSC) preferred
Knowledgeable of methodologies found to benefit children with autism spectrum disorders, including ABA, ESDM, TEACCH, PECS, and PRT
Able to communicate effectively verbally and in writing; bilingual ability preferred.
Knowledgeable and skilled in computer/word processing software

ABA Director – Client & Payer Relations

Key skills