Onos Health
Clinical Quality Reviewer - BCBA
San Francisco · Exec
Sponsorship not specified$110k-$140kDetected 48 days ago
Account ManagementAuditingLeadershipCommunicationCollaborationMentoringOrganizational Skills
About the role
- Review ABA treatment plans and supporting clinical documentation for medical necessity and clinical appropriateness and compare platform-generated outputs, analyses, and recommendations against independent clinical review findings.
- Participate in calibration and inter-rater reliability activities to ensure consistency
Responsibilities
- Identify discrepancies, edge cases, or workflow gaps and provide structured feedback to support ongoing platform refinement
- Collaborate cross-functionally with clinical, product, engineering, and account management teams to help improve the product to ensure stellar customer experience
- Perform other data validation tasks as needed
- Maintain accurate and timely documentation of findings and recommendations
- In this role, you'll report directly to our Senior Vice President of Clinical Operations and work alongside the clinical and product teams to validate system outputs, support enhancements, and make modifications to our platform.
- Ground-floor opportunity to help build a team and culture
Requirements
- Minimum 2-3 years of experience in ABA utilization management, clinical supervision, quality assurance/improvement (specific to ABA/autism services) or in an equivalent ABA leadership role
- Experience reviewing ABA treatment plans and assessing clinical justification for recommended services
- Knowledge of commonly used assessment tools and scoring in ABA
- Experience auditing clinical documentation and charts for quality and compliance
- Ability to work independently in a fast-paced environment
Nice to have
- Experience in utilization management, care review, or prior authorization review for a payer or managed care organization
- Experience with quality metrics/outcomes data
- Familiarity with multiple ABA payer guidelines, authorization processes, and documentation standards
- Experience using EHRs and clinical review platforms
- Experience analyzing claims, utilization, or outcomes data
Skills
- Assist in development and refinement of quality assurance and improvement methodologies, audit tools, and outcome metrics
Compensation
- $110,000-$140,000 base salary + equity
Benefits
- About Onos Health
- ensure every healthcare dollar goes toward delivering the highest quality care.
- Today, nearly 30% of U.S. healthcare spending is wasted due to ineffective care and administrative burden, driven by misalignment between providers and payers.
- This waste is a primary reason healthcare remains unaffordable for so many.
- Onos is addressing this by building the largest AI-driven healthcare data platform for clinical decision-making.
- Onos' models help health plans make faster, more accurate decisions across their populations.
- Unlimited vacation policy
- Paid parental leave
- Medical, dental, and vision insurance
- Pre-tax commuter benefits
- Significant equity as an early employee
- Company-provided equipment and home office setup
Company info
- Join a high-performing, transparent, and results-oriented team
- Play a pivotal role in building a fast-growing, category-defining healthcare AI company
- At Onos, we partner with payers to help improve outcomes, ensure high quality of care for every member and reduce provider friction.
- We are seeking a Board Certified Behavior Analyst (BCBA) with deep clinical expertise to support in solving these needs and refining our models and product.
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This listing is sourced directly from Onos Health's careers page and normalized into a canonical job model.