Clinical Quality Reviewer - BCBA
About Onos Health
Onos Health's mission is simple but ambitious: 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. The result is less friction between plans, providers, and members, better outcomes, and more affordable care.
Why Onos?
Meaningful impact: Help fix what is fundamentally broken in healthcare
Direct collaboration: Work alongside experienced founders with deep healthcare and data expertise
Culture: Join a high-performing, transparent, and results-oriented team
Ownership: Significant responsibility and autonomy from day one
Opportunity: Play a pivotal role in building a fast-growing, category-defining healthcare AI company
The role:
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. This role offers the opportunity to help shape innovative technology solutions designed to improve quality specifically in autism/ABA services.
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.
The ideal candidate is detail-oriented with strong applied clinical knowledge and an interest in improving outcomes in autism/ABA services, enabling data-driven decision making, developing operational efficiencies, and AI-enabled healthcare solutions.
What you'll own:
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.
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
Participate in calibration and inter-rater reliability activities to ensure consistency
Assist in development and refinement of quality assurance and improvement methodologies, audit tools, and outcome metrics
Perform other data validation tasks as needed
Maintain accurate and timely documentation of findings and recommendations
What we're looking for:
Current BCBA certification in good standing
Minimum 3-5 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
Strong understanding of medical necessity criteria and general payer expectations related to ABA services
Experience auditing clinical documentation and charts for quality and compliance
Strong written communication and analytical skills
Exceptional attention to detail and organizational skills
Ability to work independently in a fast-paced environment
Nice to have's:
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
Location:
Based in the San Francisco Bay Area and willing to work in a hybrid work environment 3x per week in the Financial District
Compensation
$110,000-$140,000 base salary + equity
Benefits and Perks
Flexible hybrid arrangement: 2-3 days/week at San Francisco office (Financial District), remote-first culture
Unlimited vacation policy
Paid parental leave
Medical, dental, and vision insurance
Pre-tax commuter benefits
401(k)
Significant equity as an early employee
Direct mentorship from experienced founders
Ground-floor opportunity to help build a team and culture
Regular team events and offsites
Company-provided equipment and home office setup