Board Certified Behavior Analyst (Healthcare AI)

TL;DR

Board Certified Behavior Analyst (Healthcare AI): Validating clinical outputs for an AI-driven healthcare data platform with an accent on ABA services and medical necessity. Focus on refining AI models, performing clinical reviews of treatment plans, and improving outcome metrics for autism services.

Location: Hybrid in San Francisco Bay Area (2-3 days/week in office)

Salary: $110,000 – $140,000 + equity

Company

hirify.global Health is building the largest AI-driven healthcare data platform for clinical decision-making to reduce waste in U.S. healthcare spending.

What you will do

• Review ABA treatment plans and clinical documentation for medical necessity and appropriateness.
• Compare platform-generated outputs and recommendations against independent clinical findings to identify gaps.
• Collaborate with product, engineering, and clinical teams to refine the platform and improve customer experience.
• Participate in calibration and inter-rater reliability activities to ensure consistency.
• Develop quality assurance methodologies, audit tools, and outcome metrics.
• Maintain detailed documentation of clinical findings and recommendations.

Requirements

• Current BCBA certification in good standing.
• 2–3 years of experience in ABA utilization management, clinical supervision, or quality assurance.
• Experience reviewing ABA treatment plans and assessing clinical justification for services.
• Strong understanding of medical necessity criteria and payer expectations for ABA.
• Experience auditing clinical documentation and charts for quality and compliance.
• Must be based in the San Francisco Bay Area for a hybrid work arrangement.

Nice to have

• Experience in prior authorization or care review for payers or managed care organizations.
• Familiarity with various ABA payer guidelines and documentation standards.
• Experience with EHRs and clinical review platforms.
• Skills in analyzing claims, utilization, or outcomes data.

Culture & Benefits

• Flexible hybrid arrangement with a remote-first culture.
• Unlimited vacation policy and paid parental leave.
• Comprehensive medical, dental, and vision insurance.
• 401(k) and pre-tax commuter benefits.
• Significant equity as an early employee.
• Direct mentorship from experienced founders and regular team offsites.