Clinical Quality Associate, Traveler; BCBA; Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities.

Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

Healthcare delivery is rapidly evolving, and within Optum Whole Health Solutions, the Clinical Quality Associate supports provider quality, operational readiness, and consistent performance across the network. The role combines analytics, provider engagement, operational assessment, and quality improvement to strengthen the provider experience and reinforce key standards.

As a Clinical Quality Associate, you will carry out the full lifecycle of ABA site reviews, including pre-visit planning, data integration, on-site assessment, post-visit reporting, and follow-up on quality action plans. The role involves translating developing concepts and quality expectations into practical site review activities and conducting analyses that support clear, actionable findings. Since this work is early in its development and ABA quality standards continue to evolve, success requires comfort with ambiguity, critical thinking, and the ability to apply emerging standards in real provider settings.

You will travel 50% of the month for 2 of out the 4 weeks When traveling, you will be gone for 3-4 business days. The remainder 2 weeks will be working from home.

• Completes site visits
  • Performs end to end coordination of ABA site reviews, from planning and data collection through onsite activities and post visit reporting
  • Applies a disciplined, standardized approach to data integration, documentation, and quality verification to ensure consistency across provider evaluations
  • Maintains and continuously improves the Integrated Checklist List (ICL) and related processes to ensure data completeness, clarity, and usability
  • Works with less structured, more complex issues that arise from market, state, and practice variations and identifies solutions to non standard requests
• Pre visit planning, data analysis, and readiness
  • Coordinates all preparatory activities and confirms that documentation and required data inputs are complete prior to the onsite review
  • Collects, analyzes, interprets, and synthesizes quantitative and qualitative data, including ABA code utilization, provider and member long day analyses, and treatment intensity and supervision metrics
  • Develops concise pre visit summaries that integrate Practice Management and PNI data, provider history, and centralized analytics
  • Prepares tables, graphs, and interpretive narratives that translate analytic findings into practical review focus areas
  • Organizes and uploads finalized pre visit documentation to shared systems for team access
  • Participates in pre visit planning meetings to align expectations, roles, and logistics
  • Works with minimal guidance and seeks guidance only for the most complex or ambiguous cases
• Onsite visit operations and provider facing interactions
  • Serves as an onsite reviewer conducting structured interviews, observations, and operational assessments
  • Interviews provider business and clinical leaders to assess compliance, quality, oversight, and workflow effectiveness; completes staff interviews to understand day to day operations
  • Documents observations aligned with practice standards and program requirements
  • Collaborates with a cross disciplinary site visit team, typically with at least two reviewers per site, and coordinates with state health plan executive leadership and departmental partners such as Network, Practice Management, Provider Network Integrity, and Data
  • Solves moderately complex issues in real time and adjusts approach while maintaining standards
  • Provides clear explanations and information to provider teams on difficult issues
  • Acts as a resource for others with less experience and offers coaching on interview, observation, and documentation techniques
• Post visit reporting and quality improvement follow up
  • Integrates pre visit data, provider documentation, interviews, observations, and Practice…