Clinical Compliance Manager/BCBA

Position Summary

The Clinical Compliance Manager oversees compliance with Detroit Wayne Integrated Health Network (DWIHN) Medicaid requirements and ensures all clinical and administrative practices align with state, federal, and payer regulations. This role supports quality assurance, staff training, and risk management across two ABA learning centers while serving as the main compliance liaison with DWIHN.

· 3 days in Learning Center 8:30-4:30 & 2 Days working remote. Predetermined schedule.

· 4-7 client cases, 120-150 Therapy Hours Oversight, all clinic, no nights or weekends.

· 21 billable hours, 3 hours non-billable admin (client case related), 16 hours DWIHN clinical compliance oversight/manager

· $80,000-85,000.00 No bonus structure

Key Responsibilities

• Oversee compliance with Medicaid and DWIHN contractual requirements, ensuring policies and procedures are up to date and followed across both centers.
• Conduct internal audits of documentation, billing, and service delivery; coordinate external audits; and manage corrective action plans.
• Provide compliance-related training and support to clinical and administrative staff, ensuring consistency in documentation, ethical standards, and Medicaid requirements.
• Identify and address compliance risks, investigate concerns, and ensure timely reporting of incidents, grievances, or suspected fraud/waste/abuse.
• Serve as the primary contact with DWIHN for compliance matters, communicating updates to SOS leadership and collaborating with clinical teams on continuous improvement efforts.
• Maintain accurate compliance documentation, reports, and credentialing requirements, ensuring EHR and billing practices meet payer standards.

Qualifications

Required:

• Bachelor’s degree in healthcare administration, psychology, social work, or a related field.
• 3–5 years of experience in healthcare compliance, behavioral health, or ABA services.
• Knowledge of Medicaid regulations, with preference for DWIHN experience.
• Strong skills in auditing, risk management, organization, and communication.

Preferred:

• Master’s degree in Applied Behavior Analysis
• Experience with DWIHN clinical compliance and familiarity with EHR/billing systems.

BENEFITS:

◆ Salary $80,000-$85,000 (depending on experience)

◆ Sick Pay

◆ 401k

◆ 10 days paid time off per year (Because you deserve it!)

◆ 10 days paid holidays per year

◆ Unlimited unpaid days off

◆ Company paid BLS / CPR certification

◆ Company paid QBS Safety certification

◆ Company paid CEUs

◆ Performance Reviews every 6 months

Job Type: Full-time

Pay: $80,000.00 - $85,000.00 per year

Benefits:

• 401(k) matching
• Employee discount
• Flexible schedule
• Paid time off

Work Location: In person