Market Clinical Services Director

Market Clinical Services Director - Massachusetts

Massachusetts (Greater Boston) | Full-Time Hybrid

ANNA (Allied Network for Neurodevelopmental Advancement), is a mission-driven organization that provides ABA services to young autistic children (under the age of 6) and their families using a neurodiversity-affirming, Naturalistic Developmental Behavioral Intervention (NDBI approach). We have multiple centers (5 and growing!) in Massachusetts and are looking for a passionate, experienced clinical leader to help elevate and expand the quality of care our growing team delivers.

The Market Clinical Services Director (MCSD) for Massachusetts serves as the senior clinical leader for ANNA's Massachusetts market. Together with the Market Executive Director, the MCSD forms the market leadership dyad and is jointly accountable for the performance of the market, including clinical quality, team and family satisfaction, and financial sustainability. Reporting to the Chief Clinical Officer, the MCSD is individually responsible and accountable for the quality of clinical services across the state, the professional development of clinicians in the market, and the expansion of ANNA's clinical presence in Massachusetts. Clinical Directors across the market report on a solid line to the Market Executive Director and on a dotted line to the MCSD for clinical quality, model fidelity, treatment planning, case review, and clinical development. The MCSD holds clinical decision-making authority within standards established by the Chief Clinical Officer, while the Market Executive Director retains responsibility for operational execution and people management. The MCSD leads through expertise, mentorship, and consistent presence, serving as the clinical subject matter expert for Clinical Directors, BCBAs, Behavior Analyst Trainees (BATs), and Behavior Technicians across every Massachusetts center.

Success in this role will be measured by fidelity to ANNA's NDBI-based clinical model, clinician skill progression and retention, client clinical outcomes, family satisfaction with care, and the strength of ANNA's clinical reputation with payers, referral partners, and the academic community across Massachusetts.

Compensation & Benefits

Base salary : $150,000-$170,000

Bonus potential

Benefits :

401(k) with company match

Health, dental, and vision insurance

Generous PTO and paid holidays

Support for professional development, including certification maintenance and conference attendance

What You'll Do

Clinical Quality and Model Fidelity

· Own clinical quality across all Massachusetts centers, ensuring services delivered reflect ANNA's neurodiversity-affirming, NDBI-based model of care

Oversee fidelity monitoring, documentation, reporting, and quality improvement at the state level with support from the Chief Clinical Officer

Ensure the fidelity assessment tools, scoring methodologies, and evaluation protocols developed centrally are consistently and correctly used by Massachusetts clinical teams

Ensure state alignment with ANNA's treatment planning templates, clinical documentation standards, and case review processes

Provide consultation on complex clinical cases, program design questions, and advanced clinical decision-making for clinicians across the market, escalating to the Chief Clinical Officer where organizational precedent is required

Aggregate and funnel clinical feedback from Massachusetts teams to the Chief Clinical Officer and central clinical team to drive improvement of ANNA's standards, protocols, and tools

Clinical Training and Professional Development

Train Behavior Analyst Trainees (BATs) to deliver Behavior Technician onboarding training with fidelity, ensuring every BAT is assessed and passes competency before independently onboarding new BTs

Participate in training new Clinical Directors on all clinical components of client and team training, support, and oversight

Monitor BAT training implementation by completing training fidelity checks at minimum monthly across the market, and provide direct coaching and remediation where fidelity falls below standard

Train Clinical Directors to supervise and oversee the BATs in their centers, ensuring every Clinical Director is assessed and passes competency on observing BAT-delivered training, evaluating fidelity, delivering performance feedback, and escalating concerns

Hold ongoing oversight of how Clinical Directors carry out BAT supervision across the market, ensuring the supervision layer between CD and BAT is consistent and effective in every center

Train and support Clinical Directors in delivering BCBA and BAT training, and monitor training execution across all Massachusetts centers

Ensure ANNA's expectations for clinical supervision, mentorship, and skills progression are met across every clinical role in the market

Update centrally developed training materials to reflect Massachusetts-specific requirements, following approval by the Chief Clinical Officer

Provide structured feedback to the Chief Clinical Officer on training curricula, materials, and delivery based on how they perform in the market

Execute ANNA's clinical professional development plan in Massachusetts, including supervision structures for BCBA candidates, continuing education programming, and skills progression planning for clinicians at every level

Clinical Leadership and Mentorship

Hold dotted-line clinical oversight of every Clinical Director in the market, setting and upholding the clinical bar for their centers, while the Market Executive Director holds solid-line accountability for their operational and people management

Provide hands-on mentorship and clinical support to the state's Clinical Directors and BCBA team

Hold weekly 30-minute Clinical Support 1:1s with each Clinical Director, covering clinical quality and fidelity, treatment plan and programming review, and case discussion

Lead the bi-weekly Market Clinical Meeting with Clinical Directors as the forum for clinical questions, rollouts, updates, and process changes

Co-lead the monthly Market All-BCBA Meeting with the Market Executive Director, covering initiative rollouts, training, and key clinical topics relevant to the market

Provide clinical input into Clinical Director hiring and BCBA hiring decisions led by the Market Executive Director

Contribute clinical perspective to promotion recommendations, calibration meetings, and performance discussions for clinical staff, in partnership with the Market Executive Director and Clinical Directors

Build a market culture of clinical curiosity, ethical practice, and continuous improvement through regular presence in centers

Clinical Authority and Decision-Making

Hold decision-making authority for implementation of ANNA’s clinical standards across Massachusetts, including model fidelity, treatment quality, clinical competency, and required remediation, within standards established by the Chief Clinical Officer

Require and oversee clinical corrective action plans when quality, fidelity, or competency falls below established standards, partnering with the Market Executive Director to secure resources and ensure timely completion

Determine clinical leaders' readiness for staff to independently perform designated clinical, training, and supervision responsibilities, including requiring additional coaching or reassessment before competency approval

Provide required clinical sign-off on Clinical Director hiring and promotion decisions, in partnership with the Market Executive Director, who retains responsibility for operational and people management decisions

Initiate immediate protective action when a practice presents a significant risk to client safety or ethical care, including pausing the affected activity and promptly escalating to the Chief Clinical Officer

Escalate unresolved clinical and operational disagreements to the Chief