Consultant, Physical Clinic Expansion (ABA), Part-Time / Contract

Department: Operations

Location: United States (Remote)

Employment Type: FullTime

About Alpaca Health

Alpaca Health is the operating system for ABA therapy practices: billing/RCM, scheduling, AI clinical documentation, payroll, intake, and referral routing. We help top ABA practices grow, and were building the tools and the playbook to help them expand into physical, center-based care.

About the role

Were looking for a consultant who has personally opened and scaled center-based ABA clinics. Youll partner directly with our founding team to build Alpacas clinic-expansion playbook: how a practice goes from home-based to a thriving physical center, covering site selection, build-out, licensing, credentialing, equipment, staffing ramp, and utilization. Early on youll advise us as we design the program and product; over time youll help our provider partners stand up their own clinics.

This is a part-time, hourly (1099) engagement, roughly 5–10 hours/week, remote.

What youll do

• Help build Alpacas end-to-end how to open an ABA center playbook.

• Advise on market/site selection, lease/LOI and tenant-improvement build-out, and ABA-appropriate floor-plan and room design (including sensory-friendly environments).

• Guide payer credentialing/enrollment and licensing for new locations.

• Advise on equipment and vendor selection (security, cameras, access control) and how Alpaca can standardize and finance it.

• Pressure-test our site-intelligence and in-clinic product ideas.

• Advise on staffing ramp, room utilization, and center-based unit economics, steering us clear of the classic failure modes (expansion outrunning BCBA/RBT hiring; fixed costs meeting reimbursement pressure).

• Over time, coach our provider partners through their own clinic launches.

Who you are

• Youve personally opened and scaled multiple center-based ABA clinics (or very adjacent multi-site pediatric therapy / behavioral health): de novo launches, not just running an existing site.

• You know the full stand-up lifecycle: real estate, build-out, licensing, credentialing, equipment, staffing, and utilization.

• You understand ABA / behavioral-health reimbursement (Medicaid and commercial), staffing ratios, and RBT/BCBA labor dynamics.

• Bonus: BCBA or ABA clinical-ops leadership; multi-state expansion experience; relationships with ABA-focused healthcare real estate, general contractors, or equipment vendors; comfort with compliance-first arrangements (fair-market-value, Anti-Kickback/Stark, corporate-practice-of-medicine).

Engagement

• 1099 independent contractor (your own consultancy welcome).

• ~5–10 hours/week, billed hourly. Remote, with optional occasional travel to pilot markets.

• Simple monthly invoicing.

How to apply

Tell us about the centers youve opened: where, how many, and what you learned. A short note plus your LinkedIn or CV is plenty.