
Enhance your clinical career with AB Spectrum, a team proudly named a Top Workplace by the St. Louis Post-Dispatch. We earned this recognition, which is based entirely on employee feedback, because we foster a culture where people feel valued, supported, and inspired to grow.
AB Spectrum provides specialized ReggioABA™ (Applied Behavior Analysis) therapy for young children (ages 1-6). Our foundation is ABA, an evidence-based therapy focused on developing communication, social, and adaptive living skills.
Company: AB Spectrum
Location: St. Louis, MO Area (hybrid/in-office)
Type: Full-Time, Salaried
Join a team proudly named a Top Workplace by the St. Louis Post-Dispatch! We earned this recognition based entirely on employee feedback because we foster a culture where people feel valued, supported, and inspired to grow.
AB Spectrum provides specialized ReggioABA™ (Applied Behavior Analysis) therapy for young children (ages 1-6) with Autism Spectrum Disorder. Our centers utilize a unique Therapy Through Play model, blending evidence-based ABA with the principles of Reggio Emilia.
As our HR, Payroll & Benefits Manager, you will be a vital part of the administrative and finance backbone that allows our clinical team (BCBAs, RBTs, and SLPs) to focus on what they do best: delivering high-quality, hands-on care to our early learners.
We are looking for a highly organized and detail-oriented HR & Payroll leader to own our employee-related operations from hire to exit. In this critical role, you will be the engine that ensures our staff is paid accurately and on time, benefits are seamlessly administered, and employee data remains strictly compliant.
You will act as the vital bridge between HR and Finance. Because we operate in the specialized Applied Behavioral Services (ABS) space, this role requires a unique blend of traditional HR operations and clinical workflow management, partnering closely with our Revenue Cycle Management (RCM) and Clinical teams to tie clinical documentation directly to payroll.
(Note: You will not be responsible for final company budget decisions or setting high-level compensation strategy, though you will provide crucial data to support these areas.)
Joining AB Spectrum means being part of a mission-driven, supportive, and lively environment. We offer a highly competitive benefits package to support your health, family, and future:
To Apply: Please submit your resume and a brief cover letter outlining your experience with payroll, HR operations, and (if applicable) clinical/healthcare workflows.

AB Spectrum is proud to be the world’s first Reggio Emilia–inspired ABA therapy and autism diagnostic clinic.
As the largest provider of early intervention services in the St. Louis area, we specialize in supporting children ages 2–6, blending the structure of ABA therapy with the creativity and child-led philosophy of the Reggio Emilia approach. Our mission is to transform therapy into meaningful, play-based learning experiences that empower children to thrive.
With five clinics across Missouri and a team of over 200 dedicated professionals, AB Spectrum delivers care rooted in compassion, innovation, and excellence.
We accept all insurances, including Missouri Medicaid, because every child deserves access to high-quality support.
We’re growing and we’re looking for passionate professionals to grow with us. Whether you’re just starting your career or seeking your next step, AB Spectrum offers opportunities to make a lasting impact every day.