BCBA Licensed Utilization Review Specialist

Job Summary

To support a growing healthcare practice, the contract-to-hire BCBA Licensed Utilization Review Specialist will perform prospective, concurrent, and retrospective reviews of Applied Behavior Analysis (ABA) services, ensuring medical necessity and appropriateness while working remotely.

Key responsibilities

• Perform reviews to determine authorization and medical necessity of ABA services
• Evaluate treatment plans and clinical documentation using behavior analytic principles
• Collaborate with internal clinical leadership and provide guidance on ABA best practices

Required qualifications

• Master's Degree or higher in Behavior Analysis, Psychology, Education, or a related field
• Active Board Certified Behavior Analyst (BCBA) certification in good standing
• Active state licensure as a Behavior Analyst where applicable
• 3-5+ years of clinical ABA experience with direct patient care
• Demonstrated experience developing ABA treatment plans and clinical documentation