Job Summary

A company is looking for a Board Certified Doctorate Behavioral Health Analyst.

Key Responsibilities:

• Review UM decisions based on provided criteria to determine if the initial UM decision was appropriate for final determination
• Complete reviews within a specified time frame
• Communicate professionally and effectively with physicians and staff on case review processes and findings

Required Qualifications:

• Must be a Board Certified Behavioral Health Analyst - Doctorate (BCBA-D)
• 1-year medical records review or utilization review experience or quality focus strongly preferred
• Behavioral health experience required
• Proficient with Microsoft Word & Excel (database only, formulation not required)
• Ability to perform reviews during off hours as needed