State Licensed Behavior Analyst

Job Summary

To support behavioral health services, the part-time State Licensed Behavior Analyst will provide utilization management and care management for ASD services, engaging with members and families remotely while ensuring compliance with clinical standards.

Key responsibilities

• Coordinate care among providers, care managers, and community organizations through assessments and advocacy for member health needs
• Conduct utilization reviews for ABA therapy, verify member eligibility, and educate stakeholders on medical necessity criteria and documentation standards
• Maintain accurate clinical documentation and comply with regulatory standards while participating in clinical staffing and continuing education

Required qualifications

• Current BCBA certification and licensure as applicable for the state of residence
• Direct experience working with children with Autism Spectrum Disorder in home and/or clinic settings
• Strong computer skills, particularly in Word and Excel
• Ability to comprehend and articulate medical policy and health information clearly
• Successful completion of a comprehensive background check upon hire and throughout employment