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Title: BCBA (Board Certified Behavior Analyst) / Applied Behavior Analyst (ABA Analyst)

100% Remote work

Schedule: Monday–Friday, 8:00 AM–5:00 PM

Pay: $61–$90/hr (based on experience)

Summary

Hiring a BCBA (Board Certified Behavior Analyst) to support a behavioral health treatment program serving members who need ABA services under EPSDT. This BCBA / Applied Behavior Analyst role focuses on clinical review, utilization management support, provider collaboration, and ensuring medically necessary, best-practice ABA care for children diagnosed with Autism Spectrum Disorder (ASD). If you’re a strong clinical reviewer who understands FBA/ABA assessments, treatment plans, medical necessity, and payer/regulatory compliance, this BCBA opportunity offers high impact and strong schedule stability. The person is this role will have experience from working in a large, complex healthcare environment (integrated health system, hospital network, health plan/managed care organization, or public-sector healthcare system). 

REQUIRED Experience supporting ABA/BHT services within a large, complex healthcare environment (integrated health system, hospital network, health plan/managed care organization, or public-sector healthcare system)

Responsibilities

• Review FBA/ABA assessments and ABA treatment plans for best-practice alignment and medical necessity criteria
• Support daily operations of Behavioral Health Treatment (BHT) / ABA services (EPSDT programs)
• Partner with internal teams (case management, triage, navigators) to ensure timely provider linkage and member support
• Collaborate with ABA providers and contracted partners to address utilization patterns, quality, and access barriers
• Provide subject-matter expertise in ABA, behavioral health, and clinical program operations
• Develop workflows, training protocols, and documentation standards for ABA program operations
• Support compliance efforts tied to regulatory requirements, delegated vendor oversight, and audit readiness
• Contribute to quality initiatives (including NCQA-related activities), reporting, and performance improvement

Qualifications

• Active BCBA or BCBA-D certification (required)
• 3+ years providing ABA/BHT therapy to children diagnosed with ASD (required)
• REQUIRED Experience supporting ABA/BHT services within a large, complex healthcare environment (integrated health system, hospital network, health plan/managed care organization, or public-sector healthcare system) (required)
• Knowledge of medical necessity standards and utilization management concepts in behavioral health (required)
• Strong clinical documentation skills and ability to communicate effectively with providers and multidisciplinary teams (required)
• Experience reviewing ABA assessments and treatment plans for best-practice alignment (preferred)
• Master’s/Doctoral degree in Psychology, Social Work, MFT, Education, or related field (preferred)

Qualifications

REQUIRED Experience supporting ABA/BHT services within a large, complex healthcare environment (integrated health system, hospital network, health plan/managed care organization, or public-sector healthcare system)

• Active BCBA or BCBA-D certification (required)
• 3+ years providing ABA/BHT therapy to children diagnosed with ASD (required)
• REQUIRED Experience supporting ABA/BHT services within a large, complex healthcare environment (integrated health system, hospital network, health plan/managed care organization, or public-sector healthcare system) (required)
• Knowledge of medical necessity standards and utilization management concepts in behavioral health (required)
• Strong clinical documentation skills and ability to communicate effectively with providers and multidisciplinary teams (required)
• Experience reviewing ABA assessments and treatment plans for best-practice alignment (preferred)
• Master’s/Doctoral degree in Psychology, Social Work, MFT, Education, or related field (preferred)