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Aba Utilization Review Jobs (NOW HIRING)

Centene

Utilization Review Clinician - ABA

$27.02 - $48.55/hr

Knowledge of ABA services and BH utilization review process required. Experience working with providers and healthcare teams to review care services related to Applied Behavior Analysis Services ...

Centene

Utilization Review Clinician - ABA

$63K - $87K/yr

Knowledge of ABA services and BH utilization review process required. Experience working with providers and healthcare teams to review care services related to Applied Behavior Analysis Services ...

Centene Corp.

$45K - $62K/yr

Knowledge of ABA services and BH utilization review process required. Experience working with providers and healthcare teams to review care services related to Applied Behavior Analysis Services ...

Centene

Utilization Review Clinician - ABA

$27.02 - $48.55/hr

Knowledge of ABA services and BH utilization review process required. Experience working with providers and healthcare teams to review care services related to Applied Behavior Analysis Services ...

Centene Corp.

NY · On-site

$61K - $83K/yr

Knowledge of ABA services and BH utilization review process required. Experience working with providers and healthcare teams to review care services related to Applied Behavior Analysis Services ...

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Aba Utilization Review information

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How much do aba utilization review jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for aba utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is ABA utilization review?

ABA Utilization Review is a process used by healthcare providers and insurance companies to evaluate the medical necessity, appropriateness, and efficiency of Applied Behavior Analysis (ABA) therapy services. The goal is to ensure that clients receive the right amount of therapy based on their individual needs and that services are consistent with established guidelines. Utilization reviewers assess treatment plans, progress reports, and documentation to determine if continued ABA therapy is justified. This process helps manage healthcare costs while ensuring quality care for individuals with autism and other developmental disorders.

How does an ABA utilization review professional typically collaborate with clinicians and insurance providers?

ABA Utilization Review professionals work closely with both clinical teams and insurance companies to ensure that clients receive appropriate and authorized services. Their daily responsibilities often involve reviewing treatment plans, communicating clinical justifications, and providing supporting documentation to payers. Effective collaboration requires strong interpersonal and organizational skills, as these professionals must balance the needs of clients, therapists, and payers while ensuring compliance with regulatory standards. Regular meetings, transparent communication, and thorough documentation are key aspects of their collaborative workflow.

What are the key skills and qualifications needed to thrive as an ABA utilization review specialist, and why are they important?

To thrive as an ABA Utilization Review Specialist, you need a background in applied behavior analysis, knowledge of insurance guidelines, and often a relevant certification such as BCBA or experience with ABA therapy. Familiarity with electronic health record (EHR) systems, utilization management software, and insurance authorization portals is typically required. Strong analytical skills, attention to detail, and effective communication help professionals excel in reviewing clinical documentation and coordinating with providers. These skills are crucial to ensure services meet clinical standards, support appropriate insurance reimbursement, and advocate for client care.

What is the difference between Aba Utilization Review vs ABA Therapist?

AspectAba Utilization ReviewABA Therapist
CredentialsTypically requires certification in utilization review or healthcare administrationRequires BCBA, BCaBA, or RBT certification
Work EnvironmentHealthcare facilities, insurance companies, or clinics focusing on case reviewTherapy sessions with clients, schools, or clinics
Primary FocusReviewing treatment plans for appropriateness and insurance coverageImplementing ABA therapy directly with clients

While Aba Utilization Review focuses on evaluating treatment plans for coverage and compliance, ABA Therapists provide direct therapy services to clients. Both roles require specialized certifications but differ in daily responsibilities and work settings.

What states have the most Aba Utilization Review jobs?

States with the most job openings for Aba Utilization Review jobs include:

What are popular job titles related to Aba Utilization Review jobs?

For Aba Utilization Review jobs, the most frequently searched job titles are:

Infographic showing various Aba Utilization Review job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

ABA Utilization Review (UR) Specialist

Skokie, IL • Remote

Spectrum Billing Solutions
Finance and Insurance • 51 - 200 employees
Learn more about Spectrum Billing Solutionsexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 13 days ago

Job description

​
Spectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers. Our team has deep industry knowledge, technology, and experience to ensure our client’s revenue cycle is managed in the most efficient and streamlined manner.
We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist will utilize his or her knowledge and skills to review clinical information and obtain initial and continuing authorizations for ABA and related services. The ideal candidate is passionate, motivated, detail-oriented and interested in working in a cohesive and rewarding environment.
This is a fully remote or office/home hybrid position.
Your Responsibilities:
  • Review patient admission and clinical information to ensure medical necessity and compliance of utilization review guidelines.
  • Obtain initial and continuing authorization for treatment services.
  • Manage authorization denials including referral for peer review.
  • Document and record all necessary information.
  • Monitor and track new and ongoing authorization cases.
  • Collaborate and communicate with clinical staff to ensure necessary information is obtained and timely reviews are performed.
  • Assist external clients in understanding payer requirements for authorizations.
  • Participate in team meetings.
  • Maintain confidentiality of patient information and adhere to HIPAA regulations.
What we offer you:
  • Flexible work environment 
  • Competitive Salary
  • A close-knit team of talented and skilled individuals.
  • Growth opportunities 
  • Benefits – Medical, Dental, Vision
  • Flexible Paid Time Off
  • 401K with Company match
  • Supplemental Benefits
Qualifications:
  • 3-5 years of related ABA and/or Behavioral Health experience.
  • Bachelor’s or master’s degree preferred.
  • Superior written and oral communication skills
  • Attention to detail to ensure necessary information is captured and properly documented.
  • Ability to work independently and within a team.
  • Ability to multi-task, prioritize and meet expected deadlines.
  • Solid understanding of insurance benefits and coverages.
  • Strong computer skills (Word, Excel, billing software).
  • Understanding of mental and behavioral health treatment services.
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