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Bcba Utilization Review Jobs in Raleigh, NC (NOW HIRING)

Centene

Psychologist Reviewer

Durham, NC · On-site +1

$87K - $157K/yr

The ideal candidate will also hold a BCBA certification to support our growing markets and ensure ... Interact with network practitioners to provide education on best practice models and utilization ...

All JobsBcba Utilization Review JobsBcba Utilization Review Jobs in Raleigh, NC

Bcba Utilization Review information

See Raleigh, NC salary details

$46.2K

$86.6K

$144.8K

How much do bcba utilization review jobs pay per year?

As of Sep 3, 2026, the average yearly pay for bcba utilization review in Raleigh, NC is $86,588.00, according to ZipRecruiter salary data. Most workers in this role earn between $71,900.00 and $88,000.00 per year, depending on experience, location, and employer.

What is a BCBA Utilization Review?

A BCBA Utilization Review job involves assessing treatment plans and services for individuals receiving Applied Behavior Analysis (ABA) therapy to ensure medical necessity, compliance, and cost-effectiveness. Professionals in this role review documentation, monitor provider adherence to best practices, and collaborate with insurance companies or agencies to approve appropriate care. Their goal is to balance quality treatment while preventing unnecessary services or excessive costs.

What are the typical daily responsibilities of a BCBA Utilization Review specialist?

As a BCBA Utilization Review specialist, your day-to-day tasks include reviewing ABA therapy treatment plans, evaluating clinical documentation for medical necessity, and ensuring compliance with insurance and regulatory guidelines. You may communicate frequently with providers and clinical teams to request additional information or clarify treatment recommendations. Collaboration with other reviewers and participation in case discussions are common, as is preparing detailed reports on your findings. The role is primarily desk-based and requires strong analytical and communication skills to balance client needs with payer criteria.

What are the key skills and qualifications needed to thrive in the BCBA Utilization Review position, and why are they important?

To thrive as a BCBA Utilization Review professional, you need deep knowledge of applied behavior analysis (ABA), clinical assessment, and a current Board Certified Behavior Analyst (BCBA) certification. Familiarity with electronic health record (EHR) systems, utilization review software, and documentation protocols is often required. Strong analytical thinking, attention to detail, and effective communication skills are valuable for evaluating clinical data and collaborating with care teams. These abilities ensure that treatment plans meet best practice standards and payer requirements while supporting quality client care.

What are the most commonly searched types of Bcba Utilization Review jobs in Raleigh, NC?

The most popular types of Bcba Utilization Review jobs in Raleigh, NC are:

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For Bcba Utilization Review jobs in Raleigh, NC, the most frequently searched job titles are:

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The top searched job categories for Bcba Utilization Review jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Bcba Utilization Review jobs?

Cities near Raleigh, NC with the most Bcba Utilization Review job openings:

Bcba Utilization Review jobs near you
Infographic showing various Bcba Utilization Review job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $86,588 per year, or $41.6 per hour.

BCBA - Board Certified Behavior Analyst - Raleigh, NC

Blossom ABA Therapy

Raleigh, NC • On-site

$105K - $125K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago

Job description

Blossom ABA Therapy is hiring a Board Certified Behavior Analyst to lead individualized, ethical, and family-centered ABA care. The BCBA will assess client needs, develop treatment plans, supervise direct-care staff, monitor progress, and partner with caregivers and internal teams to support meaningful outcomes.

What You Will Do

  • Complete assessments, treatment plans, reassessments, and clinically necessary program updates.

  • Analyze data and adjust programming based on client progress and treatment integrity.

  • Supervise and train RBTs and BTs using practical, timely feedback.

  • Provide caregiver guidance and coordinate care with appropriate providers and school teams.

  • Maintain timely, accurate documentation that meets clinical, payer, and organizational requirements.

  • Support authorization requests, utilization reviews, and other clinical documentation needs.

  • Manage assigned caseload responsibilities while communicating barriers and risks early.

  • Follow BACB ethics requirements and all applicable state licensure rules.

Qualifications

  • Current BCBA certification in good standing.

  • NC LBA.

  • Candidate must live in or within 40 miles of NC.

  • Active state license or eligibility to obtain the license required for the service location.

  • Master's degree in behavior analysis, psychology, education, or a related field.

  • Experience developing treatment plans and supervising RBTs or BTs.

  • Strong clinical judgment, data analysis, communication, and organization.

  • Ability to perform the essential functions of the position, with or without reasonable accommodation.

Benefits And Support

Blossom offers clinical leadership support, collaborative operations partners, professional-development opportunities, and tools for caseload and supervision management. Benefits may include paid time off, medical, dental, and vision coverage, a 401(k), and other programs based on employment status and plan eligibility. Compensation, schedule, caseload model, travel expectations, and work setting are listed in the individual posting.

Blossom ABA Therapy is an equal opportunity employer and provides reasonable accommodations as required by law.

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