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Manager Bcba Insurance Reviewer Jobs (NOW HIRING)

Clinic 4 Kidz

Case Manager - BCBA

San Jose, CA · On-site

$85K - $105K/yr

In addition, Case Managers who are interested have the opportunity to assist in writing manuscripts for peer-reviewed journals. Case Managers are responsible for developing data-based assessments and ...

ABA Enhancement LLC

BCBA/Clinical Manager

Riverside, CA · On-site

$75K - $80K/yr

The Clinical Manager (BCBA) at ABA Enhancement LLC in Riverside plays a pivotal role in overseeing ... Health and Dental benefits with very low insurance premiums * Hybrid schedule with a Work From Home ...

Clinic 4 Kidz

Case Manager - BCBA

San Jose, CA · On-site

$85K - $105K/yr

In addition, Case Managers who are interested have the opportunity to assist in writing manuscripts for peer-reviewed journals. Case Managers are responsible for developing data-based assessments and ...

ABA Enhancement LLC

BCBA/Clinical Manager

Fort Worth, TX · On-site

$75K - $80K/yr

The Clinical Manager (BCBA) at ABA Enhancement LLC in Riverside plays a pivotal role in overseeing ... Health and Dental benefits with very low insurance premiums * Hybrid schedule with a Work From Home ...

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Manager Bcba Insurance Reviewer information

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$29.5K

$55.6K

$84.5K

How much do manager bcba insurance reviewer jobs pay per year?

As of Jul 2, 2026, the average yearly pay for manager bcba insurance reviewer in the United States is $55,642.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,000.00 and $63,500.00 per year, depending on experience, location, and employer.

What are the primary challenges faced by a Manager BCBA Insurance Reviewer when coordinating between clinical teams and insurance providers?

One of the main challenges for a Manager BCBA Insurance Reviewer is balancing the clinical needs of clients with the documentation and compliance requirements set by insurance companies. This role frequently involves ensuring that treatment plans and progress notes align with insurer guidelines while still supporting effective, individualized care. Additionally, the position requires strong communication skills to clarify clinical recommendations to insurance representatives and advocate for necessary services. Navigating policy updates, managing denials or appeals, and training clinical staff on best documentation practices are also key aspects of this role.

What is the difference between Manager Bcba Insurance Reviewer vs Bcba Insurance Reviewer?

AspectManager Bcba Insurance ReviewerBcba Insurance Reviewer
CertificationsBCBA certification, management experienceBCBA certification
Work EnvironmentSupervisory role, team managementReviewing insurance claims, case assessments
Employer & IndustryHealthcare, insurance companies, behavioral healthInsurance companies, healthcare providers
Search & ComparisonOften compared for career progressionFocuses on case review and approval

The main difference is that the Manager Bcba Insurance Reviewer oversees a team and manages review processes, while the Bcba Insurance Reviewer primarily focuses on evaluating insurance claims and cases. The managerial role involves leadership responsibilities, whereas the non-managerial role emphasizes case assessment within the insurance industry.

What does a Manager BCBA Insurance Reviewer do?

A Manager BCBA Insurance Reviewer oversees the review and approval process for insurance claims related to Applied Behavior Analysis (ABA) therapy services. They ensure that treatment plans created by Board Certified Behavior Analysts (BCBAs) meet insurance requirements and support medical necessity. Additionally, they coordinate with clinicians, insurance companies, and clients to facilitate smooth authorization and reimbursement processes. This role often involves supervising a team, providing guidance on clinical documentation, and staying updated on changing insurance policies.

What are the key skills and qualifications needed to thrive as a Manager BCBA Insurance Reviewer, and why are they important?

To thrive as a Manager BCBA Insurance Reviewer, you need a Board Certified Behavior Analyst (BCBA) certification, experience in applied behavior analysis, and a thorough understanding of insurance authorization and claims processes. Familiarity with electronic health records (EHR) systems, insurance billing platforms, and compliance documentation is typically required. Exceptional organizational skills, attention to detail, and the ability to communicate effectively with both clinical teams and insurance representatives are crucial soft skills. These skills ensure accurate claims processing, compliance with insurance requirements, and optimal support for clients receiving behavioral health services.
What cities are hiring for Manager Bcba Insurance Reviewer jobs? Cities with the most Manager Bcba Insurance Reviewer job openings:
What are the most commonly searched types of Bcba Insurance Reviewer jobs? The most popular types of Bcba Insurance Reviewer jobs are:
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Manager Bcba Insurance Reviewer jobs near you
Autism Care Manager, BCBA Pipeline

Autism Care Manager, BCBA Pipeline

HealthPartners

Bloomington, MN • On-site

$34.28 - $51.42/hr

Full-time

Medical, Retirement

This job post has expired today. Applications are no longer accepted.

HealthPartners rating

7.7

Company rating: 7.7 out of 10

Based on 132 frontline employees who took The Breakroom Quiz

160th of 877 rated healthcare providers

Job description


Talent Pipeline / Future Opportunities
HealthPartners is building a talent pipeline for Autism Care Manager, BCBA professionals to support our Autism Care Management team. This posting is intended to identify and connect with qualified candidates for potential future opportunities across our organization.
Due to the specialized licensure and experience required for this role, openings may occur periodically throughout the year. Candidates who apply may be contacted when opportunities become available that align with their experience, licensure, and career interests.
These roles will specifically support the Autism Care Management team. Applicants are required to have Board Certified Behavioral Analyst (BCBA) certification and experience working with individual with Autism Spectrum Disorder. The position exists to provide support to patients, their families, and physicians in addressing behavioral health and social concerns; educate and empower patients and families to make informed personal health care decisions; and facilitate communication between patient, physician, health plan and community.
ACCOUNTABILITIES:
Member Focus
  1. Ensures all activities are member-focused and individualized, resulting in personalized attention to each patient's unique needs.
  2. Identifies interventions and resources to assist member reaching personal health related goals.
  3. Identifies patterns and episodes of care that are predictive of future needs and services.

Integration
  1. Integrates clinical and psychosocial information for case identification and individual patient assessment to develop action-oriented and time-specific planning and implementation of appropriate interventions.
  2. Facilitates integration of patient care by encouragement of effective communications between patients, families, providers, health plan and care system programs, and community-based services.
  3. Adheres to policy and procedure in daily activities.
  4. Coordinates service coverage with appropriate funding sources when indicated.

Communication
  1. Effectively and routinely communicates with patients, families, physicians and health care team members to facilitate successful collaboration resulting in high levels of member/patient/family/provider satisfaction.
  2. Provides regular reporting of member outcomes to behavioral health leadership according to defined process.
  3. Identifies and promptly reports potentially adverse situations to department leadership.
  4. Identifies and promptly reports high cost cases for reinsurance.
  5. Maintains confidentiality of information in accordance with department and corporate policies.

Relationships and Team Building
  1. Establishes and maintains good working relationships within the Behavioral Health Improvement and Operations Department, with other HealthPartners Departments, and with other health team participants.
  2. Supports other team members in achieving patient centered goals.
  3. Assists supervisor in maintaining a cohesive team by contributing to a collaborative, respectful, and diverse environment.
  4. Participates in and contributes to appropriate departmental and/or organizational meetings.
  5. Acts as a liaison between internal customers, Marketing, Sales, Claims and Member Services to resolve systems/process issues.

Technology
  1. Maintains knowledge of and effectively uses automated applications and systems.
  2. Identifies deficits in technological literacy and seeks appropriate training under guidance of supervisor.
  3. Maintains maximum individual productivity through proficient use of automated systems.

Personal Development
  1. Participates in ongoing independent study and education-related professional activities to maintain and increase knowledge in the areas of case management, patient care services, and benefit packages for development of effective case management skills.
  2. Demonstrates responsiveness to and appreciation of constructive feedback and recommendations for personal growth and development.
  3. Maintains current, active Minnesota licensure.

Other Duties
  1. Willingly participates in various committees, task forces, projects, and quality improvement teams, as needed and assigned.
  2. Performs other duties as assigned.

REQUIRED QUALIFICATIONS:
  1. Licensed in Minnesota as LICSW, RN or Psychologist, Masters degree preferred.
  2. Board Certified Behavioral Analyst (BCBA) certification, or LBA
  3. Experience working with individual with Autism Spectrum Disorder.
  4. Minimum of 3 years clinical practice experience; minimum of 3 years relevant utilization review, discharge planning, or case management experience; and current clinical knowledge.
  5. Demonstrated effective, clinical judgement and skills.
  6. Demonstrated skill and experience in effectively collaborating with care team members, using a high level of expertise in written, oral and interpersonal communication.
  7. Demonstrated working knowledge of QI, UM, benefit plans fiscal management, and various payment methodologies preferred. Understanding of healthcare and/or HMO industry.
  8. Demonstrated skill in effective use and management of automated medical management systems.
  9. Demonstrated flexibility, organization, and appropriate decision-making under challenging situations.
  10. Ability to organize and prioritize multiple assignments within workload.
  11. Ability to deal with change and ambiguity.

DECISION-MAKING:
  1. Makes independent decisions within the scope of this position's accountabilities and determines the need for and the timing of consultation with behavioral health leadership.
  2. Uses sound judgement, organizational knowledge, industry knowledge, and common sense in determining appropriate alternatives for members/patients/families, consulting with leadership and/or Medical Director, when indicated.
  3. Utilizes the member contract coverage policy on-line benefits, level of care guidelines and Member or Claims Services on-line policies and procedures.
  4. Makes recommendations to leadership regarding policy development needs and/or changes.

MAJOR CHALLENGES:
  1. Maintaining member focus in a rapidly evolving environment.
  2. Influencing team members and colleagues to work collaboratively in achieving the goals and objectives of the department.
  3. Maintaining timely, comprehensive reviews with concise documentation of pertinent facts, decisions and rationale.
  4. Maintaining appropriate use of supervisory and consultation resources

About Us
At HealthPartners we believe in the power of good - good deeds and good people working together. As part of our team, you'll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.
We're a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.
At HealthPartners, everyone is welcome, included and valued. We're working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.
Benefits Designed to Support Your Total HealthAs a HealthPartners colleague, we're committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care.
Join us in our mission to improve the health and well-being of our patients, members, and communities.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.

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