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Remote Bcba Utilization Review Jobs in Alaska (NOW HIRING)

CVS Health

Case Manager, Registered Nurse

Homer, AK · Remote

$54K - $155K/yr

Position Summary This is a remote work from home role anywhere in the US with virtual training ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...

NANA Management Services

Review and approve routine billeting records, room assignments, occupancy reports, and other ... Ensure accurate utilization of billeting and travel management software systems and provide ...

CVS Health

LPN - Notice Of Action Letter Auditor

Homer, AK · Remote

$22.40 - $48.67/hr

This position is 100% remote. Letter Team operating hours are 7am-7:30pm Est. Sunday availability ... We work closely with the utilization management team. Required Qualifications: - 1 year of ...

Cruz Construction, Inc

Project Engineer

Palmer, AK · On-site +1

Palmer Office / Remote Projects Reports To: VP of Operations Status:Temporary to Regular, Full-Time ... Read and review project blueprints and structural specifications to determine dimensions of ...

ASRC

Civil Engineer - ACES

Anchorage, AK · On-site +1

... in remote and often challenging environments. The Senior Civil Engineer serves as a technical ... utilization. * Lead interdisciplinary document reviews, coordination meetings, and technical ...

Pacs

Ability to read and review detailed documents. * Clear verbal and written communication required ... Work Location * This role is remote, requiring less than 25% travel. * Preferred locations ...

Pacs

... utilization and coding, quality and clinical documentation. * Analyze audit findings to identify ... Ability to read and review detailed documents. * Clear verbal and written communication required.

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Remote Bcba Utilization Review information

What is a Remote BCBA Utilization Review?

Remote BCBA Utilization Review jobs involve Board Certified Behavior Analysts (BCBAs) who review and assess the medical necessity and effectiveness of Applied Behavior Analysis (ABA) therapy services, usually for insurance companies or healthcare organizations. These professionals work remotely to evaluate clinical documentation, ensure compliance with treatment guidelines, and approve or deny service requests based on established criteria. The role helps ensure that clients receive appropriate care while also managing costs for payers. Strong analytical and communication skills are essential, as is up-to-date BCBA certification.

What are the key skills and qualifications needed to thrive as a Remote BCBA Utilization Review?

To excel as a Remote BCBA Utilization Review specialist, you need Board Certified Behavior Analyst (BCBA) certification, in-depth knowledge of applied behavior analysis (ABA), and experience with clinical documentation standards. Familiarity with electronic health record (EHR) systems, utilization review platforms, and insurance authorization processes is typically required. Strong analytical thinking, attention to detail, and effective written communication distinguish top performers in this role. These competencies ensure accurate service reviews, compliance with payer requirements, and support for quality client care in a remote environment.

What are some common challenges faced by a Remote BCBA Utilization Review professional, and how can they be managed?

Remote BCBA Utilization Review professionals often encounter challenges such as balancing thorough case evaluations with productivity targets and adapting to varying documentation standards from different providers. Effective time management and strong communication skills are key to addressing these challenges. Additionally, staying current with payer guidelines and collaborating closely with clinical teams can help ensure accurate and efficient reviews, ultimately supporting high-quality care for clients.

What is the difference between Remote Bcba Utilization Review vs Remote Bcba Case Manager?

AspectRemote Bcba Utilization ReviewRemote Bcba Case Manager
CertificationsBCBA, possibly additional utilization review credentialsBCBA, case management certifications often preferred
Work EnvironmentReviewing medical and treatment plans remotely, focusing on insurance and authorizationCoordinating care, managing cases, and supporting clients remotely
Employer & IndustryHealthcare, insurance companies, behavioral health providersBehavioral health agencies, healthcare organizations

Both roles require BCBA certification and involve remote work, but the Utilization Review focuses on evaluating treatment plans for insurance approval, while the Case Manager manages ongoing client care and services. Understanding these differences helps professionals choose the right career path in behavioral health.

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Remote Bcba Utilization Review jobs near you
Infographic showing various Remote Bcba Utilization Review job openings in Alaska as of August 2026, with employment types broken down into 70% Full Time, 16% Part Time, and 14% Contract. Highlights an 100% Remote job distribution.

Remote - Radiologist Utilization Review - 1099 (contract)

MRIoA

Anchorage, AK • On-site, Remote

Contractor

This job post has expired 3 days ago. Applications are no longer accepted.

Job description

Description
Flexible Independent Contractor (1099)
Require a DC or Maryland State Medical License
ABOUT MRIoA
Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
THE OPPORTUNITY:
We are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization Reviews. This is a flexible remote opportunity requiring just 1-2 hours per week-with no minimum commitment.
ADDITIONAL INFORMATION:
  • Work remotely from anywhere in the US (Per HIPAA Regulations, patient records cannot leave the US).
  • Covered under MRIoA's Errors and Omissions policy.
  • Independent Contractor (1099) opportunity.
  • Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.

Requirements
  • Must have a Medical Degree MD or DO
  • Must have a current state medical license in DC or Maryland
  • Current Board Certification in Radiology
  • Must have 5 years of clinical experience residency to be included
  • Daytime availability is required for peer-to-peer conversations

California Consumer Privacy Act (CCPA) Information (California Residents Only):
  • Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
  • Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.

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