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Remote Bcba Utilization Review Jobs in Minnesota

Archgroup

AVP, Construction

Saint Paul, MN · On-site +1

$150K - $190K/yr

The team is open to discussing hybrid or remote options in Minneapolis, Chicago, and St. Louis ... Solicits and reviews new and renewal account information required to evaluate a risk. * Identifies ...

ABB

EL Services Application Engineer

Minneapolis, MN · Remote

... utilization and automation equipment and systems. In this role you will identify and propose value ... The work model for the role is: remote (#Li-Remote) supporting the North Region central district ...

Archgroup

AVP, Construction

Saint Paul, MN · On-site +1

$150K - $190K/yr

The team is open to discussing hybrid or remote options in Minneapolis, Chicago, and St. Louis ... Solicits and reviews new and renewal account information required to evaluate a risk. * Identifies ...

People Serving People

Staff Accountant

Minneapolis, MN · On-site +1

$75K/yr

Review and record organizational credit card transactions in Sage Intacct. * Maintain AP subledger ... Monitor grant spending, funding utilization, and reporting deadlines. * Provide fiscal support for ...

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Remote Bcba Utilization Review information

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.

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 the most commonly searched types of Bcba Utilization Review jobs in Minnesota?

The most popular types of Bcba Utilization Review jobs in Minnesota are:

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Cities in Minnesota with the most Remote Bcba Utilization Review job openings:

Remote Bcba Utilization Review jobs near you

Sr. ERP Implementation Project Manager, Infor M3

Columbus Global

Minneapolis, MN • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 15 days ago

Job description

We are seeking an experienced Senior ERP Project Manager with expertise in Infor M3 implementations to join our team. The ideal candidate will have a commercial mindset, excellent communication skills, and a proven ability to balance clients' best interests with the company's strategic objectives. Candidates must have a record of senior leadership in the consulting industry.
The Senior ERP Project Manager at Columbus M3 provides a high degree of leadership to the project team, serving to facilitate the activities that meet the project objectives both on time and on budget. In this opportunity you will be responsible for full PM lifecycle, building of project ERP plans, management of scope, scheduled, resources and budget. You will also oversee client relationship management, risk management, and reporting.
Note: This is a remote opportunity and can be based from any location in the United States. #LI-Remote
Position Responsibilities:
  • Lead end-to-end implementation of Infor M3 projects or others as needed, ensuring delivery within scope, timeline, and budget.
  • Develop and manage comprehensive project plans, including milestones, resource allocation, and risk mitigation strategies.
  • Monitor project progress, ensuring effective communication and alignment among cross-functional teams, stakeholders, and clients.
  • Manage enterprise-level budgets, proactively monitoring budget to actuals and reporting thereof.
  • Communicate project status to both the project team and c-suite executives to ensure a positive client experience.
  • Proactively identify and resolve customer issues, balancing client satisfaction with Columbus' best interests; managing escalations with diplomacy and professionalism, ensuring swift and effective resolution while maintaining strong client relationships.
  • Collaborate with sales and pre-sales teams to draft detailed and accurate SOWs, facilitate the estimation of project budgets, timelines, and resource needs with precision to ensure realistic client expectations and profitable outcomes.
  • Forecast and allocate project resources, ensuring optimal utilization while minimizing resource conflicts.
  • Monitor team performance and provide mentorship and guidance to ensure adherence to project deliverables and quality standards.
  • Ensure the project team follows Columbus Methodology and is producing deliverables to standards and on schedule; maintain project plan.
  • Review and understand the contractual terms and scope of assigned projects
  • Review key deliverables to assure scope and budget remain aligned
  • Ensure project setup, time, invoice if required, and expense entry are recorded properly; perform time and expense reviews.

Skill Requirements & Experience:
  • 7+ years of ERP project management experience in ERP environment.
  • 7+ years managing ERP enterprise implementations is required, experience with Infor M3 is strongly preferred.
  • 7+ years of consulting experience (with leadership experience being a plus).
  • Strong commercial acumen with experience managing budgets, contracts, and profitability.
  • Excellent problem-solving and conflict resolution skills, with the ability to manage client escalations effectively.
  • Experience must encompass the management of budget, risks, resources, scope, issues, changes, and quality.
  • Previous experience in writing statements of work, project estimation, and resource forecasting.
  • Ability to oversee multiple projects simultaneously in a fast-paced environment.
  • Exceptional interpersonal, problem solving, and communication skills.
  • Ability to handle client and employee escalations with empathy, diplomacy, and fairness.
  • Bachelor's degree in business, IT, or a related field. PMP certification is preferred.
  • Coaching and/or mentoring experience with excellent presentation skills.
  • Experience working with global project team and able to adapt to schedule to alternate time zones when needed.
  • Ability to travel up to 30%

Preferred Requirements:
  • PMP Certification
  • Knowledge of other tier one ERP solutions

Full Time Benefits:
  • Columbus offers a competitive benefits package to all full-time employees. This package includes Health, Life, Dental and Vision Insurance, Short- and Long-Term Disability, in addition to, paid vacation, sick leave, holidays, and 401(k).

Business areas Columbus M3 Locations -United States Remote status Fully Remote Apply for this job
Our Values
  • We Collaborate
    For example, write something about the compensation that you offer, is it competitive?
  • We Stay Curious
    What kind of social activities do you do together? Write about everything from lunches together to annual trips.
  • We Build Trust
    Do you for example offer your employees some kind of health care?
  • We deliver customer success

Our Values
During 2021 we decided to evaluate our old values and create new ones that supported our organization and to become One Columbus even more. We started the project from bottom to top - we asked all our employees what they feel that Columbus stands for.
Our values guide us through our daily work, both subconsciously and consciously.
We collaborate - we stay curious - we build trust and we deliver customer success.

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