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Remote Bcba Utilization Review Jobs in Raleigh, NC

Centene

Psychologist Reviewer

Durham, NC · On-site +1

$87K - $157K/yr

Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ... The ideal candidate will also hold a BCBA certification to support our growing markets and ensure ...

ASK Consulting

Episodic Care Manager

NC · On-site +1

$29 - $39/hr

Episodic Care Manager Location: 100% Remote Duration: 5-6 Months Pay Range: $29-$39/hr. on W2 ( The ... Strong Utilization Review (UR)/medical necessity review experience, preferably from an insurance ...

New

IQVIA

Director, Remote Research Clinicians

Durham, NC · Remote

Review quality metrics, issue trends, audit findings, and operational performance indicators to ... Evaluate workload, utilization, productivity, quality, and customer satisfaction metrics. * Support ...

Atlantic BT

Digital Project Manager

Raleigh, NC · On-site +1

We provide a collaborative, remote-first environment where team members advance their skills across ... Lead project planning, milestone scheduling, and feature reviews prior to deployment. * Demonstrate ...

Atlantic BT

Digital Project Manager

Raleigh, NC · Remote

We provide a collaborative, remote-first environment where team members advance their skills across ... Lead project planning, milestone scheduling, and feature reviews prior to deployment. * Demonstrate ...

Tihinsurance

Senior Treasury Analyst

Raleigh, NC · Remote

English (Required) Work Shift: 1st Shift (United States of America) Please review the following ... This role is remote, but we would prefer someone in Charlotte, Dallas, Birmingham, New York ...

ABB

Data Center Tender/Quotation Specialist

Cary, NC · Remote

$16.75 - $22/hr

Remote {#LI-Remote} This role is contributing to the Electrification Services Division in the ... to review the plan of a particular ABB facility between the hours of 9:00 A.M. - 5:00 P.M. EST ...

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

Remote Bcba Utilization Review information

See Raleigh, NC salary details

$46.2K

$86.6K

$144.8K

How much do remote bcba utilization review jobs pay per year?

As of Sep 15, 2026, the average yearly pay for remote 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 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.

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:

What are popular job titles related to Remote Bcba Utilization Review jobs in Raleigh, NC?

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

What job categories do people searching Remote Bcba Utilization Review jobs in Raleigh, NC look for?

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

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

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

Remote Bcba Utilization Review jobs near you
Infographic showing various Remote Bcba Utilization Review job openings in Raleigh, NC as of September 2026, with employment types broken down into 75% Full Time, and 25% Part Time. Highlights an 100% Remote job distribution, with an average salary of $86,588 per year, or $41.6 per hour.

Psychologist Reviewer

Durham, NC • On-site, Remote

Centene
Health Care and Social Assistance • 10K+ employees
Learn more about Centeneexternal

$87K - $157K/yr

Full-time

Medical, Retirement, PTO

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

Centene rating

8.4

Company rating: 8.4 out of 10

Based on 406 frontline employees who took The Breakroom Quiz

Job description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Centene is Hiring – Remote Psychologist Reviewers (ABA)

Centene is seeking Remote Psychologist Reviewers (Applied Behavior Analysis).
Candidates must hold an active psychologist license in Louisiana, Arkansas, Kentucky, North Carolina or California. Licensure in additional states will be considered, provided the selected candidate is willing and able to obtain required additional state licenses as needed.

Join Centene’s mission-driven team as a Remote Psychologist Reviewer specializing in Applied Behavior Analysis (ABA) with a focus on individuals with Autism.

We’re seeking a dedicated professional who is passionate about improving the lives of youth with Autism. The ideal candidate will also hold a BCBA certification to support our growing markets and ensure high-quality, evidence-based behavioral health care.

Why Join Us?

  • 100% remote flexibility

  • Meaningful work impacting care for youths with Autism

  • Be part of a collaborative, supportive team committed to clinical excellence

Position Purpose:
Authorize, direct and monitor care for behavioral health and/or substance abuse problems according to clinical information given by providers and internal criteria for medical necessity and appropriateness of care

  • Conduct peer reviews with psychologists, behavioral health therapists and/or Board Certified Behavior Analysts for outpatient services and/or psychological testing requests

  • Interact with network practitioners to provide education on best practice models and utilization management processes

  • Interact with the Medical Director, or designee, to discuss clinical authorization questions and concerns regarding specific cases

  • Respond to state, provider, and member complaints related to psychological testing or other services requiring review by a PhD/PsyD

  • Facilitate outpatient rounds offering clinical input and oversight related to outpatient services

  • Performs other duties as assigned.

  • Complies with all policies and standards.

Education/Experience: PhD Clinical Psychology, Counseling, Behavior Analysis, or related field required
: 2+ years Behavioral Health required
Working knowledge of psychological tests and testing procedures, diagnostic evaluations and evidence-based practices. required
For ABA Reviewers only, working knowledge of psychological tests and testing procedures, diagnostic evaluations and evidence-based practices designed for individuals with Autism Spectrum Disorder. required
Licenses/Certifications: PSY - Psychologist Unrestricted License (PhD or PsyD) Upon Hire required
Board Certified Behavior Analyst (BCBA) BCBA-D Upon Hire preferred:

Pay Range: $87,700.00 - $157,800.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.


Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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