ZipRecruiter

Log In

2

Remote Bcba Utilization Review Jobs in Raleigh, NC

Self Help

Network Administrator

Durham, NC · Remote

... Remote services/monitoring, Backup maintenance, EndPoint Hardware/Software, Wireless infrastructures, Vendor management. HeavySecurity emphasis. Collect/review network utilization reports: Debug ...

Fortive

Account Manager - Raleigh

Raleigh, NC · On-site +1

Drive market share through existing customer utilization assessments and contending for new ... Routinely update sales actions plans and forecasts for Territory Quarterly Reviews and Business ...

HireNetworks

Hardware Engineering Manager

Morrisville, NC · On-site +1

$140K/yr

In this role, you will provide critical technical oversight to your team (5-8 members), reviewing ... No visa sponsorship, subcontracting, or fully remote arrangements are available. Responsibilities ...

Huntington

Commercial Portfolio Mgr III

Raleigh, NC · On-site +1

Conduct portfolio reviews with senior management and analyze existing portfolio to identify trends ... Understanding and utilization of credit skills for credit decision making, monitoring, and managing ...

Canals

Customer Success Manager

Raleigh, NC · Remote

Facilitate regular business reviews to demonstrate ROI and align on future goals. * Contribute to ... Demonstrated success driving product adoption, utilization and training end users. * Proven ...

ABB

Utility Inside Sales Support Specialist

Cary, NC · Remote

While this is a remote position, candidates should be located in eastern or central time zones. You ... Must have knowledge and skill in utilization of computer databases; empower experience preferred

next page

Showing results 1-20

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 Jun 16, 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 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 Remote BCBA Utilization Review jobs?

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 specialist, and why are they important?

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 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 June 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $86,588 per year, or $41.6 per hour.
Pharmacist - Real-World Evidence & Health Policy Consulting

Pharmacist - Real-World Evidence & Health Policy Consulting

RTI International

Durham, NC • On-site, Remote

$55 - $66/hr

Full-time

Medical, Dental, Life, Retirement, PTO

Posted 13 days ago

Job description

Why RTI
RTI International is an independent, scientific research institute dedicated to improving the human condition. Our vision is to address the world's most critical problems with technical and science-based solutions in pursuit of a better future. Clients rely on us to answer questions that demand an objective and multidisciplinary approach-one that integrates expertise across social, statistical, data, and laboratory sciences, engineering, and other technical disciplines to solve the world's most challenging problems.
We believe in the promise of science and technical solutions, and we push ourselves every day to deliver on that promise for the good of people, communities, and businesses in the US and around the world. If you are looking for the opportunity to make a real difference, RTI is the place for you.
About the Hiring Group
RTI International is seeking a clinically trained pharmacist with strong research experience in synthesizing clinical trial and real-world evidence (RWE) to support federal and state health policy initiatives, value-based care design, and pharmaceutical policy consulting.
The successful candidate will contribute to the design, execution, and communication of evidence-based insights derived from existing literature, claims, EHR, registry, and other healthcare data sources. This role also involves interpretating analytic results and translating complex data into actionable recommendations for policymakers. A specialization in oncology is desirable but not required.
This position may be based in RTI's U.S. office in Research Triangle Park, NC, or may be considered for fully remote work from an approved location within the United States. Teleworking is permitted within the United States only and is subject to RTI approval; not all U.S. locations may be eligible.
What You'll Do
  • Synthesize evidence on drug comparative effectiveness, adverse effects, safety, patient adherence and preferences, unmet need, and therapeutic advances from existing literature, including randomized controlled trials, systematic reviews and network meta-analyses, FDA labels and clinical practice guidelines.
  • Help design, conduct, and interpret studies to understand drug utilization patterns overall and in subpopulations, using claims and other data sources. Identify clinically relevant outcomes, endpoints, and surrogate markers, and specify appropriate subgroups relevant to clinical practice guidelines.
  • Provide clinical expertise on drug formulations, dosing logic, drug characteristics, therapeutic alternatives to new and existing indications, and contribute clinical coding expertise, including identifying off-label use.
  • Serve as a subject-matter expert on drug pharmacology, classification systems, drug compendia, and use of publicly available and commercial drug databases.
  • Conduct and report on interviews of clinical experts (physicians) to understand current real-world treatment patterns and considerations in the use of select drugs.
  • Support development of value frameworks, formulary recommendations, and coverage policies (tier placement and utilization management) for public and private payers.
  • Collaborate with multidisciplinary research teams including health economists, physicians, biostatisticians, policy analysts, programmers, and clients.
  • Translate findings into policy-relevant deliverables, such as reports, briefs, presentations, and publications.

What You'll Need
Minimum Qualifications:
  • Doctor of Pharmacy (PharmD) or equivalent clinical pharmacy degree with at least six years of relevant experience.
  • At least three years of experience in healthcare consulting, health services research, managed care, and/or life sciences RWE generation.
  • Demonstrated experience designing or interpreting observational studies (e.g., cohort studies, cost analyses, comparative effectiveness, systematic evidence reviews, clinical drug evaluations) and experience conducting outcomes research or evidence synthesis.
  • Working knowledge of pharmacy claims, data, formulary design, quality measures (e.g., PQA patient safety measures, medication adherence, STAR ratings), and clinical practice guidelines.
  • Strong written and verbal communication skills, with experience translating clinical data for diverse stakeholders.
  • Proficiency collaborating in interdisciplinary teams and managing multiple priorities in a fast-paced environment.
  • Proficiency with Microsoft Office 365 Suite (Word, Excel, PowerPoint, etc.).
  • To qualify, applicants must be legally authorized to work in the United States and should not require, now or in the future, sponsorship for employment visa status (e.g., H-1B visa status, etc.).

Preferred Qualifications:
  • Advanced degree in health economics, public health, epidemiology, or health policy.
  • Knowledge of CMS programs (e.g., Medicare Part D, Innovation Center models), Medicaid pharmacy policy, 340B drug pricing program, and commercial payer practices and pricing.
  • Experience working with Medicare or Medicaid claims data, or other large health care datasets.
  • Familiarity with statistical programming (e.g., SAS, R, Python) or experience overseeing data analysts and programmers.

EEO & Pay Equity Statements
For San Francisco, CA USA Job Postings Only: Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Further information is available here.
RTI accepts applications to our job openings from candidates with criminal histories or conviction records in accordance with all applicable laws, including the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
For Applicants in Massachusetts Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
The anticipated pay range for this role is listed below. Our pay ranges represent national averages and may vary by location as a geographic differential may be applied to some locations within the United States. RTI considers multiple factors when making an offer including, for example: established salary range, internal budget, business needs, and education and years of work experience possessed by the applicant. Further, salary is merely one element to our offer.
At RTI, we demonstrate our commitment to rewarding individual and team achievement through a total rewards package. This package includes (among other things) a competitive base salary, a generous paid time off policy, merit based annual increases, bonus opportunities and a robust recognition program. Other benefits include a competitive range of insurance plans (including health, dental, life, and short-term and long-term disability), access to a retirement savings program such as a 401(k) plan, paid parental leave for all parents, financial assistance with adoption expenses or infertility treatments, financial reimbursement for education and developmental opportunities, an employee assistance program, and numerous other offerings to support a healthy work-life balance.
Hiring Salary Range
$145,000 - $179,000

Apply