Remote Medical Coder
Jacksonville, FL · On-site +1
$75/hr
Remote Medical Coder Assess and validate AI-generated content related to healthcare operations ... management, utilization management, patient access, compliance, or related healthcare ...
Jacksonville, FL · On-site +1
$75/hr
Remote Medical Coder Assess and validate AI-generated content related to healthcare operations ... management, utilization management, patient access, compliance, or related healthcare ...
Jacksonville, FL · On-site +1
$75/hr
Remote Medical Coder Assess and validate AI-generated content related to healthcare operations ... management, utilization management, patient access, compliance, or related healthcare ...
In collaboration with Utilization Management leadership, develop and maintain effective working relationships with contracted providers involved in remote utilization review and physician advisory ...
In collaboration with Utilization Management leadership, develop and maintain effective working relationships with contracted providers involved in remote utilization review and physician advisory ...
In collaboration with Utilization Management leadership, develop and maintain effective working relationships with contracted providers involved in remote utilization review and physician advisory ...
In collaboration with Utilization Management leadership, develop and maintain effective working relationships with contracted providers involved in remote utilization review and physician advisory ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no minimum ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no minimum ...
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Tampa, FL · Remote
$81K/yr
Strong knowledge of utilization management and appeals processes. * Working knowledge of NCQA ... Remote employees must adhere to all technical support procedures and protocols. * Chronic ...
Tampa, FL · Remote
$81K/yr
Strong knowledge of utilization management and appeals processes. * Working knowledge of NCQA ... Remote employees must adhere to all technical support procedures and protocols. * Chronic ...
Tampa, FL · Remote
$81K/yr
Strong knowledge of utilization management and appeals processes. * Working knowledge of NCQA ... Remote employees must adhere to all technical support procedures and protocols. * Chronic ...
Tampa, FL · Remote
$81K/yr
Strong knowledge of utilization management and appeals processes. * Working knowledge of NCQA ... Remote employees must adhere to all technical support procedures and protocols. * Chronic ...
Fort Lauderdale, FL · Remote
$75K - $95K/yr
Bilingual BCBA -- Recruiting & Clinical Leadership (Remote) House of Hearts ABA | Full-Time, ... Write, post, and manage job listings across Indeed, LinkedIn, ZipRecruiter, and other relevant ...
Quick apply
Fort Lauderdale, FL · Remote
$75K - $95K/yr
Bilingual BCBA -- Recruiting & Clinical Leadership (Remote) House of Hearts ABA | Full-Time, ... Write, post, and manage job listings across Indeed, LinkedIn, ZipRecruiter, and other relevant ...
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
Miami, FL · On-site +1
$204K - $292K/yr
The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in ... Remote
A Utilization Management BCBA (Board Certified Behavior Analyst) Remote job involves reviewing treatment plans, ensuring the appropriate use of applied behavior analysis (ABA) services, and making recommendations based on medical necessity and insurance guidelines. This role typically requires assessing clinical documentation, collaborating with providers, and supporting authorization decisions. Since it is remote, communication is conducted via phone, email, or virtual meetings. The goal is to ensure quality care while managing costs effectively.
A typical day for a remote Utilization Management BCBA involves reviewing and evaluating treatment plans, making medical necessity determinations, and documenting decisions in compliance with health plan guidelines. You will regularly communicate with healthcare providers, clinicians, and insurance representatives via email or video conferencing to clarify details or request additional information. Collaboration with a team of fellow BCBAs and utilization management staff is common, and you may participate in case discussions or staff meetings online. This role often includes working independently, managing multiple cases at once, and ensuring all documentation meets regulatory and quality standards.
Success as a Utilization Management BCBA (Board Certified Behavior Analyst) Remote requires active BCBA certification, experience in behavior analysis, and strong knowledge of insurance and healthcare utilization review processes. Familiarity with electronic medical record (EMR) systems, claims management software, and telehealth platforms is typically necessary. Exceptional attention to detail, problem-solving abilities, and strong written communication skills help candidates excel in remote collaboration and case review. These skills are critical for accurately assessing treatment plans, ensuring compliance, and supporting quality care delivery across remote settings.
The most popular types of Utilization Management Bcba jobs in Florida are:
For Utilization Management Bcba Remote jobs in Florida, the most frequently searched job titles are:
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Cities in Florida with the most Utilization Management Bcba Remote job openings:

$75/hr
Contractor
Medical, Dental, Vision, Life, Retirement, PTO
Posted 10 days ago
Sourced by ZipRecruiter
At Aston Carter, we're dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions - from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless. Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients' capabilities by seeking solvers and delivering solutions to address today's workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.
Recruiting and staffing services
1,001 - 5,000 Employees
Hanover, MA, US