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Utilization Management Bcba Remote Jobs in Indiana

Rethink

Product Manager, RethinkBH

Indianapolis, IN · On-site +1

Job Summary The Product Management function at RethinkBH focuses on delivering meaningful, user ... Monitor adoption, utilization, and outcomes; iterate using experimentation (A/B testing, rapid ...

ASC Engineered Solutions

Hanger Specialist

Zionsville, IN · On-site +1

$85K - $110K/yr

Indianapolis, IN (Remote) Compensation: $85,000 - $110,000 / year Description ASC is looking for a ... Work closely with project managers, engineers, distributor partners and our manufacturing team ...

Danaher

Business Insights Analyst

Indianapolis, IN · On-site +1

... utilization to identify growth levers and manage performance. Maintain strong governance over ... We recognize the benefits of flexible, remote working arrangements for eligible roles and are ...

Maxor National Pharmacy Services

This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ... Managing pricing appeals, coordinating with Maxor Specialty, and compiling data for automated ...

New

Maxor National Pharmacy Services

This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ... Managing pricing appeals, coordinating with Maxor Specialty, and compiling data for automated ...

New

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Utilization Management Bcba Remote information

What are the key skills and qualifications needed to thrive in the Utilization Management Bcba Remote position, and why are they important?

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.

What is a Utilization Management BCBA Remote job?

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.

What does a typical workday look like for a Utilization Management BCBA working remotely?

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.

What are the most commonly searched types of Utilization Management Bcba jobs in Indiana? The most popular types of Utilization Management Bcba jobs in Indiana are:
What are popular job titles related to Utilization Management Bcba Remote jobs in Indiana? For Utilization Management Bcba Remote jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Utilization Management Bcba Remote jobs in Indiana look for? The top searched job categories for Utilization Management Bcba Remote jobs in Indiana are:
Utilization Management Bcba Remote jobs near you
Physician / Cardiology / Indiana / Permanent / Associate Medical Director - Cardiology - 100% Remote

Physician / Cardiology / Indiana / Permanent / Associate Medical Director - Cardiology - 100% Remote

eviCore healthcare

Indianapolis, IN • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago

Job description

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.
Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.
Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.
Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.
Participates in strategic planning for and evaluation of the Care Management
The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Cardiology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).
Must have a minimum of 5 years clinical experience, beyond residency/fellowship
Knowledge of applicable state and federal laws, URAC and NCQA standards a plus, and familiarity with automated processes and computer applications and systems is required
No nights, no weekends, not call.
Predictable work schedule
Full and part time opportunities
Salaried position with benefits
Supportive organization with collaborative culture
eviCore healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. eviCore offers a variety of perks and benefits including, but not limited to:
Flexible scheduling and work/life balance with remote and work from home opportunities
4 weeks of PTO(starting) per year plus paid holidays
One week of CME
Education assistance, tuition reimbursement and professional certifications
Health, dental, vision, and life benefits with employer funded HSA
Paid Volunteer Community Service Days
Ample opportunities for growth, advancement, and promotion
401k retirement plan with company match of 50% employee contributions up to 6%
eviCore is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation

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