... engagement/utilization of our products and services. This role is key to ensuring client ... The CSM role has primary responsibility in the day-to-day management of client needs and ...
New
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... engagement/utilization of our products and services. This role is key to ensuring client ... The CSM role has primary responsibility in the day-to-day management of client needs and ...
New
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... engagement/utilization of our products and services. This role is key to ensuring client ... The CSM role has primary responsibility in the day-to-day management of client needs and ...
New
... engagement/utilization of our products and services. This role is key to ensuring client ... The CSM role has primary responsibility in the day-to-day management of client needs and ...
... engagement/utilization of our products and services. This role is key to ensuring client ... The CSM role has primary responsibility in the day-to-day management of client needs and ...
As a Customer Impact Manager, you will help child welfare organizations successfully implement and ... You will drive utilization, support organizational change, and ensure customers achieve measurable ...
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As a Customer Impact Manager, you will help child welfare organizations successfully implement and ... You will drive utilization, support organizational change, and ensure customers achieve measurable ...
Chicago, IL · Remote
$130K - $180K/yr
... Utilization Management, Provider Management, CFO, SIU) * Have a deep Health Plan knowledge * Have ... Can manage multiple opportunities simultaneously #LI-MG1 #LI-REMOTE The range listed is for base ...
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Chicago, IL · Remote
$130K - $180K/yr
... Utilization Management, Provider Management, CFO, SIU) * Have a deep Health Plan knowledge * Have ... Can manage multiple opportunities simultaneously #LI-MG1 #LI-REMOTE The range listed is for base ...
Chicago, IL · Remote
$18.50 - $38.82/hr
The CMA plays a key role in promoting effective utilization of healthcare services, supporting ... Initiate referrals to Case Management, Disease Management, LTSS, and other specialty programs as ...
Chicago, IL · Remote
$18.50 - $38.82/hr
The CMA plays a key role in promoting effective utilization of healthcare services, supporting ... Initiate referrals to Case Management, Disease Management, LTSS, and other specialty programs as ...
Aurora, IL · Remote
$18.50 - $38.82/hr
The CMA plays a key role in promoting effective utilization of healthcare services, supporting ... Initiate referrals to Case Management, Disease Management, LTSS, and other specialty programs as ...
Aurora, IL · Remote
$18.50 - $38.82/hr
The CMA plays a key role in promoting effective utilization of healthcare services, supporting ... Initiate referrals to Case Management, Disease Management, LTSS, and other specialty programs as ...
Wheeling, IL · Remote
$55 - $70/hr
Active Board Certified Behavior Analyst (BCBA) certification in good standing with the BACB ... This is a remote position.
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Wheeling, IL · Remote
$55 - $70/hr
Active Board Certified Behavior Analyst (BCBA) certification in good standing with the BACB ... This is a remote position.
Chicago, IL · Remote
$85K - $100K/yr
Review current programs, evaluate claims and utilization data * Take proposals to market to help ... Ensure a smooth transition through the onboarding process to the account management team * Stay in ...
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Chicago, IL · Remote
$85K - $100K/yr
Review current programs, evaluate claims and utilization data * Take proposals to market to help ... Ensure a smooth transition through the onboarding process to the account management team * Stay in ...
Chicago, IL · Remote
$99K - $128K/yr
... utilization. The NAM is expected to interact routinely and collaboratively with multiple ... payer account management * Experience navigating complex accounts is critical for success.
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Chicago, IL · Remote
$99K - $128K/yr
... utilization. The NAM is expected to interact routinely and collaboratively with multiple ... payer account management * Experience navigating complex accounts is critical for success.
Chicago, IL · On-site +1
$99K - $128K/yr
... utilization. The NAM is expected to interact routinely and collaboratively with multiple ... payer account management * Experience navigating complex accounts is critical for success.
Chicago, IL · On-site +1
$99K - $128K/yr
... utilization. The NAM is expected to interact routinely and collaboratively with multiple ... payer account management * Experience navigating complex accounts is critical for success.
Chicago, IL · Remote
$99K - $128K/yr
... utilization. The NAM is expected to interact routinely and collaboratively with multiple ... payer account management * Experience navigating complex accounts is critical for success.
Chicago, IL · Remote
$99K - $128K/yr
... utilization. The NAM is expected to interact routinely and collaboratively with multiple ... payer account management * Experience navigating complex accounts is critical for success.
Own department operational performance, including utilization, backlog management, staffing ... Remote Office (US99)
Own department operational performance, including utilization, backlog management, staffing ... Remote Office (US99)
Own department operational performance, including utilization, backlog management, staffing ... Remote Office (US99)
Own department operational performance, including utilization, backlog management, staffing ... Remote Office (US99)
Chicago, IL · Remote
$99K - $128K/yr
... utilization. The NAM is expected to interact routinely and collaboratively with multiple ... payer account management * Experience navigating complex accounts is critical for success.
Chicago, IL · Remote
$99K - $128K/yr
... utilization. The NAM is expected to interact routinely and collaboratively with multiple ... payer account management * Experience navigating complex accounts is critical for success.
Chicago, IL · Remote
$16/hr
Expertise in managing long sales cycles while delivering exceptional client service.Meticulous ... Utilization of the highest level of technology for remote work.A connected, not isolated, team ...
Chicago, IL · Remote
$16/hr
Expertise in managing long sales cycles while delivering exceptional client service.Meticulous ... Utilization of the highest level of technology for remote work.A connected, not isolated, team ...
Chicago, IL · On-site +1
$114K - $149K/yr
We are also open to the role being remote from TX or surrounding states. What it Means to Work for ... Monitor resources and their utilization, serving as the primary point of contact for local ...
Chicago, IL · On-site +1
$114K - $149K/yr
We are also open to the role being remote from TX or surrounding states. What it Means to Work for ... Monitor resources and their utilization, serving as the primary point of contact for local ...
Chicago, IL · On-site +1
$114K - $149K/yr
We are also open to the role being remote from TX or surrounding states. What it Means to Work for ... Monitor resources and their utilization, serving as the primary point of contact for local ...
Chicago, IL · On-site +1
$114K - $149K/yr
We are also open to the role being remote from TX or surrounding states. What it Means to Work for ... Monitor resources and their utilization, serving as the primary point of contact for local ...
... Managers to drive product adoption, utilization, and customer success across assigned accounts ... remote position Powered by JazzHR J9cZq3I6xc
New
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... Managers to drive product adoption, utilization, and customer success across assigned accounts ... remote position Powered by JazzHR J9cZq3I6xc
New
Deerfield, IL · Remote
$73K - $100K/yr
If applicable the OH & Safety Manager will educate and set expectations and needs prior to absence ... appropriate utilization of benefits. Incorporates knowledge of applicable state and federal ...
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Deerfield, IL · Remote
$73K - $100K/yr
If applicable the OH & Safety Manager will educate and set expectations and needs prior to absence ... appropriate utilization of benefits. Incorporates knowledge of applicable state and federal ...
Chicago, IL · On-site +1
$16/hr
Support Employee Engagement Manager when needed. • Handle sales calls and convert them into ... • Utilization of the highest level of technology for remote work. • A connected, not isolated ...
Chicago, IL · On-site +1
$16/hr
Support Employee Engagement Manager when needed. • Handle sales calls and convert them into ... • Utilization of the highest level of technology for remote work. • A connected, not isolated ...
$47.2K - $56.4K
1% of jobs
$56.4K - $65.5K
5% of jobs
$72.5K is the 25th percentile. Wages below this are outliers.
$65.5K - $74.7K
24% of jobs
The median wage is $79.7K / yr.
$74.7K - $83.9K
35% of jobs
$88.4K is the 75th percentile. Wages above this are outliers.
$83.9K - $93K
18% of jobs
$93K - $102.2K
5% of jobs
$102.2K - $111.4K
1% of jobs
$111.4K - $120.5K
1% of jobs
$120.5K - $129.7K
3% of jobs
$129.7K - $138.9K
3% of jobs
$138.9K - $148K
2% of jobs
$47.2K
$88.5K
$148K
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 top searched job categories for Utilization Management Bcba Remote jobs in Mount Prospect, IL are:
Cities near Mount Prospect, IL with the most Utilization Management Bcba Remote job openings:
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 3 days ago
New
RethinkCare – Senior Client Success Manager (CSM)
RethinkCare is the first and only human- and web-based program to provide effective & affordable clinical best practice tools to support multiple populations within the neurodiversity community: employees caring for children/teens with learning and behavioral needs, neurodivergent employees, and the managers and organizations that support them. Developed by internationally recognized clinicians and leaders, Rethink empowers employees to pursue individualized skill-building and support both online and through 1:1 consultations, thus, reducing stress, creating a nurturing environment, and increasing productivity at work.
Job Summary
The Senior Client Success Manager (CSM) role provides support to the Client Success Team (CST) by working with a portfolio of strategic clients and fellow team members to ensure overall client satisfaction, support, and engagement/utilization of our products and services. This role is key to ensuring client satisfaction and retention of Rethink’s book of larger clients / business. The CSM role has primary responsibility in the day-to-day management of client needs and expectations, partnership with peers within the CS Team, interdepartmental collaboration and facilitates the overall positive value Rethink’s products and services provide to our clients.
Essential Roles and Responsibilities:
Customer Engagement:
Builds and maintains relationships with key HR decision makers and business leaders at the customer's organization to establish alignment on mutual goals and trust in future interactions.
Puts forward strategies and recommendations around driving engagement for members on behalf of the client. Understands / recommends communication strategies to drive utilization of our tools in the unique/custom needs of the clients’ goals, culture, resources and needs.
Actively monitors and proactively identifies trends in customer / member utilization of our tools and services. Acts as subject matter expert on how to interpret trends and analyses. Put together action plans to act on these trends.
Account Management:
Responds to complex inquiries, solves non-routine problems using independent discretion, and ensures client satisfaction with the service provided by Rethink
Address and Promote status and/or resolution of issues to clients, benefit consultants, and other vendor partners in a thoughtful, professional, and articulate manner.
Facilitates with product, operations, consulting BCBA (Board Certified Behavior Analyst), and other internal areas for resolution of client inquiries and issues. Sets strategies to address future needs as necessary.
Collaborates with third-party vendors and partners on behalf of the client to gather or communicate information and /or resolve issues.
Facilitates and leads in standard client processes such as, monthly meetings, quarterly or annual strategy sessions, contract renewals, communication strategies and requests. Is a strategic partner to the client in helping to promote and drive utilization of our tools and services.
Clearly communicate with Rethink leadership on client status, suggestions on how to increase engagement, value prop enhancement strategies and opportunities for improved client satisfaction.
Industry Knowledge:
Proactively builds and maintains knowledge of healthcare landscape, solutions, and business priorities.
Understands ongoing and new potential threats the customers face.
Assists and/or works to understand the customers' business strategy and the direction of the industry.
Strong understanding of mental wellbeing market, needs, and challenges.
Professional Skills and Experience:
Bachelor’s degree or equivalent experience required
Minimum of 8 years of experience interfacing directly with clients, including HR departments, brokers, consultants, third party vendors, and C-suite individuals
Ability to prioritize workload capacity and function independently with limited supervision and as a team member within the Client Success Team
Ability to manage complex situations to appropriate resolution
Strong customer service and communication skills
Knowledge of Microsoft Office Suite, Salesforce, Gainsight and other client support systems is preferred
Ability to analyze and process data and present it back to clients, showing impact of the program
Benefits:
Location: Remote opportunities are available to candidates who reside in the following states: AL, AZ, CT, FL, GA, HI, IA, IL, IN, KY, LA, MD, MA, MI, MN, MO, MT, NC, NE, NH, NJ, NV, OH, OK, OR, PA, RI, TN, TX, VA, WA, WI, WY
Our commitment to an inclusive workplace
RethinkFirst is an equal opportunity employer and is committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because that is what drives curiosity, innovation, and the success of our business. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws. Accommodations are available for applicants with disabilities.
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Recruiting Fraud Alert: Job applicants should be aware that there are external parties posing as RethinkFirst recruiters. These scams may include fraudulent communications via social media platforms (such as LinkedIn), email, or requests to schedule interviews. Note that any recruiting related communication you receive from RethinkFirst would come from an @rethinkfirst.com e-mail address, @applytojob.com email address (via our talent acquisition system), ‘careers@rethinkfirst.com’ email address, and/or be found on the Rethinkfirst.com website. Please also note that at no point during our recruitment process will we request any form of monetary payment. If you believe that you have been a victim of job recruiting fraud, you should file a report with your local law enforcement.
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Software development
201 - 500 Employees
New York, NY, US
2007