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Utilization Management Bcba Remote Jobs in Mount Prospect, IL

Koenig & Bauer US, Inc

Service Manager

Chicago, IL · Remote

$100K - $125K/yr

This role is responsible for overseeing field service operations, technician utilization, work ... Department Operations & Resource Management * Work Order Execution: Oversee the end-to-end service ...

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Utilization Management Bcba Remote information

See Mount Prospect, IL salary details

$47.2K

$88.5K

$148K

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

As of Sep 7, 2026, the average yearly pay for utilization management bcba remote in Mount Prospect, IL is $88,495.00, according to ZipRecruiter salary data. Most workers in this role earn between $73,500.00 and $89,900.00 per year, depending on experience, location, and employer.

What is a utilization management BCBA 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.

What does a utilization management BCBA remote do?

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 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 job categories do people searching Utilization Management Bcba Remote jobs in Mount Prospect, IL look for?

The top searched job categories for Utilization Management Bcba Remote jobs in Mount Prospect, IL are:

What cities near Mount Prospect, IL are hiring for Utilization Management Bcba Remote jobs?

Cities near Mount Prospect, IL with the most Utilization Management Bcba Remote job openings:

Utilization Management Bcba Remote jobs near you

Manager, Partner Interoperability (Remote)

Quest Diagnostics

Schaumburg, IL • On-site, Remote

$100K - $130K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 1 hour ago

ExamOne rating

6.6

Company rating: 6.6 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

94th of 121 rated laboratories

Job description


The Manager, Partner Interoperability owns partner relationships between Quest and our external interoperability vendors such as (EHR/EMR) vendors, LIS vendors, and Health Information Exchanges (HIEs). Our VAMs work with our partners to influence, define, and execute strategies enabling better integrations and client experiences that accelerate adoption, increase quality, enhance value, manage cost, creating opportunity for client, partner, and Quest growth.
This position is 100% Remote.
*Salary offers are based on a wide range of factors including relevant skills, location, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive annual performance bonus compensation.
Pay Range: $100,250 - $130,000 / year
Benefits Information:
We are proud to offer best-in-class benefits and programs to support employees and their families in living healthy, happy lives. Our pay and benefit plans have been designed to promote employee health in all respects - physical, financial, and developmental. Depending on whether it is a part-time or full-time position, some of the benefits offered may include:
  • Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours
  • Best-in-class well-being programs
  • Annual, no-cost health assessment program Blueprint for Wellness®
  • healthyMINDS mental health program
  • Vacation and Health/Flex Time
  • 6 Holidays plus 1 "MyDay" off
  • FinFit financial coaching and services
  • 401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of service
  • Employee stock purchase plan
  • Life and disability insurance, plus buy-up option
  • Flexible Spending Accounts
  • Annual incentive plans
  • Matching gifts program
  • Education assistance through MyQuest for Education
  • Career advancement opportunities
  • and so much more!

Responsibilities
  • Create strategic plan for the interoperability vendor they manage to increase quality, improve customer experience, manage utilization and increase revenues and profits; and help establish strategic alignment across managed vendors.
  • Create and prioritize per-vendor specialized requirements for external Interoperability Vendor teams (e.g. eClinicalWorks) to address evolving Quest Diagnostics and industry business requirements.
  • Influence external interoperability vendors to develop and implement solutions to improve Quest business operations (e.g. Failed Orders, Advanced Beneficiary Notice)
  • Facilitate communication with vendors to enhance/adopt functionality that enables mutual growth and better integration experiences
  • Work closely with the business and vendors to identify opportunities to optimize operating costs and apply new technologies that support the business strategy
  • Facilitate onboarding new Interoperability Vendor onboarding, from initial contact through agreements and contracts, operational and security assessment, to certification of minimum required functionality.
  • Support periodic re-assessment of Interoperability Vendor agreements and overall operational, security, and functional capabilities.
  • Participate in internal forums and meet with internal partners to exchange information, ideas, issues, and concerns regarding managed interoperability vendors
  • Provide business metrics for the interoperability vendor, identify gaps, and engage vendor teams to ensure business objectives are met (e.g. Vendor Fact Sheets, % of Advanced Beneficiary Notice Failure rate)
  • Collaborate with commercial team (e.g. Connectivity Account Managers) to ensure proper technical and integration information on our external interoperability vendor is being communicated to our customers
  • Escalation point for EHR Implementations within their vendor portfolio; and general escalation point for all EHRs both integrated and prospective for Quest.
  • Provide appropriate support for escalated vendor driven issues, and/or delegate to appropriate team members.
  • Present interface capabilities and limitations to current and prospective vendors as needed including onsite visits
  • Present on overal interoperability Vendor Posture to Quest Technology management

Qualifications
  • 7+ years of Healthcare Experience
  • 3+ years of Healthcare Interoperability Experience
  • Bachelor's degree in healthcare, Business, or Information Systems or equivalent job experiences.
  • Travel up to 10%

Work requires handling light and simple weight material and equipment. Visual activity requires the ability to tolerate prolonged periods of close computer screens. Work requires speed, accuracy and adeptness to operate in system application. Fast-paced work environment. After hours, weekend and holiday work will occasionally be required as determined by the Application Mgr to support software/hardware patches, upgrades, downtimes and potential disasters.
About the Team
Quest Diagnostics honors our service members and encourages veterans to apply.
While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume.
Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.

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