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Utilization Management Bcba Remote Jobs in Worcester, MA

RPh on the Go

Pharmacist in Leominster, MA

Leominster, MA · On-site +1

$55 - $65/hr

A remote Pharmacist opportunity is available on a temp-to-hire basis, offering the chance to contribute your expertise in utilization management within a dynamic healthcare environment. This role is ...

New

RPh on the Go

Pharmacist in Worcester, MA

Worcester, MA · Remote

$55 - $65/hr

A remote Pharmacist opportunity is available for a dedicated professional seeking a 6-month ... Apply Medicare requirements and utilization management criteria to authorization decisions

New

RPh on the Go

Pharmacist in Framingham, MA

Framingham, MA · Remote

$55 - $65/hr

Prior utilization management and prior authorization experience is a significant advantage This is a demanding yet rewarding role for pharmacists seeking to apply their expertise in a remote, fast ...

New

NetApp

Managed Services - Presales Architect

Waltham, MA · Remote

Analyze infrastructure, capacity, utilization, and operational data to support solution design and ... Knowledge of security, remote management, access controls, governance, and compliance requirements ...

New

Danaher

Senior Production Planner

Waltham, MA

$90K - $150K/yr

... utilization to achieve service, inventory, and operational goals. * Proactively manage and adjust production plans within Oracle to respond to changing business conditions, minimizing risk to ...

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Utilization Management Bcba Remote information

See Worcester, MA salary details

$47.4K

$88.9K

$148.7K

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

As of Aug 29, 2026, the average yearly pay for utilization management bcba remote in Worcester, MA is $88,881.00, according to ZipRecruiter salary data. Most workers in this role earn between $73,800.00 and $90,300.00 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 are the most commonly searched types of Utilization Management Bcba jobs in Worcester, MA?

The most popular types of Utilization Management Bcba jobs in Worcester, MA are:

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For Utilization Management Bcba Remote jobs in Worcester, MA, the most frequently searched job titles are:

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The top searched job categories for Utilization Management Bcba Remote jobs in Worcester, MA are:

What cities near Worcester, MA are hiring for Utilization Management Bcba Remote jobs?

Cities near Worcester, MA with the most Utilization Management Bcba Remote job openings:

Utilization Management Bcba Remote jobs near you
Infographic showing various Utilization Management Bcba Remote job openings in Worcester, MA as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $88,881 per year, or $42.7 per hour.

Pharmacist - Waltham, Massachusetts

Waltham, MA • Remote

RPh on the Go
Recruiting and Staffing Services • 201 - 500 employees
Learn more about RPh on the Goexternal

$55 - $65/hr

Contractor

Medical

This job post has expired today. Applications are no longer accepted.

Job description

A remote Pharmacist opportunity is available with a leading healthcare provider, offering a contract-to-hire position. This role requires a dedicated professional with strong clinical judgment and experience in utilization management, focusing on Part B drug and biologic prior authorization requests and appeals.

Location: Remote (open to licensed pharmacists from any state)
Schedule: Monday–Friday, 12:00 PM–8:30 PM EST
Weekend & Holiday Rotation: Mandatory (no days off except emergencies from 01/01/27 to 03/31/27)
Contract Duration: 10/01/26 to 03/31/27 (6 months)

Key Responsibilities:

  • Review and evaluate Part B drug and biologic prior authorization requests and appeals according to clinical policies and Medicare requirements.
  • Apply utilization management criteria to ensure appropriate authorization decisions.
  • Provide support to internal clinical and non-clinical teams regarding Part B drug policies and workflows.
  • Identify and recommend improvements for review quality, accuracy, and operational efficiency.
  • Adapt to a fast-paced environment with changing workflows, processes, and business needs.
  • Consistently maintain high quality and productivity while managing shifting priorities and workload volumes.

Required Qualifications:

  • PharmD degree and an active pharmacist license in at least one state.
  • Minimum of 2 years of utilization management experience, managed care residency, or applicable specialty pharmacy background.
  • Strong clinical judgment with the ability to independently assess complex Part B drug requests.
  • Familiarity with Part B drug prior authorization and appeals processes.
  • Prior utilization management and prior authorization experience strongly preferred.

This position offers the opportunity to contribute to impactful clinical decisions within a remote setting. If you meet these qualifications and are ready for a challenging role that values clinical expertise, apply today to take the next step in your pharmacy career.

Compensation for this position ranges from $55.00 to $65.00. Eligible candidates may also receive healthcare benefits, housing, and meals/incidentals. Full details of our healthcare benefits plan can be found here. This posting is open for 60 days after the posting date.

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About RPh on the Go

Sourced by ZipRecruiter

At RPh on the Go, we’re all about pharmacists. As a company started by pharmacists for pharmacists, we understand the extraordinary responsibilities you take on every day, the tremendous demands placed on you and your colleagues, and the rewards that come with working in one of the country’s most highly respected professions.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Chicago, IL, US

Year founded

1980

Social media

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