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Utilization Management Bcba Remote Jobs (NOW HIRING)

BK Behavior

BCBA - Georgia | Remote

Brooklyn, NY · On-site +1

$93/hr

Dedicated BCBA Success Manager for ongoing clinical and professional support Please note: This position is currently remote. If Georgia regulations require additional in-person services in the future ...

BK Behavior

BCBA Opportunity - Remote/Hybrid

Brooklyn, NY · On-site +1

$93/hr

Dedicated BCBA Success Manager for ongoing clinical and professional support Please note: This position is currently remote. If Georgia regulations require additional in-person services in the future ...

BK Behavior

Remote/Hybrid BCBA Opportunity

Brooklyn, NY · On-site +1

$93/hr

Dedicated BCBA Success Manager for ongoing clinical and professional support Please note: This position is currently remote. If Georgia regulations require additional in-person services in the future ...

BK Behavior

BCBA | Sponsored CEUs | Remote

Brooklyn, NY · On-site +1

$93/hr

Dedicated BCBA Success Manager for ongoing clinical and professional support Please note: This position is currently remote. If Georgia regulations require additional in-person services in the future ...

BK Behavior

BCBA | Georgia - Remote In-state

Brooklyn, NY · On-site +1

$93/hr

Dedicated BCBA Success Manager for ongoing clinical and professional support Please note: This position is currently remote. If Georgia regulations require additional in-person services in the future ...

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

As of Jul 20, 2026, the average yearly pay for utilization management bcba remote in the United States is $89,075.00, according to ZipRecruiter salary data. Most workers in this role earn between $74,000.00 and $90,500.00 per year, depending on experience, location, and employer.

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.

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Utilization Management Bcba Remote jobs near you
Utilization Management Coordinator

Utilization Management Coordinator

System One

Baltimore, MD • Remote

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 12 days ago

Job description

UTILIZATION MANAGEMENT COORDINATOR

Location: Remote — client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected extension possible) Schedule: 40 hours/week — must include a weekend day Pay (W2): USD 24.70/H

JOB OVERVIEW

In this role, you’ll support Utilization Management (UM) clinical teams by handling non-clinical administrative work tied to pre-service authorization, utilization review support, care coordination workflows, and quality-of-care processes. You’ll help manage authorization intake, documentation, and provider/member support—while working in a fast-paced environment where schedule flexibility (including weekends) is required.

WHAT YOU’LL DO

  • Provide member/provider administrative support such as benefit verification, authorization creation/management, claims inquiries, and case documentation.

  • Review incoming authorization requests for initial determination and/or triage items for clinical review and resolution.

  • Support day-to-day coordination for the department, including answering/responding to phone calls, taking messages, and responding to basic inquiries.

  • Research information and assist with issue resolution and operational problem-solving.

  • Assist with reporting, data tracking, and organizing/disseminating information (including Continuity of Care processes and tracking Peer-to-Peer reviews).

REQUIRED QUALIFICATIONS

  • High School Diploma (or equivalent)

  • 3+ years of experience in healthcare claims/service areas and/or healthcare office/administrative support

  • Ability to work effectively within a multidisciplinary team (internal and external partners)

  • Strong communication, organization, and customer service skills

  • Strong attention to detail with sound judgment and decision-making

  • Comfortable with web-based tools and Microsoft Office (Word, Excel, PowerPoint)

NICE TO HAVE

  • Knowledge of CPT and ICD-10 coding / medical terminology used in managed care

  • Experience in a managed care environment (health plan / UM support)

  • Phone-heavy/customer support experience

  • Experience with Medicaid/Medicare (government programs)

  • Exposure to tools such as Facets, Guiding Care, and/or NICE CXone

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M-M2 #LI-

Ref: #851-Rockville-S1