Board Certified Behavioral Analyst, Mid - Part-time (Remote U.S.)

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra Health is looking for a Board Certified Behavior Analyst (BCBA) - Clinical Reviewer - Part-time (Remote U.S.) to join our growing team.

Job Summary:

• The purpose of this position is to utilize clinical expertise, critical thinking and decision-making skills to review medical records against appropriate criteria in conjunction with contract requirements to determine medical appropriateness of Autism Spectrum Disorder Services, while maintaining production goals and QA standards.

Responsibilities:

• Reviews and interprets patient records and compares against criteria to determine medical necessity and appropriateness of care; determines if the medical record documentation supports the need for service.
• Determines approval or initiates doctoral level consultant; processes consultant decision ensuring any denial reason is described in sufficient detail on outgoing correspondence.
• Performs ongoing assessment of review process to offer opportunities for improvement and/or change.
• Assures accuracy and timeliness of all applicable cases within contract requirements.
• Assesses, evaluates, and addresses daily workload and queues; adjusts work schedules daily to meet the workload demands of the department.
• Fosters positive and professional relationships with internal and external customers.
• Responsible for attending training and scheduled meetings and for maintenance and use of current/updated clinical practice or policy information for appropriate case reviews.
• Utilizes proper telephone etiquette and judicious use of other verbal and written communications, following Acentra Health's policies, procedures and guidelines.
• Actively cross trains to perform duties of other contracts to provide a flexible workforce to meet client/customer needs.
• Always maintains medical record confidentiality through proper use of computer passwords, maintenance of secured files, and adherence to HIPAA policies.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

This list is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.

** Work Schedule: 20 hours / week for a minimum of four hours per day, Monday through Friday. **

Required Qualifications/Experience:

• Board Certified Behavior Analyst (BCBA) certification per contract requirements.
• Master's degree from an APBA accredited program or an ABAI-accredited or recognized behavior analysis Master's degree program (ABAI Tier 1, 2a, or 2b).
• 3+ years of recent clinical experience in the behavior analysis field.
• Strong clinical assessment and critical thinking skills.
• Medical record abstracting skills.

Preferred Qualifications/Experience:

• Experience with State Medicaid program(s).
• 1+ years Utilization Management/Utilization Review/Prior Authorization.
• Ability to work independently in a remote position with ability to adjust to demanding workload.
• Strong organizational skills.
• Requires excellent written and verbal communication skills.
• Must be proficient with computers and MS Office products, including Microsoft Teams.

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Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives nationwide. Our company cares about our employees, giving you the tools and encouragement, you need to achieve the finest work of your career.

Thank You!

We know your time is valuable, and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may interest you. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at Acentra Health

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. The benefits for this position include prorated Paid Time Off, participation in our 401(k) Plan, and EAP benefits.

Additionally, regular part-time employees are eligible for education assistance, with a maximum benefit per year. This program provides support for tuition and other expenses related to the pursuit of a degree, as well as Continuing Education Unit (CEU) and Continuing Medical Education (CME) courses that are job-related.

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Compensation

The pay range for this position is listed below.

"Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."