Behavioral Health UM Analyst - Hybrid
Oakland-Community-Health-Network
Oakland Community Health Network seeks an experienced Utilization Management Clinical Analyst to conduct prospective reviews of behavioral health services, applying clinical expertise and evidence-based criteria. The role ensures medical necessity, appropriate level of care, and timely decisions in collaboration with providers and internal teams. Responsibilities include retrospective reviews, policy development, and ongoing quality improvement to support person-centered care and regulatory #J-18808-Ljbffr Oakland-Community-Health-Network
- Oakland Community Health Network conducts utilization management for behavioral health services, applying clinical criteria and Michigan guidelines to determine medical necessity and appropriate level of care. You will collaborate with providers and internal teams to ensure...Suggested
- Oakland Community Health Network is seeking an experienced Utilization Review Analyst in Troy, MI, to conduct prospective, concurrent, and retrospective reviews for behavioral health services. The role emphasizes medical necessity determinations, authorizations, and cross...Suggested
- ...Opened 02/13/2026Job Type Full timeIndustry Health CareWork Experience 1 year +City... ...care through empirically validated Applied Behavior Analysis (ABA) principles, ensuring that... ...For: - Required: Board Certified Behavior Analyst (BCBA) certification OR a Master's degree...SuggestedFull timeFlexible hours
- Board Certified Behavioral Analyst (BCBA)/Qualified Behavioral Health Practitioner (QBHP) - Pontiac, MI Kona Medical Consulting is seeking a Qualified Behavioral Health Practitioner (QBHP) under the Hispanic Autism Services of Michigan. The role is located in a center‑based...SuggestedFull timePart timeRelocation packageFlexible hours
- ...Utilization Review Analyst Utilization Review Analyst conducts prospective, concurrent... ...and appropriate transitions across the behavioral health continuum while maintaining accurate... ...occur outside of standard office hours. Hybrid (onsite/remote) work schedule available...SuggestedWork at officeRemote work
- ...have expanded our available programs to include community-based behavioral treatment services using a consultation-based model through our... ...or adults who engage in challenging behavior that pose health and safety risk (e.g., aggression, self-injury) or has the potential...Full timePart timeWork from homeAfternoon shift
$56.17k - $70.21k
...Summary The Utilization Management Clinical Analyst conducts prospective reviews of... ...necessity and clinical appropriateness of behavioral health services in accordance with Level of Care... ...primarily in an office environment. Hybrid (onsite/remote) work schedule available...Full timeWork at officeRemote work- ...Job Description Job Description Kona Medical Consulting is currently looking for a Qualified Behavioral Health Practitioner (QBHP) which will be under the Hispanic Autism Services of Michigan in Pontiac, Michigan. This is a center-based ABA Therapy Facility (No in-...Full timePart timeWork from homeRelocation packageFlexible hours
- ...BCBA PositionAs a BCBA, you will assess client needs, develop and oversee behavior intervention plans, and lead the clinical direction for ABA services provided in home-based settings. You will also support and mentor Behavioral Technicians while fostering strong, collaborative...Work from home
- Senior Analyst, Global Cost and Inventory Description Lead and maintain the global standard... ...review process, analyzing inventory health and proactively identifying risk areas.... ...impact/support needed. This role requires a hybrid office schedule with a minimum of 3 days...Full timePart timeWork at officeShift work3 days per week
- Pathward, National Association seeks a Surveillance Analyst to examine customer and transaction data, identify suspicious activity, and... ...communication and the ability to juggle multiple workstreams. Hybrid/remote-office environment with comprehensive benefits offered....Work at officeRemote work
- Jacobs is seeking an Electric Transmission Junior Siting Analyst to support siting, routing, and permitting for transmission projects.... ...planning or GIS, with a willingness to travel. The company emphasizes hybrid work and client collaboration across disciplines. #J-18808-...
- MOTOR Information Systems in Troy, MI seeks an analyst to develop estimated work times using MOTOR methodology for medium- and heavy‑duty... ...ensure published labor content meets quality standards. This hybrid role is in-office three days per week and remote the other two;...Remote jobWork at office3 days per week
- Social Pediatric Therapy in West Bloomfield, MI seeks a Board Certified Behavior Analyst (BCBA) to provide clinical oversight, perform assessments, and develop evidence-based ABA treatment plans for children with autism and developmental disabilities. The role includes...
- ...provider in Southfield, Michigan, is seeking a Board Certified Behavior Analyst (BCBA) to join their team. The BCBA will be responsible for... ...flexible work schedule, along with several benefits including health insurance and paid time off. #J-18808-Ljbffr KDcare Community...Flexible hours
- ...arts and culture, education, environment, health, human services and community development... ...POSITION About the position The Program Analyst is responsible for planning, analysis, and... ...31, 2022 This position currently has a hybrid schedule with remote work from home up to...For contractorsWork at officeRemote workWork from homeNight shift3 days per week
- ...how you can make your mark as a Benefits Analyst at MMA. Our not-so-secret sauce. Award-winning... ...) provides business insurance, employee health & benefits, retirement, and private... ...and professional development opportunities Hybrid work Charitable contribution match programs...Local areaNight shift
$55k - $70k
...role important at Ipsos? As a Research Analyst, you will get a chance to work with some... ...data about society, markets, brands, and behaviors to provide our clients with the insights... ...place to work! About The Team The Brand Health Tracking Service Line helps clients...Work experience placementFlexible hours- Marsh McLennan Agency is seeking a Benefits Analyst to join the Employee Health & Benefits team. You will obtain and analyze group benefit program proposals... ...finance or math, plus 3-5 years in healthcare benefits. Hybrid work options are available. #J-18808-Ljbffr Marsh...
$100k - $130k
...paced environment.Ambition and potential to grow into broader business leadership and strategy roles within Henkel.This position is a hybrid role, with the requirement to work out of our Madison Heights, MI location 40% of your time.Some benefits of joining HenkelHealth...Minimum wageLocal areaFlexible hours- ...At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes...Full time
$71.66k - $81.66k
...Behavioral AnalystThe Behavioral Analyst is responsible for the assessment, development, implementation, and monitoring of individualized behavioral support... ...include medical, dental, and vision insurance options, health savings account, healthcare and dependent care flex...Temporary work- ...Reporting to the Manager, Payment Variance and Resolution, the RI Analyst, Payment Variance and Resolution is responsible for maintenance... ...: Corporate Services Department: Revenue Integrity Shift: Day Job Union Code: Not Applicable #J-18808-Ljbffr Henry Ford HealthFull timeContract workWork at officeShift work
- DRiV is seeking a Senior Internal Audit Analyst to support internal audit, controls, and SOX 404 activities in a hybrid role based in Illinois. You will help develop, coordinate, and report control documentation, testing evidence, and remediation tracking while partnering...
- A community health organization in Michigan is looking for an Analyst to provide clinical oversight and advocacy for individuals in need of higher levels of care. Responsibilities include conducting reviews and ensuring compliance with regulations. The ideal candidate will...All shifts
- ...requires strong analytical skills, attention to detail, and the ability to manage multiple priorities while maintaining accuracy. Hybrid work arrangement includes 3 days/week in-office at St. Petersburg, FL or Southfield, MI corporate offices. #J-18808-Ljbffr Raymond...Work at office3 days per week
- Overview This analyst works within the UM/UR and Crisis Departments. This person is responsible for providing... ...’ experience working in the human health and service field. Preferred... ...medically necessary criteria for acute care behavioral health treatment Knowledge of the...Work at officeAll shifts
- The Kresge Foundation is seeking a Program Analyst to plan, analyze, and implement initiatives across Programs, with potential cross-links to Social Investments Practice and Learning & Evaluation. This two-year appointment may be extended based on performance and Foundation...
- ...Advisors' Resource Solutions Group is seeking a Sr. Financial Analyst with healthcare finance experience and strong Excel and data analysis... ...business insights for non-financial leaders. The role is a hybrid position with 2-3 days onsite. A Bachelor's degree in...
- ...Title: - Analyst/Developer - Specialty 3 Location: - Austin, TX / Warren, MI (Hybrid) Duration: - 11 Months of contract (W2) Description: Design and Development: participate in the design, development, testing, and deployment of SAP solutions, including...Contract workTemporary work
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