BCBA - Remote

Job Summary and Responsibilities 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. Location: Remote. Job Responsibilities Reviews and interprets patient records and compares them against criteria to determine medical necessity and appropriateness of care; determines if the medical record documentation supports the need for service. Assures accuracy and timeliness of all applicable cases within contract requirements. 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 those related to HIPAA and its Privacy and Security Rules. Required Qualifications/Experience Active, unrestricted Licensed Behavior Analyst (LBA) OR willing to apply for and obtain an LBA license in Indiana within the first 90 days of employment. Certified by the Behavior Analyst Certification Board (BACB) as a BCBA, in accordance with contract requirements. Master's degree in Applied Behavior Analysis, Psychology, Education, or a business‐related field. 3+ years of recent clinical experience in the behavior‐analysis field. 1+ year of experience in Utilization Management, Utilization Review or Prior Authorization. Proficiency in medical‐necessity review. Ability to work independently in a remote environment and adapt to a demanding workload. Proficient in Microsoft Office Suite and collaboration tools such as Microsoft Teams. They include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. 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. #