We are offering a salary between $85K and $90k
Board Certified Behavior Analyst (BCBA) Utilization Specialist Responsibilities and Duties
- We are seeking an experienced Board Certified Behavior Analyst (BCBA) with a strong attention to detail and a commitment to clinical excellence to join our team as a Quality Assurance BCBA – Treatment Plan Reviewer. In this role, you will be responsible for reviewing and ensuring the quality, accuracy, and compliance of treatment plans before submission to funding sources. Your work will directly support our clinical team in delivering high-quality, ethical, and effective ABA services.
- Key Responsibilities
- Review and Audit Treatment Plans: Conduct thorough reviews of treatment plans to ensure they meet insurance and regulatory standards, align with medical necessity, and reflect best practices in ABA therapy.
- Ensure Compliance: Verify that all treatment plans meet ethical, legal, and insurance requirements, following guidelines set by BACB, funding sources, and state regulations.
- Provide Feedback & Support: Offer constructive feedback to BCBAs on treatment plan content, goal selection, justification, and documentation to improve clarity and effectiveness.
- Monitor Data Integrity: Ensure treatment goals and progress reports are data-driven, objective, and accurately reflect the client’s progress.
- Assist in Standardization: Support the development and implementation of standardized templates, checklists, and guidelines for treatment planning.
- Collaborate with Clinical Teams: Work closely with BCBAs, RBTs, and administrative staff to improve treatment planning and ensure consistency across all client programs.
- Stay Current with Best Practices: Keep up to date with industry changes, insurance requirements, and evidence-based interventions to enhance treatment planning standards.
Job Requirements:
- Board Certified Behavior Analyst (BCBA) certification (required).
- Minimum of 2 years of BCBA experience, preferably with treatment plan writing and insurance submissions.
- Strong understanding of medical necessity criteria and insurance guidelines for ABA therapy.
- Excellent writing, editing, and analytical skills with a keen eye for detail.
- Ability to provide constructive feedback and mentor fellow BCBAs in treatment planning.
- Proficiency in ABA data collection and Central Reach.
- Ability to work independently while collaborating with a team.
Our benefits include:
- Company Sponsored Health, Dental, vision, and Life insurance!
- Paid Maternity leave
- 401K dollar for dollar match
- Flexible schedule, PTO, and paid holidays
- Free CEUs
- Client materials reimbursement
- Utilization bonus potential per pay period (realistic opportunities - uncapped)
- Referral bonus
Schedule
- Monday to Friday
- Weekends as needed
Travel requirement:
- Up to 25% travel
License/Certification:
- BCBA (Required)
Ability to commute/relocate:
- Reliably commute or planning to relocate before starting work (Required)
