Board Certified Behavior Analyst-Doctoral (BCBA-D) PRN (Remote U.S., Arkansas preferred)

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-Doctoral (BCBA-D) - PRN (Remote U.S., Arkansas preferred) to join our growing team.

Job Summary:

• The purpose of this position is to evaluate medical records for Applied Behavior Analysis (ABA) services, ensuring alignment with clinical criteria and contractual requirements to determine medical appropriateness. The Board-Certified Behavior Analyst - Doctoral (BCBA-D) applies advanced clinical expertise, critical thinking, and decision-making skills to assess requests for behavioral review.

  This role involves conducting various types of utilization reviews based on workload demands, ensuring accuracy, timeliness, and compliance with applicable standards and policies.

Responsibilities:

• Analyze patient medical records, diagnoses, and treatment plans to determine the medical necessity of requested ABA services.
• Conduct second-level reviews, including reconsiderations and peer-to-peer discussions with requesting providers.
• Apply established clinical guidelines and payer policies to support utilization management decisions.
• Communicate determinations clearly and professionally to providers, internal teams, and other stakeholders.
• Maintain strict confidentiality of medical records in compliance with HIPAA and organizational policies.
• Use appropriate telephone and written communication etiquette in all interactions.
• Foster and maintain positive, professional relationships with internal and external customers.
• Stay current with clinical practices, utilization review processes, and regulatory requirements.
• Participate in training, audits, and quality improvement initiatives as needed.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

The list of responsibilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.

Required Qualifications/Experience:

• Current, active, unrestricted Board Certified Behavior Analyst-Doctoral (BCBA-D) certification from the Behavior Analyst Certification Board (BACB), per contract requirements.
• Master's degree in Behavior Analysis.
• 3+ years of recent clinical experience in the behavior analysis field.
• Strong clinical assessment and critical thinking skills.
• Medical record abstracting skills.
• Reside in the United States.

Preferred Qualifications/Experience:

• Reside in Arkansas.
• 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.
• Knowledge of the organization of medical records, medical terminology, and disease process.
• Must be proficient with computers and MS Office products, including Microsoft Teams.

#LI-SD1

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 - PRN

This position includes access to select Acentra Health benefits and programs, such as participation in the Acentra Health 401(k) Plan with company match, access to wellness and employee discount programs, and Employee Assistance Program (EAP) resources.

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."