ABA Utilization Review Clinician (BCBA/LBA)

Molina Healthcare; Florida; On-site; USD 36,000 - 71,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare in Florida is seeking a qualified Behavior Health Analyst to support ABA services, ensuring medical necessity and alignment with clinical guidelines. The role focuses on integrated care delivery, quality outcomes, and cost-effective member care.

Responsibilities include reviewing requests, approving prior authorizations for BHT services, and collaborating with care management to optimize member access to treatments. Requires BCBA or LBA and 2+ years of relevant experience.

Qualifications

• 2+ years of health care experience, including behavioral analysis work.
• BCBA or LBA license active in state of practice.
• Strong knowledge of community resources and guidelines.

Responsibilities

• Review ABA service requests for medical necessity and compliance with guidelines.
• Approve prior authorizations for BHT treatments following guidelines.
• Coordinate with care management and provider relations to ensure timely access to BHT services.
• Provide peer-to-peer consultation to in-network providers.

Skills

Communication

Detail-oriented

Time management

Proactive work style

Independence

Education

BCBA

LBA

Tools

Microsoft Office

Job description

Molina Healthcare in Florida is seeking a qualified Behavior Health Analyst to support ABA services, ensuring medical necessity and alignment with clinical guidelines. The role focuses on integrated care delivery, quality outcomes, and cost-effective member care.

Responsibilities include reviewing requests, approving prior authorizations for BHT services, and collaborating with care management to optimize member access to treatments. Requires BCBA or LBA and 2+ years of relevant experience.