ABA Utilization Review Specialist (BCBA)

Ampcus Inc; Baltimore (MD); On-site; USD 90,000 - 120,000; Full time

Job summary

Ampcus Inc. is seeking an Utilization Review Specialist (BCBA licensed) in Baltimore, MD to lead utilization management for ABA services. The role evaluates treatment plans, supervision models, and service intensity to determine medical necessity and authorization.

Responsibilities include clinical analysis, collaboration with medical directors and payer teams, and guiding stakeholders on documentation standards and authorization processes.

Qualifications

• Master’s degree or higher in Behavior Analysis, Psychology, Education, or a related field.
• BCBA certification and active licensure as applicable.
• 3–5 years of clinical ABA experience, including supervision of ABA programs.

Responsibilities

• Clinical Review & Authorization Determination: assess ABA treatment requests for medical necessity and coverage.
• Collaborate with stakeholders to determine appropriate benefit application.
• Provide guidance on ABA best practices, documentation standards, and authorization requirements.

Skills

Clinical analysis

Collaboration

Care coordination

Research

Education

Master’s Degree or higher in Behavior Analysis, Psychology, Education, or a related field

Job description

Ampcus Inc. is seeking an Utilization Review Specialist (BCBA licensed) in Baltimore, MD to lead utilization management for ABA services. The role evaluates treatment plans, supervision models, and service intensity to determine medical necessity and authorization.

Responsibilities include clinical analysis, collaboration with medical directors and payer teams, and guiding stakeholders on documentation standards and authorization processes.