Remote ABA Clinical Program Lead

Istss; Eden Prairie (MN); Remote; USD 73,000 - 130,000; Full time

Job summary

UnitedHealth Group is seeking an ABA Practice Management Specialist to develop relationships with ABA providers, monitor clinical effectiveness, and ensure contractual compliance. The role collaborates with Care Advocacy Operations and Network Management to optimize ABA treatment outcomes for members.

The position is remote nationwide, with a Monday–Friday schedule and responsibilities spanning audits, data analysis, and performance improvements to support high-quality care.

Qualifications

• Licensed Master’s level clinician in Psychology, Social Work, Counseling, or Marriage/Family Counseling.
• Licenses must be independent, active and unrestricted.
• Board certification as a Behavior Analyst and state licensure (when required).
• 3+ years of Managed Care and/or Utilization Review experience.
• 3+ years of experience with CPT/HCPCS codes.
• Intermediate level of proficiency with MS Office.

Responsibilities

• Engage with senior leaders at ABA facilities/providers.
• Initiate interventions to enhance clinical outcomes and ensure billing/practice patterns.
• Support high-performing ABA providers to maintain performance standards.
• Identify outliers through analysis of clinical outcomes and utilization/claims data.
• Conduct audits of ABA programs and provide feedback on results.
• Measure improvements in program performance over time.
• Adjust interventions to optimize outcomes.
• Implement and monitor Performance Improvement Plans (PIPs).
• Support ABA onsite team with data analysis and report writing.
• Collaborate with Care Advocacy, Affordability, Clinical Network Services and other departments.

Skills

MS Office

CPT/HCPCS codes

Education

Master's degree in Psychology/Social Work/Counseling or Marriage/Family Counseling

PhD in Psychology

Job description

UnitedHealth Group is seeking an ABA Practice Management Specialist to develop relationships with ABA providers, monitor clinical effectiveness, and ensure contractual compliance. The role collaborates with Care Advocacy Operations and Network Management to optimize ABA treatment outcomes for members.

The position is remote nationwide, with a Monday–Friday schedule and responsibilities spanning audits, data analysis, and performance improvements to support high-quality care.