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Behavior Analysis Utilization Management Clinical Consultant (LBA/BCBA) at CVS Health - ApplyBlast

Behavior Analysis Utilization Management Clinical Consultant (LBA/BCBA)

CVS Health

22 days ago

3.2 on Glassdoor

Remote

Full Time

Medior

0 applicants

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About this role

This fully remote role for Florida residents involves reviewing clinical documentation and treatment plans to determine medical necessity and coverage for behavioral health services. The position requires applying evidence-based guidelines to support quality outcomes and effective resource utilization while collaborating with providers and care teams. The ideal candidate will leverage their clinical expertise to enhance treatment effectiveness and ensure appropriate benefit utilization.

Responsibilities

Review treatment plans and clinical documentation for behavioral analysis services
Apply evidence-based guidelines to determine medical necessity and coverage recommendations
Collaborate with providers and care teams to facilitate optimal treatment outcomes

Skills

Qualifications

Licensed Behavior Analyst (LBA)Board Certified Behavior Analyst (BCBA)Master's Degree in Behavior Analysis, Psychology, Education, or a related field

About CVS Health

cvshealth.com

Headquarters

Woonsocket, Rhode Island, United States

Company Size

10001+ employees

Founded

1963

View Profile

CVS Health is America's leading health solutions company, providing integrated services across retail pharmacy (CVS Pharmacy), pharmacy benefits management (CVS Caremark), and health insurance (Aetna). The company offers pharmacy services, health plans, clinical care (including MinuteClinic), and health-and-wellness programs for consumers, employers, and government payers. By combining a large national retail footprint with claims processing, care management, and clinical services, CVS Health aims to coordinate care, lower costs, and improve health outcomes. Businesses and consumers use its solutions for medication management, plan administration, and in-person and virtual care.