- Humana (Tallahassee, FL)
- … Analyst (BCBA) Must meet **all** of the following: + Minimum 2 years of Applied Behavioral Analysis clinical experience + Excellent verbal and written ... 1 or more year of managed care experience + 5 years' experience with Applied Behavioral Analysis + Knowledge of community health and social service agencies… more
- Elevance Health (Richmond, VA)
- …the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed ... Please note: The successful candidate will hold an independent behavioral health state licensure, such as a LCSW or... healthcare in a cost-effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to… more
- Beth Israel Lahey Health (Burlington, MA)
- …making a difference in people's lives.** Manages the Utilization Management ( UM ) team, maintaining effective and efficient processes for determining appropriate ... regulatory and reimbursement requirements of various commercial and government payers. Manages UM department in the context of other Revenue Cycle functions such as… more