Utilization Review Clinician - ABA

💼 Full-time🗓 2026-10-02

Core

Reviews medical appropriateness and clinical effectiveness of Applied Behavioral Analysis (ABA) services for members with behavioral health and autism spectrum disorder needs.

Role type

Utilization Review Clinician (ABA)

Builds

Prior authorization decisions and care utilization data analysis

Domain

Behavioral Health / Autism Spectrum Disorder / Healthcare Utilization

Required skills

ABA treatment plan review, BH utilization review process, regulatory guideline compliance, data analysis, provider interaction, process improvement

Preferred skills

Experience working with healthcare teams, process development

Technologies

ABA regulatory guidelines, BH utilization review systems

Responsibilities

Evaluate member care and health status before, during, and after ABA services; Perform prior authorization reviews; Analyze BH member data; Interact with healthcare providers; Provide education to members and families; Provide feedback on process improvements

Seniority

Mid-level, hands-on IC

Sourced via workday · Listed on CareerPlan, which tracks 928,000+ jobs from 20+ sources.

About centene

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.