Clinical Reviewer / Applied Behavior Analysis (ABA) Consultant
Istss, Albuquerque, NM, United States
Overview
Why Comagine Health?
Comagine Health is a national, mission-driven nonprofit organization dedicated to improving health care quality and advancing better outcomes for communities across the United States. For more than 50 years, we have partnered with providers, health systems, and government agencies to support evidence-based care, quality improvement, and better health outcomes. Our remote workforce collaborates across the country to deliver meaningful work that improves lives and strengthens health care systems.
Applied Behavior Analysis (ABA) Consultant Alabama | PRN / On-Call
We are seeking an experienced
Applied Behavior Analysis (ABA) Consultant
to support a
Medicaid Prior Authorization (PA) program
reviewing ABA therapy services.
In this role, the consultant will apply expertise in
ABA treatment models, Medicaid policy, medical necessity criteria, and nationally recognized ABA practice standards
when evaluating authorization requests. The consultant will review PA requests, ensure consistent application of Medicaid policy, and support appropriate service delivery.
Responsibilities
Support a Medicaid Prior Authorization (PA) program reviewing ABA therapy services.
Evaluate authorization requests using ABA treatment models, Medicaid policy, medical necessity criteria, and nationally recognized ABA practice standards.
Review PA requests to ensure consistent application of Medicaid policy and to support appropriate service delivery.
Requirements
Must reside in
Alabama
BCBA
certification in good standing with the Behavior Analyst Certification Board (BACB)
Master's degree
in Applied Behavior Analysis, Psychology, Psychiatry, or related field
Active Alabama license as a
Licensed Psychologist or Licensed Psychiatrist
Experience with
ABA treatment review, Medicaid policy, or utilization management
preferred
Equal Opportunity Employer.
PI283684360
#J-18808-Ljbffr
Why Comagine Health?
Comagine Health is a national, mission-driven nonprofit organization dedicated to improving health care quality and advancing better outcomes for communities across the United States. For more than 50 years, we have partnered with providers, health systems, and government agencies to support evidence-based care, quality improvement, and better health outcomes. Our remote workforce collaborates across the country to deliver meaningful work that improves lives and strengthens health care systems.
Applied Behavior Analysis (ABA) Consultant Alabama | PRN / On-Call
We are seeking an experienced
Applied Behavior Analysis (ABA) Consultant
to support a
Medicaid Prior Authorization (PA) program
reviewing ABA therapy services.
In this role, the consultant will apply expertise in
ABA treatment models, Medicaid policy, medical necessity criteria, and nationally recognized ABA practice standards
when evaluating authorization requests. The consultant will review PA requests, ensure consistent application of Medicaid policy, and support appropriate service delivery.
Responsibilities
Support a Medicaid Prior Authorization (PA) program reviewing ABA therapy services.
Evaluate authorization requests using ABA treatment models, Medicaid policy, medical necessity criteria, and nationally recognized ABA practice standards.
Review PA requests to ensure consistent application of Medicaid policy and to support appropriate service delivery.
Requirements
Must reside in
Alabama
BCBA
certification in good standing with the Behavior Analyst Certification Board (BACB)
Master's degree
in Applied Behavior Analysis, Psychology, Psychiatry, or related field
Active Alabama license as a
Licensed Psychologist or Licensed Psychiatrist
Experience with
ABA treatment review, Medicaid policy, or utilization management
preferred
Equal Opportunity Employer.
PI283684360
#J-18808-Ljbffr