Mariposa County, California; Merced County, California; Monterey County, California; San Benito County, California; Santa Cruz County, California; Teleworker in California
We have an opportunity to join the Alliance as a Clinical Analyst - BCBA in the Utilization Management - Behavioral Health (BCBA) Department.
There are 6 positions available.
WHAT YOU'LL BE RESPONSIBLE FOR
Reporting to the Utilization Management Manager - Behavioral Health (BCBA), this position:
- Ensures effective delivery of behavioral health services to Alliance members.
- Collaborates with healthcare providers, internal teams, caregivers, and members in the review and evaluation of treatment plans.
THE IDEAL CANDIDATE
We are seeking a BCBA who holds a master's degree in applied behavior analysis or similar field of study and has an active certification in good standing to join our team. As a Clinical Analyst, you will have worked extensively in the field of ABA with expert knowledge of treatment plan review and clinical necessity. This role is ideal for individuals who are ready to pivot (in terms of environment from in the field to working remotely) to utilize your knowledge and expertise to ensure quality and ethical behavioral health services are delivered to our members.
WHAT YOU'LL NEED TO BE SUCCESSFUL
- Knowledge of:
- Behavioral Health Therapy (BHT) and Applied Behavior Analysis (ABA) best practices.
- DHCS and NCQA regulations related to behavioral health and ABA services.
- The principles and practices of clinical review and documentation, including BHT authorization and documentation requirements.
- Behavior Analyst Certification Board ethical guidelines.
- Electronic Health Records (EHR) systems.
- Research, analysis, and reporting methods.
- Ability to:
- Analyze, interpret, and apply legal, regulatory, and contractual language, policies, procedures and guidelines, and legislative and regulatory directives.
- Conduct clinical reviews of behavioral health treatment plans, ensure alignment with clinical guidelines and regulatory requirements, assess the medical necessity and appropriateness of services, and make recommendations for modifications, as needed.
- Take thorough and accurate case notes and maintain organized and accurate records.
- Perform data entry into database and EHR systems.
- Collaborate effectively with diverse stakeholders.
- Education and Experience:
- Possession and continued maintenance of current and unrestricted certification as a Board Certified Behavior Analyst (BCBA) issued by the Behavior Analyst Certification Board (BACB).
- Master’s degree in Behavior Analysis or other field of study that has met the requirements for BCBA certification by the BACB.
- Two years of experience in a clinical or behavioral health setting, with a focus on performing ABA therapy and behavioral health treatment plan reviews; or an equivalent combination of education and experience may be qualifying.
OTHER INFORMATION
- We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams.
- While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
- In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
OUR BENEFITS
- Medical, Dental and Vision Plans.
- Ample Paid Time Off.
- 12 Paid Holidays per year.
- 401(a) Retirement Plan.
- 457 Deferred Compensation Plan.
- Robust Health and Wellness Program.
- Onsite EV Charging Stations.
ABOUT US
We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.
Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties.
The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer.
At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.
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