Applied Behavior Analyst

Pay: $61.00-$75.00 per hour
Hours: Monday-Friday 8 am-5 pm
Location: Remote in California

Position Purpose: This position will work under the direction of the Applied Behavioral Analysis Supervisor to implement processes to ensure effective delivery of the Behavior Health Therapy (BHT) benefit.

This position will achieve quality and productivity standards and ensure compliance with department policies and procedures. The Applied Behavior Analysis Analyst, Behavioral Health is responsible for the daily operation of Behavioral Health Treatment (BHT) services program, including Applied Behavior Analysis (ABA), under the Early and Periodic Screening Diagnostic and Treatment (EPSDT) program.

Principal responsibilities include:

• Maintains clinical expertise and knowledge of best practices for all relevant clinical areas of BHT/ABA and behavioral health including statutory and regulatory requirements.
• Reviews initial FBA/ABA assessments and treatment plans submitted by ABA providers for adherence to BHT/ABA best practice guidelines and medical necessity criteria.
• Reviews Diagnostic Evaluations/assessments submitted by licensed psychologist to confirm recommendations for ABA.BHT services.
• In collaboration with BH team/Project team, develops training protocols and workflows for the day-to-day operations of ABA Navigators.
• Works closely with licensed and unlicensed staff to co-manage the care of complex cases and telephone contact with members, caretakers, healthcare professionals and others involved in the member’s care, when needed.
• In coordination with Director of QA, support the Plan’s efforts to achieve NCQA accreditation and to maintain all statutory and regulatory requirements on key measures pertaining to BHT/ABA and behavioral health including the review of the policies and practices of delegated entities.
• Works to clarify issues regarding a member status, needs, and goals
• Reviews activities including progress and barriers towards goals, resolves conflicts or strategizes solutions and adjusts current service plans as needed
• Develops and prepares reports to meet internal, regulatory, contractual and accreditation requirements.
• Recommends strategies to enhance existing networks performance as identified.
• Develops clinical guidelines, policies, and procedures for the provision of BHT/ABA and behavioral health care services.
• In collaboration with the QI Department and Behavioral Health QI Navigator; monitors compliance with federal, state and county contracts and/or Memorandum of Understanding (MOUs), and other requirements set forth by regulatory agencies or funding sources specific to BHT/ABA and behavioral health care services.
• Acts as a liaison to community based and governmental providers that serve members.
• Coordinates and consults with the Plan’s contracted subject matter experts: including Licensed neuropsychologists, BCBA’s, neurologists, speech therapists or others as directed by the Senior Director of Behavioral Health and Behavioral Health Manager to facilitate individual treatment plans and utilization management for members receiving BHT/ABA and/or behavioral health services.
• Adheres to administration of behavioral health care services including identification and development of clinical practice guidelines and associated trainings.
• Confers with internal BH team/leadership as needed to address patterns of utilization and assure that ABA treatment is at an acceptable level of quality.
• In conjunction with compliance, reviews and analyzes reports and policies provided by delegated vendors and participates in on-site audits as requested.

Requirements:

Board Certified Behavioral Analyst (BCBA) or BCBA-D is required

3+ years of experience providing BHT/ABA therapy to children diagnosed with ASD is required

Familiarity with HMO, IPA, and medical group contracting concepts, principles, and practices

#INDAH

Pay: $61.00 - $75.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Vision insurance

Experience:

• BHT/ABA: 3 years (Required)

License/Certification:

• BCBA OR BCBA-D (Required)

Location:

• California (Required)

Work Location: Remote