Board Certified Behavior Analyst; Remote Alabama)

Company Overview

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra Health is looking for a Behavioral Certified Behavior Analyst-AL to join our growing team.

The purpose of this position is to conduct administrative and process-based reviews of medical records related to Applied Behavior Analysis (ABA) services. The BCBA Clinical Reviewer evaluates documentation against established criteria and contractual requirements to determine medical appropriateness. This role does not involve direct clinical judgment regarding patient care or therapeutic decisions. Instead, the focus is on ensuring compliance, accuracy, and completeness of ABA documentation in accordance with applicable guidelines.

Supplier shall furnish with their response to this RFP a resume/curriculum vitae (CV) for proposed at minimum one (1) Applied Behavior Analysis (ABA) Consultant with extensive knowledge of ABA treatment models, Medicaid ABA policy, medical necessity criteria, and nationally recognized ABA practice standards to support the Prior Authorization (PA) program. The ABA Consultant shall maintain day-to-day responsibilities for review obligations under this Contract and shall receive policy direction from the Agency’s Program Manager.

The ABA Consultant must be located within the State of Alabama, maintain an active and unrestricted professional license or certification applicable to ABA service delivery (Board Certified Behavior Analyst (BCBA), and remain in good standing with the appropriate certifying/licensing board. The ABA Consultant must be available to perform contract duties during Agency business hours of 9:00 a.m.

- 4:00 p.m. Central Time and may not hold a concurrent employment or contractual relationship with any Medicaid-enrolled ABA provider while performing work under this Contract.

• Candidate must reside in Alabama and hold an active professional license in the state***

• Conduct prospective, concurrent, and retrospective reviews of Behavioral Health services, with a focus on Applied Behavior Analysis (ABA).
• Evaluate age-appropriate testing, evaluation, and assessment tools to determine the appropriateness of ABA therapy.
• Ensure accuracy and timeliness of all review types in accordance with contract requirements.
• Monitor and manage daily workload and review queues, adjusting schedules as needed to meet departmental demands.
• Collaborate with the Supervisor on quality monitoring activities, identifying areas for improvement and supporting implementation efforts.
• Maintain current knowledge of review processes, clinical practices, and relevant guidelines.
• Serve as the first-line reviewer for ABA prior authorization requests, based on workload needs.
• Act as a liaison and resource for providers, addressing client/patient service issues and facilitating problem resolution.
• Foster positive, professional relationships with internal and external stakeholders to support effective review processes.
• Participate in training sessions and scheduled meetings to stay updated on review protocols and industry standards.
• Adhere to all corporate policies, including those related to HIPAA Privacy and Security Rules.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.

• Master’s degree in Social Work, Psychology, Behavior Analysis, or another relevant business field.
• Must have an active professional license/certification applicable to ABA service delivery as a Board-Certified Behavior Analyst (BCBA).
• Must reside in the state of Alabama.
• Must have excellent written and verbal communication skills and the ability to collaborate with families and other medical professionals.

• Medicaid experience.
• 1+ years of recent clinical experience in the applied behavior analysis field.
• Understanding of ABA principles, clinical practices, and…