[Hiring] Behavioral Analyst @Lucet

Role Description

The Clinician, Behavior Analyst staff will provide utilization management and care management for behavioral health and health care navigation for ASD services provided to Lucet eligible members.

• Conduct assessments and engage members, families, and caregivers to identify needs, remove barriers to care, and connect them with appropriate healthcare and community resources.
• Coordinate care and communication among members, providers, health plans, behavioral health teams, and community partners to support effective treatment and discharge planning.
• Perform ABA utilization management activities, including benefit verification, medical necessity reviews, peer review coordination, and education regarding authorization, denial, and appeals processes.
• Maintain accurate clinical documentation, provide ongoing member and provider support, ensure regulatory compliance and confidentiality, and participate in clinical staffing, professional development, and special projects.

Qualifications

• Current BCBA certification and licensure if applicable for state of residence.
• Direct experience in working with children with Autism Spectrum Disorder in home and/or clinic setting.
• Strong computer skills (Word and Excel).
• Ability to comprehend medical policy and criteria to clearly articulate health information.
• Ability to pass background check upon hire and throughout employment.

Requirements

• Self-motivating.
• Able to assume a leadership role to facilitate meeting company and unit objectives.
• Professional demeanor in response to all situations regardless of the nature or circumstances of the situation.
• Able to manage multiple tasks in a fast-paced, changing environment.

Benefits

• Annual compensation between $70,000-$78,000, PLUS an annual performance-based, discretionary incentive.
• Comprehensive health benefit options: Medical, dental, and vision coverage.
• 401(k) with competitive employer match.
• Company-paid life and disability insurance.
• Paid parental leave and wellbeing incentives.
• Generous paid time off, including volunteer time.
• Flexible spending accounts for healthcare and dependent care.
• Professional development opportunities and tuition reimbursement.
• Remote work flexibility (role-dependent).
• Opportunity for meaningful growth, both personally and professionally.