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Public companyPosted 30+ days ago

Behavioral Clinical Program Manager

Full-time
Remote
3+ years
$73K – $130K/yr
Posted 30+ days ago

Responsibilities Engage with senior leaders (e.g., CEO) at ABA facilities/providers Initiate interventions with ABA providers/facilities to enhance clinical outcomes, improve quality of care, and ensure appropriate billing and practice patterns Support high-performing ABA providers/facilities to maintain their performance standards Identify outliers through analysis of clinical outcomes data and utilization/claims da

Posted
30+ Days Ago
Source
careers.unitedhealthgroup.com
Sector
Public Sector and Government

Opens the employer's application page in a new tab

Responsibilities

  • Engage with senior leaders (e.g., CEO) at ABA facilities/providers
  • Initiate interventions with ABA providers/facilities to enhance clinical outcomes, improve quality of care, and ensure appropriate billing and practice patterns
  • Support high-performing ABA providers/facilities to maintain their performance standards
  • Identify outliers through analysis of clinical outcomes data and utilization/claims data
  • Conduct audits of ABA programs and provide feedback on results
  • Measure improvements in program performance over time
  • Adjust interventions as necessary to optimize outcomes
  • Implement and monitor Performance Improvement Plans (PIPs) to address performance issues
  • Support work of ABA onsite team with data analysis, provider interviews, report writing
  • Collaborate with other Optum departments, including Care Advocacy, Affordability, Clinical Network Services, Program and Network Integrity, Legal, Onsite audit, and Quality Improvement

Qualifications

  • Licensed Master's degree-level clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling, Licensed Ph.D. level Psychologist
  • Licenses must be independent, active and unrestricted
  • Board certification as a Behavior Analyst and state licensure (when required in home state) (BCBA)
  • 3+ years of Managed Care and/or Utilization Review experience in a Managed Care setting
  • 3+ years of experience with CPT/HCPCS codes
  • Intermediate level of proficiency with MS Office

Preferred

  • 3+ years of knowledge or willingness to learn analytics software such as Microsoft Excel

Required skills

Managed CareUtilization ReviewCPT/HCPCS CodingIndependent Clinical Licensure

Full job description

Responsibilities

  • Engage with senior leaders (e.g., CEO) at ABA facilities/providers
  • Initiate interventions with ABA providers/facilities to enhance clinical outcomes, improve quality of care, and ensure appropriate billing and practice patterns
  • Support high-performing ABA providers/facilities to maintain their performance standards
  • Identify outliers through analysis of clinical outcomes data and utilization/claims data
  • Conduct audits of ABA programs and provide feedback on results
  • Measure improvements in program performance over time
  • Adjust interventions as necessary to optimize outcomes
  • Implement and monitor Performance Improvement Plans (PIPs) to address performance issues
  • Support work of ABA onsite team with data analysis, provider interviews, report writing
  • Collaborate with other Optum departments, including Care Advocacy, Affordability, Clinical Network Services, Program and Network Integrity, Legal, Onsite audit, and Quality Improvement

Preferred

  • 3+ years of knowledge or willingness to learn analytics software such as Microsoft Excel

Benefits

  • A comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
  • Flexibility to telecommute from anywhere within the U.S., subject to UnitedHealth Group's Telecommuter Policy.
  • Glassdoor
  • 3.7
  • Health benefits and technology-enabled care services.
  • Eden Prairie, Minnesota, USA
  • https://www.unitedhealthgroup.com/
  • Public Company
  • Total Funding
  • $7.57B
  • Key Investors
  • Berkshire Hathaway
  • 2025-08-15
  • Post Ipo Equity· $1.57B
  • 2024-03-22
  • Post Ipo Debt· $6B
  • 2021-08-25
  • Post Ipo Equity
  • Leadership Team
  • John Rex
  • Strategic Advisor to CEO
  • Wayne DeVeydt
  • Chief Financial Officer
  • Recent News
  • StreetInsider.com
  • After-Hours Movers: T, VZ, TMUS, SPCX, HUM, ALHC, CVS, CLOV, UNH, AXP
  • 2026-10-10
  • Quartz
  • Millions of seniors will have fewer Medicare Advantage options as open enrollment begins
  • Investing.com

Qualifications

  • Licensed Master's degree-level clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling, Licensed Ph.D. level Psychologist
  • Licenses must be independent, active and unrestricted
  • Board certification as a Behavior Analyst and state licensure (when required in home state) (BCBA)
  • 3+ years of Managed Care and/or Utilization Review experience in a Managed Care setting
  • 3+ years of experience with CPT/HCPCS codes
  • Intermediate level of proficiency with MS Office
  • 3+ years of knowledge or willingness to learn analytics software such as Microsoft Excel

Required skills

  • , Board Certified Behavior Analyst (BCBA), Managed Care, Utilization Review, CPT/HCPCS Coding, Independent Clinical Licensure

Experience

  • 3+ years

Job details

Employment type

Full-time

Seniority level

3+ years

Date posted

Oct 13, 2026

Work mode

Remote

Job source

careers.unitedhealthgroup.com

Company

Public company

Public Sector and Government

See all 835 jobs from Public company →
  • Remote, USA
  • Public Sector and Government

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Behavioral Clinical Program Manager

Public company · $73K – $130K/yr

Apply on company site