Your Role
The Federal Employee Program team completes benefit and medical necessity reviews for members enrolled in the FEP PPO benefit plans. The Board Certified Behavioral Analyst (BCBA) will report to the Utilization Review Clinical Manager. In this role you will be responsible for prior authorization, case management and post-service medical necessity reviews for the FEP PPO population. This position interfaces, supports and collaborates with the FEP PPO Prior Authorization team. This role provides BCBA support and education for BSC FEP PPO medical directors and nurses. This role is part-time, 20 hours per week.
Your Work
In this role, you will:
Your Knowledge and Experience
Pay Range:
The pay range for this role is: $ 87230.00 to $ 130900.00 for California.
Note:
Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.