Behavioral Health Utilization Analyst (47221)

Key Responsibilities

The Behavioral Health Utilization Analyst manages prior authorizations, clinical documentation reviews, and peer review functions to ensure medical necessity and payer compliance. They also perform data analysis, generate reports on utilization trends, and collaborate with clinical and billing staff to optimize workflow and reimbursement.

Requirements

Candidates must hold at least an associate degree, with a bachelor's degree in a related field preferred. Experience in behavioral health, utilization management, or healthcare administration is highly desired, along with proficiency in data tracking and clinical documentation.

Qualifications

Education

Bachelor degree

Experience

2+ years of experience

Key Skills