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Behavior Analyst

Pittsburgh,PA

1185 Behavior Analyst jobs in Pittsburgh,PA

New, Posted 1 day ago

Licensed Mental Health Counselor (Remote)

Headway

Pittsburgh, PA

$115/hr
Remote
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Mental Health Therapist

New Directions Mental Health

Cecil, PA

New, Posted 1 day ago

UPS Package Handler

UPS

West Mifflin, PA

$21/hr
No Experience

Youth Services Coordinator

Focus on Renewal

Mc Kees Rocks, PA

Bilingual Preferred
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Mental Health Therapist - Bloomfield

New Directions Mental Health, New Directions Mental Health

Pittsburgh, PA

OnsiteHealth InsuranceRetirement Benefit

  • Possess a Master's degree in Social Work, Counseling, Marriage and Family Counseling, or a related field.
  • If required, provisional license per state regulation.
  • Educational background that leads to or has resulted in professional licensing.
  • Dedicated to ongoing professional development in mental health including free supervision and continuing education.
  • Ability to manage time effectively and complete documentation and administrative tasks efficiently.
  • Strong commitment to ethical practice and maintaining confidentiality.
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General and Subspecialty Pathology positions with UPMC in PA - Faculty or clinical academic appointment

UPMC Southwestern PA

Brentwood, PA

Youth & Family Support Specialist

JusticeWorks Family of Services

Monongahela, PA

Flexible Schedule
ZipRecruiter

Commercial Roofer

Bird & Bear Services

Coraopolis, PA

$30-$36/hr
New, Posted 11 hours ago
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Lead, Revenue Cycle - Authorization Services

Care Options for Kids

Pittsburgh, PA

OnsiteHealth InsurancePaid Time OffRetirement Benefit

  • Lead, Revenue Cycle - Authorization Services
  • Serve as the subject matter expert (SME) for authorization services, overseeing a designated payer group while leading, coaching, and developing a small team of Authorization Specialists.
  • Obtain prior authorizations, pre-certifications, and continued stay approvals for in-home healthcare and pediatric services, while maintaining an active caseload of medium to high-complexity accounts.
  • Demonstrate advanced expertise in Pennsylvania payer authorization requirements, including Pennsylvania Medicaid Managed Care Organizations (MCOs), Medicare Advantage, commercial insurers, and out-of-network authorization processes.
  • Monitor authorization status, proactively follow up with payers, and drive timely resolution of pending requests to prevent delays in care and reimbursement.
  • Request, negotiate, and manage single case agreements, letters of agreement, and out-of-network authorization arrangements when appropriate.
  • Conduct quality audits and provide ongoing training, mentorship, and performance feedback to ensure team compliance with payer guidelines, company policies, and regulatory requirements.
  • Analyze authorization trends, denial patterns, productivity metrics, and payer performance data to identify root causes and implement corrective actions that improve authorization success rates and revenue cycle outcomes.
  • Maintain accurate and thorough documentation of authorization activity within EMR systems and other revenue cycle platforms, ensuring data integrity and audit readiness.
  • Leverage payer portals, EMR systems, reporting tools, automation technologies, and data analytics to improve workflow efficiency, reduce manual effort, and support operational decision-making.
  • Stay current on payer policies, authorization requirements, state and federal regulations, reimbursement methodologies, and industry best practices, serving as a resource for the team and leadership.
  • Partner with Revenue Cycle, Clinical Operations, Billing, Collections, and Branch Leadership teams to resolve barriers, support denial prevention initiatives, and drive continuous improvement efforts that enhance patient access, financial performance, and operational excellence.
  • Extensive experience managing authorizations for Pennsylvania payers, including Medicaid MCOs, Medicare Advantage plans, commercial carriers, and out-of-network reimbursement arrangements.
  • Proven success leading authorization workflows in a healthcare, home health, pediatric, or revenue cycle environment.
  • Strong technical proficiency with EMR systems, payer portals, Microsoft Office applications, reporting platforms, workflow tools, and technology-enabled process improvement initiatives.
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Adult Autism Systematic Skill Builder

ACHIEVING TRUE SELF

Pittsburgh, PA

  1. Pittsburgh,PA Jobs
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  3. Behavior Analyst Jobs

What companies are hiring Behavior Analyst jobs in Pittsburgh,PA?

  1. Headway
  2. New Directions Mental Health
  3. UPS
  4. Focus on Renewal
  5. New Directions Mental Health, New Directions Mental Health
  6. UPMC Southwestern PA
  7. JusticeWorks Family of Services
  8. Bird & Bear Services
  9. Care Options for Kids
  10. ACHIEVING TRUE SELF

What is the hourly salary range for Behavior Analyst jobs in Pittsburgh,PA?

The hourly salary range is $21 - $115.

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