Remote Behavioral Treatment Prior-Auth Reviewer (BCBA)

Gainwell Technologies is seeking a Behavioral Treatment Services Prior Authorization Reviewer to adjudicate Medicaid prior authorization requests for behavioral treatment services in a fully remote role. You will evaluate medical necessity and eligibility, collaborate with providers, and serve as a clinical SME for internal and external stakeholders.

This position emphasizes timely access to care, adherence to state policies, and the opportunity to grow within a company that values learning and