Utilization Review Clinician - ABA
Posted Sep 17, 2026 · We last checked this listing on Oct 6, 2026
Likely interview questions for this role
Written from this job description, not a generic list. Each one notes what the interviewer is really checking.
About your past
As a BCBA or clinician, how do you shift from writing treatment plans to reviewing other people's plans?
What they are checking: Whether they can hold a reviewer's objectivity while respecting the treating clinician's expertise.
Tell me about a process improvement you suggested that made a review or care process work better.
What they are checking: Whether they notice inefficiencies and bring workable ideas to leadership, as the posting asks.
What would you do
A provider's progress report shows little change over six months but they're requesting more hours. How do you approach it?
What they are checking: Whether they question the treatment plan constructively rather than simply approving or denying more of the same.
A parent calls upset that their child's hours were reduced. How do you talk with them?
What they are checking: Whether they can explain the process plainly and with empathy without promising outcomes they cannot control.
How do you keep up with review turnaround times when the documentation you need is missing?
What they are checking: Whether they know how to request records efficiently and still meet regulatory deadlines.
About the work
Walk me through how you'd review a prior authorization request for 30 hours a week of ABA for a young child with autism.
What they are checking: Whether they can weigh assessment data, treatment goals and criteria to decide if the intensity is medically appropriate.
What would you look for in a behavior intervention plan and progress report to judge whether ABA is working?
What they are checking: Their ability to read measurable goals and data trends, which drive continued authorization decisions.
How do Louisiana or Georgia Medicaid guidelines shape ABA authorization compared with commercial coverage you've seen?
What they are checking: Their awareness that state rules and criteria govern the decision and differ by program.
When does a case need to go to a medical director instead of being decided at your level?
What they are checking: Their understanding of the limits of clinician review authority, especially around denials.
What patterns in ABA utilization data would make you want to look more closely at a provider?
What they are checking: Their ability to use member data to spot quality or utilization concerns across a provider's caseload.
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Practice this out loudThe full job description
As published by Centene.