Utilization Specialty Therapist (Remote)

Job Title: Utilization Specialty Therapist (Remote but MUST be located in Texas)

Job Description

The purpose of this position is to conduct utilization reviews for authorization requests concerning specialty therapy services, including speech-language, occupational, and physical therapy, across designated regions and products. The role also involves assisting with training and providing network management support for therapy providers.

Responsibilities

• Review therapy prior authorization requests and clinical documentation
• Process approvals, denials, partial approvals, and requests for additional information
• Manage a daily caseload of 15-40 authorizations
• Communicate with providers, therapists, and administrative staff to resolve requests
• Make up to 15 provider calls per day
• Utilize TruCare Cloud, Outlook, Teams, Excel, and OneNote daily
• Prioritize tasks and meet authorization turnaround times (TAT)
• Work independently in a fast-paced, high-volume remote environment
• Collaborate with a supportive team of therapists, nurses, and clinical staff

Essential Skills

• Master"s degree in a specialty therapy area or equivalent experience.
• 3+ years of experience providing therapy services in healthcare or home health settings.
• Texas state license in Physical Therapy or Occupational Therapy

Additional Skills & Qualifications

• Pediatric clinical experience is preferred.

Work Environment

The role involves working across various regions and products, requiring collaboration with a multi-functional team. The work environment supports continuous learning and provides opportunities for professional growth through clinical training and consultation.

Job Type & Location

This is a Contract position based out of Austin, TX.

Pay and Benefits

The pay range for this position is $25.00 - $33.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)

Job Type & Location

This is a Contract position based out of Austin, TX.

Application Deadline

This position is anticipated to close on Nov 17, 2026.

Workplace Type

This is a fully remote position.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.