Psychologist Reviewer

Centene

256d • $86,000 - $154,700 • Remote

About The Position

Join Centene's mission-driven team as a Remote Psychologist Reviewer specializing in Applied Behavior Analysis (ABA) for our Kentucky market, with a focus on individuals with Autism. We're seeking a dedicated professional who is passionate about improving the lives of youth with Autism. The ideal candidate will also hold a BCBA certification to support our growing markets and ensure high-quality, evidence-based behavioral health care.

Requirements

• PhD Clinical Psychology, Counseling, Behavior Analysis, or related field required.
• 2+ years Behavioral Health experience required.
• Working Knowledge of psychological tests and testing procedures, diagnostic evaluations and evidence-based practices required.
• PSY - Psychologist Unrestricted License (PhD or PsyD) Upon Hire required.
• Board Certified Behavior Analyst (BCBA) or BCBA-D Upon Hire required.

Responsibilities

• Authorize, direct and monitor care for behavioral health and substance abuse problems according to clinical information given by providers and internal criteria for medical necessity and appropriateness of care.
• Conduct peer reviews with psychologist and licensed therapist/certified Behavior Analyst for outpatient and/or psychological testing requests.
• Interact with network practitioners to provide education on best practice models and utilization management processes.
• Interact with the Medical Director, or designee, to discuss clinical authorization questions and concerns regarding specific cases.
• Respond to state, provider, and member complaints related to psychological testing or other services requiring review by a PhD/PsyD.
• Facilitate outpatient rounds offering clinical input and oversight related to outpatient services.
• Perform other duties as assigned.
• Comply with all policies and standards.

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible approach to work with remote, hybrid, field or office work schedules

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Ambulatory Health Care Services
• Education Level: Ph.D. or professional degree