Psychologist Reviewer

Psychologist Reviewer

Centene Corporation is looking for a remote Psychologist Reviewer specializing in Applied Behavior Analysis (ABA) with a focus on individuals with autism. Candidates must hold an active psychologist license in Indiana; licenses in additional states will be considered if the candidate can obtain required licenses as needed.

Authorize, direct, and monitor care for behavioral health and/or substance abuse problems according to clinical information and internal criteria for medical necessity and appropriateness of care.

• Conduct peer reviews with psychologists, behavioral health therapists, and/or Board Certified Behavior Analysts for outpatient services and/or psychological testing requests.
• Interact with network practitioners to provide education on best practice models and utilization management processes.
• Collaborate 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.

• Ph.D. in Clinical Psychology, Counseling, Behavior Analysis, or a related field (required).
• Minimum 2 years of behavioral health experience (required).
• Working knowledge of psychological tests, testing procedures, diagnostic evaluations, and evidence-based practices (required).
• For ABA reviewers only: knowledge of testing and evidence-based practices designed for individuals with Autism Spectrum Disorder (required).

• Unrestricted Psychologist license (Ph.D. or Psy.
  
  D.) – required upon hire.
• Board Certified Behavior Analyst (BCBA-D) – preferred upon hire.

Pay Range: $87,700.00 – $ per year.

Centene offers a comprehensive benefits package, including health insurance, a 401(k) plan, tuition reimbursement, paid time off, holidays, and a flexible work arrangement (remote, hybrid, field, or office).

Centene is an equal‑opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristics protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.