Psychologist Reviewer - ABA

About the role

This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

Responsibilities

• Collaborates with internal UR staff and external Behavioral Health Providers to ensure appropriate and consistent utilization of plan benefits, out of network services, and clinical guidelines within scope of license.
• Conducts pre-certification, concurrent review, and appeals of Behavioral Health OP services.
• Mentors Behavioral Health Care Management staff by assisting in training, attending utilization management rounds, and serving on interdepartmental initiatives; assists in developing a program around psychological and neuropsychological testing.

Requirements

• Ph.D. or Psy.D in clinical/counseling psychology and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education and experience, which would provide an equivalent background.
• Must possess an active unrestricted license to practice as Clinical/Counseling Psychologist.

Preferred Qualifications, Skills, And Experiences

• Minimum of 2 years experience in a Behavioral Health/Clinical setting preferred.
• Experience with Applied Behavioral Analysis and Autism Spectrum Disorder is strongly preferred.

Benefits

• A comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

Pay

• The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company.

Schedule

• Standard Business Hours, 8am-5pm Monday - Friday.