Psychologist Reviewer

Job Description

Centene is Hiring – Remote Psychologist Reviewers (ABA)

• Join Centene’s mission-driven team as a Remote Psychologist Reviewer specializing in Applied Behavior Analysis (ABA) with a focus on individuals 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.

Position Purpose

Authorize, direct and monitor care for behavioral health and/or substance abuse problems according to clinical information given by providers 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

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

Performs other duties as assigned.

Complies with all policies and standards.

Education/Experience

• PhD Clinical Psychology, Counseling, Behavior Analysis, or related field required
• 2+ years Behavioral Health required
• Working knowledge of psychological tests and testing procedures, diagnostic evaluations and evidence-based practices. Required for ABA Reviewers
• For ABA Reviewers only, working knowledge of psychological tests and testing procedures, diagnostic evaluations and evidence-based practices designed for individuals with Autism Spectrum Disorder. Required

Licenses/Certifications

• PSY - Psychologist Unrestricted License (PhD or PsyD) Upon Hire required
• Board Certified Behavior Analyst (BCBA) BCBA-D Upon Hire

Pay Range

$87,700.00 - $157,800.00 per year

Benefits

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