Psychologist Reviewer Senior

About the role

The Psychologist Reviewer Senior role at Carelon Behavioral Health is a hybrid position requiring in-office 1-2 days per week, combining structured office engagement with flexible virtual work. Candidates must be within a reasonable commuting distance from the Tampa, Lake Mary, or Miami locations.

Responsibilities

• Provide clinical guidance for programs and serve as a resource and consultant to other areas of the company.
• Prepare and provide consumer and provider education, trainings, or presentations as needed.
• Represent the company to external entities and serve on internal and/or external committees.
• Collaborate with providers and Medical Directors to determine appropriateness of level of care based on Medical Necessity Criteria.
• Conduct pre-certification, concurrent review, and appeals of Behavioral Health OP services.
• Mentor Behavioral Health Care Management staff by assisting in training, attending utilization management rounds, and serving on interdepartmental initiatives; assist in developing a program around psychological and neuropsychological testing.

Requirements

• Ph.D. or Psy.D in clinical/counseling psychology and minimum of 5 years of experience in a Behavioral Health/Clinical setting and managed care experience.
• Experience with the administration and interpretation of psychological test batteries.
• Active unrestricted license to practice as Clinical/Counseling Psychologist.

Preferred Skills, Capabilities And Experiences

• BCBA-D (Board Certified Behavior Analyst–Doctoral).
• Five + years’ experience conducting assessments/testing and completing clinical case reviews for individuals with Autism Spectrum Disorder (ASD).
• Demonstrated leadership skills.

Benefits

Carelon Behavioral Health offers a comprehensive benefits package including:

• Medical, dental, and vision insurance.
• Short and long-term disability benefits.
• 401(k) +match.
• Stock purchase plan.
• Life insurance.
• Wellness programs and financial education resources.

Pay

Compensation is competitive and commensurate with experience.

Schedule

This role is a hybrid position requiring in-office 1-2 days per week.