ABA Psychologist Reviewer — Remote/Hybrid

Elevance Health, Inc.; Cincinnati (OH); Remote; USD 93,000 - 168,000; Full time

Benefits offered by this job

Benefits package

401(k) match

Stock purchase plan

Job summary

Elevance Health seeks a Psychologist Reviewer – ABA to collaborate with providers, BCBAs and Medical Directors to determine level of care based on Medical Necessity Criteria. Outpatient ABA, testing and mental health support services may be involved. Remote work available with required in-person trainings and occasional office visits.

The role emphasizes pre-certification and case reviews, with opportunities to mentor care management staff and contribute to testing program development.

Qualifications

• Ph.D. or Psy.D in clinical/counseling psychology with managed care experience.
• Active unrestricted license to practice psychology (Clinical/Counseling).

Responsibilities

• Pre-certification, concurrent review, and appeals of Behavioral Health OP services.
• Mentors staff and helps develop programs around psychological testing.

Skills

Licensure

Interdisciplinary collaboration

Education

Ph.D./Psy.D in clinical/counseling psychology

Job description

Elevance Health seeks a Psychologist Reviewer – ABA to collaborate with providers, BCBAs and Medical Directors to determine level of care based on Medical Necessity Criteria. Outpatient ABA, testing and mental health support services may be involved. Remote work available with required in-person trainings and occasional office visits.

The role emphasizes pre-certification and case reviews, with opportunities to mentor care management staff and contribute to testing program development.