BCBA-D Clinical Psychologist — ABA Utilization Leader

9025 CVS Shared Services Resources LLC; Louisiana (MO); Hybrid; USD 90,000 - 195,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Retirement savings options

Paid time off

Job summary

CVS Health is hiring a senior clinician to lead utilization reviews for neurodevelopmental disorders, with emphasis on ABA. You will guide the ABA prior authorization team and medical directors, and help refine care guidelines for neurodevelopmental conditions.

The role requires a PhD or PsyD in neurodevelopmental psychology, BCBA-D, and Louisiana licensure, with extensive experience in autism care settings and related coding guidance.

Qualifications

• Minimum five years evaluating and treating neurodevelopmental disorders, including autism.
• Doctoral degree with specialization in neurodevelopment and child/adolescent psychology.
• Direct autism field experience (ABA, NDBI, EIBI) required.
• Active Louisiana license and willingness to obtain additional licensure as needed.
• BCBA-D credential.

Responsibilities

• Serve as principal utilization reviewer for ABA-related cases.
• Support ABA prior authorization clinical team and medical directors.
• Review psychological and neuropsychological testing cases for UM decisions.
• Participate in clinical meetings and contribute to program development.
• Provide SME input on neurodevelopmental care and fraud, waste, and abuse initiatives.

Skills

ABA experience

Neurodevelopmental disorders

Clinical reviews

BCBA-D

Louisiana licensure

Education

PhD or PsyD in neurodevelopment/child psychology

Tools

CPT/HCPCS coding knowledge

Job description

CVS Health is hiring a senior clinician to lead utilization reviews for neurodevelopmental disorders, with emphasis on ABA. You will guide the ABA prior authorization team and medical directors, and help refine care guidelines for neurodevelopmental conditions.

The role requires a PhD or PsyD in neurodevelopmental psychology, BCBA-D, and Louisiana licensure, with extensive experience in autism care settings and related coding guidance.