Licensed Psychologist — ABA Peer Reviewer (Remote)

Voices for Voices

Maryland Heights (MO)

Remote

USD 92,000 - 164,000

Full time

14 days+

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Benefits offered by this job

Comprehensive benefits
401k plan
Stock purchase options

Job summary

UnitedHealth Group is seeking a Licensed Psychologist to serve as Peer Reviewer for ABA services. You will assess requests, apply clinical criteria, and issue determinations for medical necessity across commercial and Medicaid plans.

The role requires 3+ years post-licensure, autism experience, managed care background, strong communication, and ability to work remotely within US business hours.

Qualifications

  • Licensed doctoral level Psychologist (Ph.D. or Psy.D.) with current license for independent practice.
  • 3+ years of post-licensure experience.
  • Clinical experience with Autism Spectrum Disorder.
  • Experience working with managed care entities.
  • Strong written/verbal communication and negotiation skills.

Responsibilities

  • Review ABA treatment/assessment requests for commercial and Medicaid plans.
  • Apply clinical criteria and regulatory requirements to each review.
  • Conduct peer consultations with treating providers.
  • Enter clear clinical determinations, including adverse determinations when necessary.
  • Review single-case agreements and appeals.

Skills

Clinical communication
Autism experience
Managed care experience
MS Office proficiency
Phone and typing
Organization/time management

Education

Ph.D. or Psy.D. in Psychology

Tools

MS Office Suite

Job description

UnitedHealth Group is seeking a Licensed Psychologist to serve as Peer Reviewer for ABA services. You will assess requests, apply clinical criteria, and issue determinations for medical necessity across commercial and Medicaid plans.

The role requires 3+ years post-licensure, autism experience, managed care background, strong communication, and ability to work remotely within US business hours.

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