Licensed Psychologist - Peer Reviewer - Remote anywhere USA

Lensa; Phoenix (AZ); Remote; USD 89,000 - 177,000; Full time

Job summary

A leading healthcare organization is seeking a Licensed Psychologist for remote peer review roles across the USA. This position involves reviewing psychological testing and treatment requests, ensuring compliance with clinical criteria. Join a diverse team focused on advancing health equity and improving patient outcomes. Enjoy a flexible schedule and comprehensive benefits, including a competitive salary ranging from $89,800 to $176,700 annually.

Benefits

Comprehensive health coverage

Incentive programs

Stock purchase options

401(k) contributions

Qualifications

• Licensed doctoral-level Psychologist required.
• 3+ years post-licensure experience needed.
• Experience with insurance agencies preferred.

Responsibilities

• Review psychological/neuropsychological testing service requests.
• Conduct clinical reviews for treatment plans and appeals.
• Participate in peer consultations and training sessions.

Skills

Clinical Review

Psychological Testing

Communication

Education

Ph.D. or Psy.D.

Tools

Windows OS

Outlook

Word

Excel

Job description

Licensed Psychologist - Peer Reviewer - Remote anywhere USA

2 days ago Be among the first 25 applicants

Get AI-powered advice on this job and more exclusive features.

Lensa is the leading career site for job seekers at every stage of their career. Our client, UnitedHealth Group, is seeking professionals. Apply via Lensa today!

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Role Overview

The Psychologist Peer Review involves applying clinical criteria and benefit plan requirements to cases across Commercial, Medicaid, and Medicare, making clinical and benefit determinations to continue coverage, modify treatment, or issue adverse benefit decisions if criteria are not met.

Work Environment & Schedule

You’ll enjoy the flexibility to work remotely from anywhere within the U.S. with a schedule Monday - Friday, during standard business hours.

Primary Responsibilities

• Review psychological/neuropsychological testing service requests
• Assess outpatient treatment requests, including extended sessions or single case agreements
• Handle state-specific Medicaid services (e.g., Psychosocial Rehabilitation, Targeted Case Management, etc.)
• Review Intensive Outpatient services for Mental Health and Substance Abuse
• Participate in peer consultations, staff meetings, and training sessions
• Enter determinations within federal, state, and local guidelines
• Conduct clinical reviews such as testing requests, outpatient treatment plans, and appeals for denied services

Qualifications

Required:

• Licensed doctoral-level Psychologist (Ph.D. or Psy.D.) in your state
• Current unrestricted license for independent practice
• 3+ years post-licensure experience
• Experience working with insurance agencies
• Proficiency with Windows OS, Outlook, Word, and Excel

Preferred:

• Experience in managed care settings and performing Peer Reviews
• Experience with commercial, Medicaid, Medicare, CPT, and HCPCS codes
• Clinical experience with higher levels of care, children, adolescents, and substance abuse
• Advanced skills in Excel and Access databases

Compensation & Benefits

The salary range is $89,800 to $176,700 annually, based on factors such as location, experience, and certifications. Benefits include comprehensive health coverage, incentive programs, stock purchase options, and 401(k) contributions.

Additional Details

Application will be open for at least 2 business days or until a sufficient pool is reached. The role emphasizes our commitment to diversity, equity, and inclusion, with a focus on mitigating health disparities and promoting equitable care.