Psychologist Reviewer

Centene Corporation; Kentucky; Hybrid; USD 86,000 - 155,000; Full time

Job summary

Join a mission-driven organization as a Remote Psychologist Reviewer specializing in Applied Behavior Analysis for individuals with Autism. This role offers 100% remote flexibility and the chance to make a meaningful impact on the lives of youth. Collaborate with a supportive team to ensure high-quality, evidence-based behavioral health care. With a focus on clinical excellence, you will have the opportunity to engage in peer reviews, provide education on best practices, and interact with network practitioners. If you're passionate about improving care for individuals with Autism, this is the perfect opportunity for you.

Benefits

Health Insurance

401K

Tuition Reimbursement

Paid Time Off

Flexible Work Schedules

Qualifications

• 2+ years of experience in Behavioral Health required.
• Working knowledge of psychological tests and diagnostic evaluations.

Responsibilities

• Authorize and monitor care for behavioral health issues.
• Conduct peer reviews with psychologists and therapists.
• Respond to complaints related to psychological testing.

Skills

Behavioral Health Experience

Psychological Testing Knowledge

Clinical Psychology Expertise

Evidence-Based Practices

Education

PhD in Clinical Psychology

Board Certified Behavior Analyst (BCBA)

Job description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Centene is Hiring: Remote Psychologist Reviewer (ABA) – Kentucky Market

Join Centene’s mission-driven team as a Remote Psychologist Reviewer specializing in Applied Behavior Analysis (ABA) for our Kentucky market, with a focus on individuals with Autism.

We’re seeking a dedicated professional who is passionate about improving the lives of youth with Autism. The ideal candidate will also hold a BCBA certification to support our growing markets and ensure high-quality, evidence-based behavioral health care.

Why Join Us?

• 100% remote flexibility

• Meaningful work impacting care for individuals with Autism

• Be part of a collaborative, supportive team committed to clinical excellence

Position Purpose: Authorize, direct and monitor care for behavioral health and substance abuse problems according to clinical information given by providers and internal criteria for medical necessity and appropriateness of care.

• Conduct peer reviews with psychologists and licensed therapists/certified Behavior Analysts for outpatient and/or psychological testing requests.

• Interact with network practitioners to provide education on best practice models and utilization management processes.

• Interact with the Medical Director, or designee, to discuss clinical authorization questions and concerns regarding specific cases.

• Respond to state, provider, and member complaints related to psychological testing or other services requiring review by a PhD/PsyD.

• Facilitate outpatient rounds offering clinical input and oversight related to outpatient services.

• Perform other duties as assigned.

• Comply with all policies and standards.

Education/Experience:

• PhD in Clinical Psychology, Counseling, Behavior Analysis, or related field required.
• 2+ years Behavioral Health experience required.
• Working knowledge of psychological tests, testing procedures, diagnostic evaluations, and evidence-based practices required.

Licensing requirements:

• Psychologist Unrestricted License (PhD or PsyD) upon hire required, or
• Board Certified Behavior Analyst (BCBA or BCBA-D) upon hire required.

Pay Range: $86,000.00 - $154,700.00 per year.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and flexible work schedules including remote, hybrid, field, or office work. Actual pay will be adjusted based on skills, experience, education, and other factors. Total compensation may include additional incentives.

Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws.