Remote Licensed Psychologist — ABA Peer Reviewer

Istss; Maryland Heights (MO); Remote; USD 92,000 - 164,000; Full time

Benefits offered by this job

Comprehensive benefits

401k contribution

Equity stock purchase plan

Incentive programs

Job summary

Optum is seeking a Licensed Psychologist to serve as a Peer Reviewer for Applied Behavior Analysis (ABA) services. You will evaluate ABA requests, apply criteria and plan requirements, and issue clinical determinations for commercial and Medicaid plans.

Primary responsibilities include peer consultations, timely determinations, and collaboration with providers. A doctoral license and 3+ years post-licensure are required; full-time remote work is available with a comprehensive benefits package.

Qualifications

• Licensed doctoral level Psychologist (Ph.D. or Psy.D.).
• 3+ years of post-licensure experience.
• Clinical experience with Autism Spectrum Disorder.
• Experience with managed care entities.
• Proficiency in MS Office Suite.
• Ability to type proficiently while on calls.
• Strong organizational and time-management skills.
• Ability to work independently and with a clinical team.
• Strong written and verbal communication and negotiation skills.
• Willingness to obtain additional state licenses as needed.

Responsibilities

• Review ABA treatment/assessment requests for commercial and Medicaid plans.
• Apply clinical criteria and requirements to each review.
• Conduct peer-to-peer discussions with treating providers.
• Compose clear clinical determinations, including adverse determinations when needed.
• Review requests for single-case agreements and appeals.
• Participate in peer consultations and trainings.
• Perform other duties as assigned.

Skills

Clinical experience

Managed care

MS Office Suite

Typing on phone

Organization

Verbal communication

Independent work

Negotiation skills

Education

Ph.D. or Psy.D.

Tools

MS Office Suite

Excel

Access Databases

Job description

Optum is seeking a Licensed Psychologist to serve as a Peer Reviewer for Applied Behavior Analysis (ABA) services. You will evaluate ABA requests, apply criteria and plan requirements, and issue clinical determinations for commercial and Medicaid plans.

Primary responsibilities include peer consultations, timely determinations, and collaboration with providers. A doctoral license and 3+ years post-licensure are required; full-time remote work is available with a comprehensive benefits package.