Remote Licensed Psychologist – ABA Peer Reviewer

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

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Job summary

UnitedHealth Group is seeking a Licensed Psychologist, Peer Reviewer for ABA services to evaluate ABA requests and determine medical necessity. The role requires applying criteria, discussing treatment with providers, and issuing determinations.

Remote-friendly schedule with full-time hours and collaboration within a clinical team. Qualified candidates hold a doctoral psychology license with extensive post-licensure experience, particularly with autism and managed care.

Qualifications

• Ph.D. or Psy.D. in psychology with current license and unrestricted practice.
• 3+ years post-licensure experience.
• Clinical experience with Autism Spectrum Disorder and managed care settings.

Responsibilities

• Review ABA treatment requests for initial and continued services.
• Apply clinical criteria and plan requirements to reviews.
• Engage in peer consultations with treating providers.
• Enter clear clinical determinations including adverse determinations when needed.
• Review single-case agreements and appeals; participate in team training.

Skills

Autism Spectrum Disorder experience

Managed care experience

Written and verbal communication

Time-management

Independent and collaborative work

Education

Ph.D. or Psy.D. in Psychology

Tools

MS Office Suite

Job description

UnitedHealth Group is seeking a Licensed Psychologist, Peer Reviewer for ABA services to evaluate ABA requests and determine medical necessity. The role requires applying criteria, discussing treatment with providers, and issuing determinations.

Remote-friendly schedule with full-time hours and collaboration within a clinical team. Qualified candidates hold a doctoral psychology license with extensive post-licensure experience, particularly with autism and managed care.