Remote Licensed Psychologist – ABA Peer Reviewer

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

Job summary

Optum is seeking a Licensed Psychologist, Peer Reviewer for ABA Services working remotely in the United States. The role evaluates ABA treatment requests, applies clinical criteria, and issues determinations to support medical necessity.

Required: doctoral-level psychologist with 3+ years post-licensure, autism experience, managed care exposure, and strong MS Office skills. Full-time, with US remote eligibility.

Qualifications

• Licensed doctoral level Psychologist with current, unrestricted license.
• Minimum 3+ years post-licensure experience.

Responsibilities

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

Skills

Clinical assessment

Communication

Time management

Independent work

Education

Doctoral degree in Psychology (Ph.D. or Psy.D.)

Tools

MS Office Suite

Job description

Optum is seeking a Licensed Psychologist, Peer Reviewer for ABA Services working remotely in the United States. The role evaluates ABA treatment requests, applies clinical criteria, and issues determinations to support medical necessity.

Required: doctoral-level psychologist with 3+ years post-licensure, autism experience, managed care exposure, and strong MS Office skills. Full-time, with US remote eligibility.