Remote Licensed Psychologist Peer Reviewer

NHSHP; Tampa (FL); Hybrid; USD 92,000 - 164,000; Full time

Job summary

Optum, part of UnitedHealth Group, is seeking a Florida-licensed psychologist to serve as a Peer Reviewer for outpatient and ABA/Medicaid/Medicare cases.

This full-time, salaried role requires reviewing service requests, composing clinical determinations, and collaborating with clinical teams while meeting federal and state requirements. Florida residents may work remotely; schedule is Monday–Friday, 8:30 am–5:00 pm CST.

Qualifications

• Licensed doctoral level Psychologist (Ph.D. or Psy.D.) in Florida
• 3+ years post-licensure experience
• Experience with insurance authorizations and peer reviews
• Proficient in Word, Outlook, TEAMS, Excel, and Access
• Permanent Florida residence

Responsibilities

• Conduct clinical reviews for service authorization and outpatient care
• Compose and enter clinical determinations compliant with federal, state, and local requirements
• Participate in consultations, staff meetings, and trainings
• Work with Medicaid/Medicare and ABA/PSR service requests
• Assist with appeals of previously denied services

Skills

Licensed psychologist

Florida licensure

Clinical review

Microsoft Office

Communication skills

Remote work setup

Multitasking

Education

Ph.D. or Psy.D.

Tools

Microsoft Office

Teams

Access

Job description

Optum, part of UnitedHealth Group, is seeking a Florida-licensed psychologist to serve as a Peer Reviewer for outpatient and ABA/Medicaid/Medicare cases.

This full-time, salaried role requires reviewing service requests, composing clinical determinations, and collaborating with clinical teams while meeting federal and state requirements. Florida residents may work remotely; schedule is Monday–Friday, 8:30 am–5:00 pm CST.