Psychologist Reviewer

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.

Remote Psychologist Reviewer (Applied Behavior Analysis)

Candidate must hold an active psychologist license in Louisiana, Arkansas, Kentucky, North Carolina or California. Licensure in additional states will be considered, provided the selected candidate is willing and able to obtain required additional state licenses as needed.

Why Join Us?

• 100% remote flexibility
• Meaningful work impacting care for youths with Autism
• Be part of a collaborative, supportive team committed to clinical excellence

Position Purpose

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

Responsibilities

• Conduct peer reviews with psychologists, behavioral health therapists and/or Board Certified Behavior Analysts for outpatient services 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 and Experience

PhD in Clinical Psychology, Counseling, Behavior Analysis, or related field required.

Minimum of 2+ years of behavioral health experience required.

Working knowledge of psychological tests and testing procedures, diagnostic evaluations, and evidence-based practices required.

For ABA Reviewers only, working knowledge of psychological tests and testing procedures, diagnostic evaluations, and evidence-based practices designed for individuals with Autism Spectrum Disorder required.

Licenses and Certifications

Psychologist Unrestricted License (PhD or PsyD) upon hire required.

Preferred Qualifications

Board Certified Behavior Analyst (BCBA) or BCBA‑D upon hire preferred.

Pay Range

Pay Range: $87,700 – $157,800 per year.

Benefits

Centene offers a comprehensive benefits package including competitive pay, health insurance, 401(k) and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual’s skills, experience, education, and other job‑related factors permitted by law, including full‑time or part‑time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Equal Employment Opportunity

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.