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Psychologist Reviewer
Centene CorporationPsychologist Reviewer authorizing and monitoring ABA behavioral healthcare for Centene. Conducting clinical reviews and supporting evidence-based care for individuals with Autism.
Posted 9/3/2026full-timeRemote • California • 🇺🇸 United StatesJuniorMid-Level💰 $87,700 - $157,800 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in behavioral health and psychological testing, with a strong focus on clinical oversight and compliance with medical necessity criteria. Possesses a deep understanding of evidence-based practices and the ability to educate network practitioners on best-practice models.
Highest-signal resume keywords
Active California Psychologist LicensePhD Clinical Psychology2+ Years Behavioral Health ExperienceWorking Knowledge of Psychological TestsBCBA Certification Preferred
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Psychological Testing ProceduresDiagnostic EvaluationsEvidence-Based PracticesUtilization Management ProcessesClinical Input and Oversight
Soft Skills
Interpersonal CommunicationEducation and Training
Certifications & Qualifications
Active California Psychologist LicenseBCBA Certification
Industry Keywords
Behavioral HealthSubstance AbusePeer ReviewsOutpatient ServicesAutism Spectrum Disorder
About the role
Key responsibilities & impact- Authorize, direct, and monitor care for behavioral health and/or substance abuse problems according to clinical information and internal medical-necessity criteria
- Conduct peer reviews with psychologists, behavioral health therapists, and/or Board Certified Behavior Analysts for outpatient services and psychological testing requests
- Interact with network practitioners to provide education on best-practice models and utilization-management processes
- Discuss clinical authorization questions and concerns with the Medical Director or designee
- Respond to state, provider, and member complaints related to psychological testing or other services requiring PhD/PsyD review
- Facilitate outpatient rounds, providing clinical input and oversight
- Perform other duties as assigned
- Comply with all policies and standards
Requirements
What you’ll need- Active, unrestricted California Psychologist license
- PhD Clinical Psychology, Counseling, Behavior Analysis, or related field required
- 2+ years Behavioral Health required
- Working knowledge of psychological tests and testing procedures, diagnostic evaluations, and evidence-based practices
- For ABA Reviewers, working knowledge of psychological tests and testing procedures, diagnostic evaluations, and evidence-based practices designed for individuals with Autism Spectrum Disorder
- Unrestricted Psychologist license (PhD or PsyD) required upon hire
- BCBA certification preferred upon hire
Benefits
Comp & perks- Health insurance
- 401K plan
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Additional forms of incentives may be included in total compensation
- Equal opportunity employer committed to diversity