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Psychologist Reviewer
Centene CorporationRemote Psychologist Reviewer specializing in Applied Behavior Analysis at Centene. Authorizing and monitoring behavioral health care for youth with Autism.
Posted 7/8/2026full-timeRemote • California, Kentucky, Louisiana, North Carolina • 🇺🇸 United StatesJuniorMid-Level💰 $87,700 - $157,800 per yearWebsite
About the role
Key responsibilities & impact- 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
- 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
- Performs other duties as assigned. Complies with all policies and standards.
Requirements
What you’ll need- 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 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
- PSY - Psychologist Unrestricted License (PhD or PsyD) Upon Hire required
- Board Certified Behavior Analyst (BCBA) BCBA-D Upon Hire preferred
Benefits
Comp & perks- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Clinical AuthorizationPeer ReviewUtilization ManagementDiagnostic EvaluationsEvidence-Based Practices
Soft Skills
Interpersonal CommunicationEducation and Training
Certifications
PSY - Psychologist Unrestricted LicenseBoard Certified Behavior Analyst (BCBA)