Psychologist Reviewer – ABA

Elevance Health

Psychologist Reviewer - ABA for Elevance Health evaluating care appropriateness based on Medical Necessity Criteria. Collaborating with providers and mentoring staff in a virtual capacity.

Posted 7/3/2026full-timeWoodland Hills • California, New Jersey, New York, Ohio • 🇺🇸 United StatesJuniorMid-Level💰 $93,120 - $167,616 per yearWebsite

About the role

Key responsibilities & impact

Collaborating with providers and Medical Directors to determine appropriateness of level of care based on Medical Necessity Criteria
Conducting pre-certification, concurrent review, and appeals of Behavioral Health OP services
Mentoring Behavioral Health Care Management staff
Assisting in developing a program around psychological and neuropsychological testing

Requirements

What you’ll need

Requires Ph.D. or Psy.D in clinical/counseling psychology
Managed care experience including administration and interpretation of psychological test batteries
Active unrestricted license to practice as Clinical/Counseling Psychologist
Minimum of 2 years experience in a Behavioral Health/Clinical setting preferred
Experience with Applied Behavioral Analysis and Autism Spectrum Disorder is strongly preferred

Benefits

Comp & perks

Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Paid Time Off
Medical, dental, and vision insurance
Short and long term disability benefits

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Psychological Test AdministrationInterpretation Of Psychological Test BatteriesPre-Certification ReviewConcurrent ReviewBehavioral Health OP ServicesMentoring StaffProgram DevelopmentPsychological TestingNeuropsychological TestingAppeals Process