Remote Psychologist for Public Sector & Medicaid Reviews
Sacbar
UnitedHealth Group is seeking a licensed psychologist to serve as a Peer Reviewer for Outpatient Public Sector or Applied Behavior Analysis cases, applying clinical criteria to determine insurance coverage. You will review traditional outpatient psychotherapy visits, Medicaid/Medicare services, ABA requests, and participate in consultations and trainings.
This full-time remote role requires Kentucky licensure but allows work from anywhere in the U.S.
#J-18808-Ljbffr- UnitedHealth Group is seeking a Psychologist Peer Reviewer for outpatient services in Florida. The role... ...benefit coverage across Commercial, Medicaid, and Medicare cases, including ABA... ...Monday-Friday schedule (8:30am-5pm CST). Remote work is possible for Florida...Remote jobMonday to Friday
$91.7k - $163.7k
Optum seeks a licensed psychologist (Ph.D./Psy.D.) in Florida... ...time Psychologist Peer Reviewer role focused on outpatient public sector and ABA cases. You will... ...to Commercial, Medicaid, and Medicare reviews and... ...schedule (8:30am-5pm CST). Remote work is available for Florida...Remote jobFull time- UnitedHealth Group's Optum division is hiring a Psychologist Peer Reviewer for outpatient public sector and ABA cases. You will apply clinical criteria to determine insurance benefit coverage and participate in consultations, staff meetings, and trainings. Responsibilities...Remote jobLocal area
- UnitedHealth Group is seeking a Florida-licensed Psychologist to serve as a Peer Reviewer for outpatient/ABA services and to handle insurance determinations... ...compliance with federal and state requirements. Remote work is available for Florida-based employees, with a standard...Remote jobFull time
$91.7k - $163.7k
...Connecting. Growing together.Psychologist Peer Revieweris for an Outpatient Public Sector or Applied Behavior... ...to Commercial, Medicaid, and/or Medicare cases... ...determinations.Services reviewed may include, but are not... ...flexibility to work remotely * from anywhere within...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from homeMonday to Friday- ...UnitedHealth Group, seeks a licensed doctoral-level psychologist to perform peer reviews and determine coverage for Commercial, Medicaid and Medicare cases. The role involves... ...New York, New Jersey, or Connecticut with remote work flexibility, this position focuses on outpatient...Remote job
$86k - $154.7k
...Join to apply for the Psychologist Reviewer role at RemoteWorker US 1 day ago Be among the first 25 applicants... ...flexibility. Job Description Centene is hiring a Remote Psychologist – Join Our Kentucky Medicaid Team! Are you a licensed Psychologist with a...Remote workFull timeWork at officeRelocation packageFlexible hours- Optum, part of UnitedHealth Group, seeks a Psychologist Peer Reviewer in a full-time remote-capable role. You will apply clinical criteria to Commercial/Medicaid/Medicare cases to determine coverage, reviewing ABA and other services and contributing to policy-compliant...Remote workFull time
- ...and better health outcomes. Our remote workforce collaborates across the... ...Analysis (ABA) Consultant to support a Medicaid Prior Authorization (PA) program reviewing ABA therapy services. In this... ...Alabama license as a Licensed Psychologist or Licensed Psychiatrist Experience...Remote workRelief
- ...UnitedHealth Group is seeking a Psychologist Peer Reviewer for outpatient public sector or ABA reviews to determine insurance coverage using clinical and benefit... ...and participating in team trainings; remote work available within the U.S. Requires Kentucky...Remote workFull timeFlexible hours
- ...strategic management consultancy working across the for-profit, public and social sectors. We help clients around the world identify their most... ...directly tied to the organization's upcoming re-accreditation review: the Psychometrician will ensure that assessment practices,...Remote work
$87.7k - $157.8k
...organization offering competitive benefits including a fresh perspective on workplace flexibility. Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist Reviewers (Applied Behavior Analysis). Candidates must hold an active...Remote workFull timePart timeWork at officeFlexible hours$51 per hour
...Utilization Review Specialist (BCBA Licensee)Baltimore, MD (Remote – offsite) Contract To Hire $51/hr (W2) 100% Remote Must be Licensed in one of the 3 states: MD, VA or Washington D.C.Utilizing key principles of utilization management, the Utilization Review Specialist...Remote workContract workWork at officeWork from home- Elevance Health is seeking a Psychologist Reviewer for a part-time position in Kansas. The role supports Behavioral Health services, including... ...psychology with an active license and experience in managed care. Remote/hybrid work with required in-person trainings is available,...Remote jobPart time
- Elevance Health in Kansas is seeking a part-time psychologist reviewer to evaluate appropriateness of care using Medical Necessity Criteria, primarily ABA services, with potential involvement in other outpatient therapies. The role is virtual full-time, with required in...Remote jobFull timePart time
- Centene Corporation is seeking a remote Psychologist Reviewer (Applied Behavior Analysis) focusing on autism. You will authorize and monitor care for behavioral health, collaborating with providers to ensure medical necessity and appropriate care. Requirements include...Remote job
- Centene Corporation is hiring remote psychologists reviewers specializing in ABA to support youth with autism. The role requires an active Louisiana psychology license and BCBA preferred. Responsibilities include peer reviews, provider education, and clinical authorization...Remote job
- Centene Management Company LLC is seeking a registered nurse to perform concurrent reviews for the Missouri Medicaid population in a fully remote role. The incumbent will assess health status, evaluate level of care, and support discharge planning within utilization management...Remote job
- ...Clinical Quality Reviewer - BCBAOnos Health's mission is simple but ambitious: ensure every healthcare dollar goes toward delivering the... ...: 2-3 days/week at San Francisco office (Financial District), remote-first cultureUnlimited vacation policyPaid parental leaveMedical...Remote workWork at officeHome office2 days per week3 days per week
$51 per hour
Job Title: Utilization Review Specialist (BCBA Licensee) Location: Baltimore, MD (Remote - offsite) Type: Contract To Hire Compensation: $51/hr (W2) Work Model: 100% Remote Must be Licensed in one of the 3 states: MD, VA or Washington D.C. Overview Utilizing key principles...Remote workContract workWork at officeLocal areaWork from home- Acentra Health is seeking a BCBA Clinical Reviewer to conduct administrative and process-based reviews of ABA medical records, ensuring... ...instead on accuracy and completeness of ABA documentation. This remote position is based in Minnesota with Central Time business hours...Remote job
$30 - $45 per hour
...Beach, CA. This role requires expertise in Medicaid and Medi-Cal operations, along with experience in Epic EHR and Utilization Review. The selected candidate will perform chart... ...Medicaid program metrics. This position is remote and offers a pay range of $30-$45 per hour...Remote jobHourly payContract work- Centene Corp. invites applications for a Remote Psychologist Reviewer (ABA) to support youth with Autism across licensed states including LA, AR, KY, NC and CA. This 100% remote role emphasizes evidence-based behavioral health care and utilization management. The position...Remote job
- ...their field team's coordinated review and delivery of technical... ...the supervision of a licensed psychologist and through duties including... ...participation in the Medicare and Medicaid programs. Continued... ...receive loan forgiveness under the Public Service Loan Forgiveness Program...Remote workPermanent employmentFull timeTraineeshipWork at officeLocal area
- The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services division seeks a Psychologist II to provide advanced clinical oversight of diagnostic/functional eligibility reviews and manage fair hearings for the IDD PES unit. The role requires licensed practice...Remote job
$95 - $180 per hour
...Psychologist $95-180/hour | Remote | Flexible Schedule Pay & Flexibility Hourly Rate: $95-$180 per hour. Predictable Income: Guaranteed... ...Work with major plans, including Medicare Advantage and Medicaid. Provider Benefits Rapid Growth: Most providers...Remote workBi-weekly payHourly payExtra incomeFull timePart timePrivate practiceFlexible hours- ...happier lives. We are seeking a Psychologist to join our rapidly growing... ...model. This role is fully remote and embedded within a... ...~ Experience with Medicare/Medicaid populations preferred ~ Strong... ...Participate in weekly case review rounds and team meetings Maintain...Remote workFull timeLocal area
$44 - $54 per hour
...Join Huddle Up as a Virtual School Psychologist Huddle Up is a provider-founded and provider... ...requested by the school and complete medicaid billing if necessary Access to a... ...qualifications. Applications are typically reviewed within 48 business hours after...Remote workHourly payFull timeTemporary workCurrently hiringLocal areaFlexible hours- ...compliance with all applicable federal, state, and payer-specific regulations, including HIPAA and Medicaid/insurance billing standards. Participate in utilization review and authorization processes in coordination with ACT's billing and operations teams. Family & Caregiver...Remote workLocal areaWork from homeFlexible hours
$96.34k
...will serve as a Licensed Psychologist for a division of the... ...o Ensure thorough review and monitoring of unit... ...member participation in remote and/or face-to-face meetings... ...in the Medicare and Medicaid programs. Continued... ...forgiveness under the Public Service Loan...Remote workPermanent employmentFull timeWork at officeLocal area
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