Psychologist Reviewer

Centene Corporation

. Authorize, direct and monitor care for behavioral health and/or substance abuse problems according to clinical information and medical necessity criteria .

Posted 10/9/2026full-timeRemote • California • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in behavioral health management, including clinical authorization, peer review processes, and psychological testing. Holds an active psychologist license and possesses a strong understanding of evidence-based practices and diagnostic evaluations.

Highest-signal resume keywords

Active Psychologist LicensePhD Clinical PsychologyBehavioral Health ExperiencePsychological Testing KnowledgeBoard Certified Behavior Analyst (BCBA)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical AuthorizationPeer ReviewDiagnostic EvaluationsEvidence-Based PracticesUtilization Management

Soft Skills

Interpersonal CommunicationEducation and Training

Certifications & Qualifications

PSY - Psychologist Unrestricted LicenseBoard Certified Behavior Analyst (BCBA)

Industry Keywords

Behavioral HealthSubstance AbuseOutpatient ServicesPsychological TestingClinical Input

About the role

Key responsibilities & impact

Authorize, direct and monitor care for behavioral health and/or substance abuse problems according to clinical information and medical necessity criteria
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 regarding clinical authorization questions and case concerns
Respond to state, provider, and member complaints related to psychological testing or services requiring PhD/PsyD review
Facilitate outpatient rounds, providing clinical input and oversight related to outpatient services
Perform other duties as assigned
Comply with all policies and standards

Requirements

What you’ll need

Candidates must hold an active psychologist license in Arkansas, California, Kentucky, or North Carolina
Licenses in other states may be considered if the candidate is willing and able to obtain additional required licensure
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
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
additional forms of incentives may be included in total compensation