Clinical Psychologist – BCBA-D

CVS Health

. Serve as the principal utilization management reviewer for Applied Behavior Analysis (ABA) cases .

Posted 9/18/2026full-timeRemote • Louisiana • United StatesMid-LevelSenior💰 $90,382 - $194,670 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Applied Behavior Analysis (ABA) and neurodevelopmental disorders, with a strong focus on clinical assessment, treatment, and utilization management. Holds a Doctoral degree and relevant licensure, ensuring compliance with coding guidelines and quality assurance standards.

Highest-signal resume keywords

Applied Behavior Analysis (ABA)Neurodevelopmental Disorders ExpertiseDoctoral Degree (PhD or PsyD)Board Certified Behavior Analyst-Doctoral (BCBA-D)Clinical Experience in Autism Spectrum Disorder

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical AssessmentTreatment of Neurodevelopmental DisordersReviewing Medical RecordsCPT Coding GuidelinesHCPCS Coding Principles

Soft Skills

Team CollaborationSubject Matter ExpertiseProvider Education

Certifications & Qualifications

Board Certified Behavior Analyst-Doctoral (BCBA-D)Active State License in Louisiana (LA)

Industry Keywords

Utilization ManagementNeuropsychological TestingQuality AssuranceFraud, Waste, and Abuse IssuesMedicaid Initiatives

About the role

Key responsibilities & impact

Serve as the principal utilization management reviewer for Applied Behavior Analysis (ABA) cases
Provide daily support and guidance to the ABA prior authorization clinical team and health plan medical directors
Review cases related to psychological and neuropsychological testing
Participate in clinical meetings with care management and utilization management teams
Provide subject matter expertise on ABA-related questions and member concerns
Contribute to medical management programs and policies addressing neurodevelopmental disorders
Recommend enhancements to managed care review guidelines and clinical criteria
Support Medicaid-wide initiatives benefiting members with neurodevelopmental disorders
Support provider education initiatives for professionals specializing in neurodiversity
Address quality assurance and fraud, waste, and abuse issues

Requirements

What you’ll need

Minimum of five (5) years of clinical experience in the assessment and treatment of neurodevelopmental disorders, including Autism Spectrum Disorder
Doctoral degree (PhD or PsyD) with a specialization in neurodevelopment and child and adolescent psychology
Direct experience providing treatment within the autism field, such as Applied Behavior Analysis (ABA), Naturalistic Developmental Behavioral Interventions (NDBI), or Early Intensive Behavioral Intervention (EIBI)
Primary state licensure in Louisiana (LA), with willingness and ability to obtain additional licensure as required
Active and unrestricted state license(s) in Louisiana (LA)
Board Certified Behavior Analyst-Doctoral (BCBA-D) credential
Minimum of five (5) years of post-graduate direct patient care experience
Knowledge of Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) coding guidelines and principles
Experience reviewing medical records and determining claim payments in alignment with company, state, federal, and industry standard coding principles and guidelines

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
CVS Health bonus, commission or short-term incentive program eligibility