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Bcba Insurance Reviewer Jobs in Oregon (NOW HIRING)

Centene

Psychologist Reviewer

OR · On-site +1

$87K - $157K/yr

... BCBA-D Upon Hire preferred: Pay Range: $87,700.00 - $157,800.00 per year Centene offers a ... pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus ...

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Bcba Insurance Reviewer information

What are the typical daily responsibilities of a BCBA Insurance Reviewer?

As a BCBA Insurance Reviewer, your day often involves reviewing submitted ABA treatment plans, assessing clinical notes for medical necessity, and communicating with both providers and insurance representatives regarding authorizations or denials. You'll typically use specialized software to manage case records and ensure compliance with insurance policies and legal requirements. Collaboration is key, as you may work closely with other clinicians, billing specialists, and case managers to coordinate care and resolve any discrepancies. The role requires a blend of clinical expertise and administrative focus, providing critical oversight to the insurance approval process and supporting the delivery of quality behavioral health services.

What are the key skills and qualifications needed to thrive in the BCBA Insurance Reviewer position, and why are they important?

To thrive as a BCBA Insurance Reviewer, you need a strong background in applied behavior analysis (ABA), a BCBA certification, and in-depth knowledge of healthcare insurance policies and documentation. Familiarity with insurance management systems, clinical documentation platforms, and medical billing codes is commonly required. Exceptional attention to detail, analytical thinking, and effective communication help reviewers navigate complex cases and collaborate with providers. These skills are crucial to ensuring accurate authorizations, timely reimbursement, and compliance with industry standards.

What is a BCBA Insurance Reviewer?

A BCBA Insurance Reviewer is a Board Certified Behavior Analyst (BCBA) who evaluates insurance claims related to applied behavior analysis (ABA) therapy. They review treatment plans, ensure medical necessity, and determine compliance with insurance policies. Their role involves collaborating with providers, patients, and insurance companies to approve or deny coverage based on clinical guidelines. This position helps ensure that ABA services are appropriately authorized and reimbursed.

What are the most commonly searched types of Bcba Insurance Reviewer jobs in Oregon? The most popular types of Bcba Insurance Reviewer jobs in Oregon are:
What are popular job titles related to Bcba Insurance Reviewer jobs in Oregon? For Bcba Insurance Reviewer jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Bcba Insurance Reviewer jobs in Oregon look for? The top searched job categories for Bcba Insurance Reviewer jobs in Oregon are:
What cities in Oregon are hiring for Bcba Insurance Reviewer jobs? Cities in Oregon with the most Bcba Insurance Reviewer job openings:
Bcba Insurance Reviewer jobs near you
Infographic showing various Bcba Insurance Reviewer job openings in Oregon as of August 2026, with employment types broken down into 67% Full Time, 8% Part Time, and 25% Contract. Highlights an 67% In-person, and 33% Remote job distribution.

Psychologist Reviewer

Centene

OR • On-site, Remote

$87K - $157K/yr

Full-time

Medical, Retirement, PTO

Re-posted 3 days ago

Centene rating

8.4

Company rating: 8.4 out of 10

Based on 402 frontline employees who took The Breakroom Quiz

23rd of 887 rated healthcare providers

Job description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Job Description
🏡💻 Remote Opportunity | Psychologist Reviewer

Make an Impact from Anywhere. Join a mission-driven organization where your clinical expertise helps ensure members receive the appropriate behavioral health services they need to thrive.

We are seeking a Remote Psychologist Reviewer with experience in outpatient behavioral health, Applied Behavior Analysis (ABA), neuropsychology, managed care, or community-based services to review psychological testing and treatment documentation for medical necessity and quality of care.

This is an excellent opportunity for a licensed psychologist who enjoys applying their clinical knowledge in a non-traditional setting while maintaining a consistent Monday-Friday schedule (8:00 AM-5:00 PM).

Ideal candidates will hold an active psychologist license in North Carolina, South Carolina, Ohio, Michigan, Oregon or California and bring a passion for delivering high-quality, evidence-based behavioral health services.

Bring your passion. Apply your expertise. Help shape better healthcare outcomes-without leaving home. 🧠💙

Position Purpose:
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.

Education/Experience: 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
Licenses/Certifications:
PSY - Psychologist Unrestricted License (PhD or PsyD) Upon Hire required
Board Certified Behavior Analyst (BCBA) BCBA-D Upon Hire preferred:

Pay Range: $87,700.00 - $157,800.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.


Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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