La Palma, CA · Remote
$87K - $157K/yr
You could be the one who changes everything for our 28 million members as a clinical professional ... Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ...
La Palma, CA · Remote
$87K - $157K/yr
You could be the one who changes everything for our 28 million members as a clinical professional ... Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ...
Greensboro, NC · On-site +1
$87K - $157K/yr
You could be the one who changes everything for our 28 million members as a clinical professional ... Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ...
Greensboro, NC · On-site +1
$87K - $157K/yr
You could be the one who changes everything for our 28 million members as a clinical professional ... Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ...
Dos Palos, CA · Remote
$87K - $157K/yr
You could be the one who changes everything for our 28 million members as a clinical professional ... Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ...
Dos Palos, CA · Remote
$87K - $157K/yr
You could be the one who changes everything for our 28 million members as a clinical professional ... Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ...
$87K - $157K/yr
You could be the one who changes everything for our 28 million members as a clinical professional ... Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ...
$87K - $157K/yr
You could be the one who changes everything for our 28 million members as a clinical professional ... Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ...
Wilmington, NC · On-site +1
$87K - $157K/yr
You could be the one who changes everything for our 28 million members as a clinical professional ... Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ...
Wilmington, NC · On-site +1
$87K - $157K/yr
You could be the one who changes everything for our 28 million members as a clinical professional ... Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ...
Winston Salem, NC · On-site +1
$87K - $157K/yr
You could be the one who changes everything for our 28 million members as a clinical professional ... Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ...
Winston Salem, NC · On-site +1
$87K - $157K/yr
You could be the one who changes everything for our 28 million members as a clinical professional ... Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ...
Durham, NC · On-site +1
$87K - $157K/yr
You could be the one who changes everything for our 28 million members as a clinical professional ... Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ...
Durham, NC · On-site +1
$87K - $157K/yr
You could be the one who changes everything for our 28 million members as a clinical professional ... Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ...
Concord, NC · On-site +1
$87K - $157K/yr
You could be the one who changes everything for our 28 million members as a clinical professional ... Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ...
Concord, NC · On-site +1
$87K - $157K/yr
You could be the one who changes everything for our 28 million members as a clinical professional ... Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ...
$87K - $157K/yr
You could be the one who changes everything for our 28 million members as a clinical professional ... Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ...
$87K - $157K/yr
You could be the one who changes everything for our 28 million members as a clinical professional ... Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ...
Annapolis, MD · On-site
$87K - $120K/yr
Lead Clinical Psychologist Build & Lead Backpack Healthcare's Clinical Psychology Program Multi ... Conduct clinical interviews and review records and collateral information from caregivers, schools ...
Annapolis, MD · On-site
$87K - $120K/yr
Lead Clinical Psychologist Build & Lead Backpack Healthcare's Clinical Psychology Program Multi ... Conduct clinical interviews and review records and collateral information from caregivers, schools ...
El Paso, TX · On-site
$145K - $152K/yr
Clinical Psychologist with Child & Adolescent Experience- William Beaumont Army Medical Center ... Participate in case conferences, clinical reviews, quality improvement activities, and other ...
El Paso, TX · On-site
$145K - $152K/yr
Clinical Psychologist with Child & Adolescent Experience- William Beaumont Army Medical Center ... Participate in case conferences, clinical reviews, quality improvement activities, and other ...
El Paso, TX · On-site
$145K - $152K/yr
Clinical Psychologist with Child & Adolescent Experience- William Beaumont Army Medical Center ... Participate in case conferences, clinical reviews, quality improvement activities, and other ...
Quick apply
El Paso, TX · On-site
$145K - $152K/yr
Clinical Psychologist with Child & Adolescent Experience- William Beaumont Army Medical Center ... Participate in case conferences, clinical reviews, quality improvement activities, and other ...
El Paso, TX · On-site
$145K - $152K/yr
Clinical Psychologist with Child & Adolescent Experience- William Beaumont Army Medical Center ... Participate in case conferences, clinical reviews, quality improvement activities, and other ...
Quick apply
El Paso, TX · On-site
$145K - $152K/yr
Clinical Psychologist with Child & Adolescent Experience- William Beaumont Army Medical Center ... Participate in case conferences, clinical reviews, quality improvement activities, and other ...
El Paso, TX · On-site
$145K - $152K/yr
Clinical Psychologist with Child & Adolescent Experience- William Beaumont Army Medical Center ... Participate in case conferences, clinical reviews, quality improvement activities, and other ...
Quick apply
El Paso, TX · On-site
$145K - $152K/yr
Clinical Psychologist with Child & Adolescent Experience- William Beaumont Army Medical Center ... Participate in case conferences, clinical reviews, quality improvement activities, and other ...
Lake Mary, FL · On-site
$93K - $167K/yr
D in clinical/counseling psychology and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education ...
Lake Mary, FL · On-site
$93K - $167K/yr
D in clinical/counseling psychology and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education ...
Walnut Creek, CA · On-site
$93K - $167K/yr
D in clinical/counseling psychology and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education ...
Walnut Creek, CA · On-site
$93K - $167K/yr
D in clinical/counseling psychology and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education ...
Iselin, NJ · On-site
$93K - $167K/yr
D in clinical/counseling psychology and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education ...
Iselin, NJ · On-site
$93K - $167K/yr
D in clinical/counseling psychology and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education ...
Los Angeles, CA · On-site
$93K - $167K/yr
D in clinical/counseling psychology and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education ...
Los Angeles, CA · On-site
$93K - $167K/yr
D in clinical/counseling psychology and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education ...
Boston, MA · On-site
$93K - $160K/yr
D in clinical/counseling psychology and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education ...
Boston, MA · On-site
$93K - $160K/yr
D in clinical/counseling psychology and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education ...
$93K - $160K/yr
D in clinical/counseling psychology and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education ...
$93K - $160K/yr
D in clinical/counseling psychology and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education ...
$60K - $69K
2% of jobs
$69K - $78K
5% of jobs
$78K - $87K
17% of jobs
$87.6K is the 25th percentile. Wages below this are outliers.
$87K - $96K
9% of jobs
The median wage is $102.9K / yr.
$96K - $105K
22% of jobs
$105K - $114K
12% of jobs
$119.2K is the 75th percentile. Wages above this are outliers.
$114K - $123K
14% of jobs
$123K - $132K
7% of jobs
$132K - $141K
6% of jobs
$141K - $150K
3% of jobs
$150K - $159K
2% of jobs
$60K
$109.9K
$159K
A Clinical Reviewer Psychologist evaluates mental health treatment plans, therapy sessions, and psychological assessments to ensure they meet clinical guidelines and regulatory standards. They often review insurance claims, determine medical necessity, and provide recommendations for appropriate care. This role requires expertise in psychology, strong analytical skills, and familiarity with healthcare policies. They may work for insurance companies, healthcare organizations, or government agencies.
A Clinical Reviewer Psychologist typically reviews patient files, evaluates the appropriateness of treatment plans, and assesses documentation for regulatory compliance and evidence-based care. You may also provide recommendations to clinical teams, collaborate with other healthcare professionals, and participate in case discussions or peer reviews. Daily work is often a blend of independent case assessment and teamwork to ensure quality standards are met. Accurate documentation and ongoing communication with providers are key parts of this role. This mix of tasks makes each day dynamic and ensures your expertise directly supports patient outcomes and organizational standards.
A Clinical Reviewer Psychologist should possess a doctoral degree in psychology, state licensure, and strong analytical skills in assessing clinical documentation for accuracy and compliance. Familiarity with electronic medical record (EMR) systems, utilization review software, and relevant regulatory guidelines like HIPAA is essential. Excellent communication, attention to detail, and problem-solving abilities help professionals excel in collaboration and decision-making. These skills ensure thorough, evidence-based case reviews that support patient care quality and organizational compliance.
Cities with the most Clinical Reviewer Psychologist job openings:
The most popular types of Clinical Reviewer Psychologist jobs are:
States with the most job openings for Clinical Reviewer Psychologist jobs include:
The top searched job categories for Clinical Reviewer Psychologist jobs are:
$87K - $157K/yr
Full-time
Medical, Retirement, PTO
Posted 15 days ago
8.4
Based on 406 frontline employees who took The Breakroom Quiz
12th of 898 rated healthcare providers
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.
Centene is Hiring – Remote Psychologist Reviewers (ABA)
Centene is seeking Remote Psychologist Reviewers (Applied Behavior Analysis).
Candidates must hold an active, unrestricted California Psychologist license. This is a remote position, and applicants may reside anywhere within the United States; however, a current California license is required.
Join Centene’s mission-driven team as a Remote Psychologist Reviewer specializing in Applied Behavior Analysis (ABA) with a focus on individuals with Autism.
We’re seeking a dedicated professional who is passionate about improving the lives of youth with Autism. The ideal candidate will also hold a BCBA certification to support our growing markets and ensure high-quality, evidence-based behavioral health care.
Why Join Us?
100% remote flexibility
Meaningful work impacting care for youths with Autism
Be part of a collaborative, supportive team committed to clinical excellence
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:
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
Sourced by ZipRecruiter
Health care and social assistance
10,000+ Employees
Saint Louis, MO, US
1984
