New

Licensed Psychologist Peer Reviewer - ABA Autism - Remote

Optum
$120,000 - Annual bonus potential up to 10% of salary, Medical/Dental/Vision/23 days PTO, 9 Holidays, 401K match after 1 year of service
remote work
United States, Texas, Houston
Oct 28, 2025
The role of the Psychologist Peer Reviewer for Applied Behavior Analysis - Autism Services involves applying clinical and benefit plan criteria to service requests for initial and continued coverage of ABA treatment, shaping and modifying treatment as appropriate, and issuing an adverse benefit determination if treatment is not medically necessary. Primary Responsibilities: ABA service requests for both Commercial and Medicaid Plans Participate in peer consultations, staff meetings, and trainings; be responsible for composing and entering clinical determinations that comply with all federal, state, and local guideline requirements; and perform other duties as required. The Psychologist Reviewer may conduct clinical reviews of the following type during a typical workday: Clinical review of requests for ABA and Assessment services Requests for Single Case Agreements Appeals of previously denied services This is a Monday - Friday, normal daytime business hour position. It is remote - work from home from anywhere in the USA. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Required Qualifications: Licensed doctoral level Psychologist (Ph.D. or Psy.D.) Your license must be current, allow for full independent practice, and be unrestricted [You may be asked to obtain additional state licenses to meet growing business needs] Clinical experience with Autism Spectrum Disorder Ability to work full-time during normal business hours Monday through Friday