Clinical Psychologist – BCBA-D

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🔥 10 minutes ago

⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

💵 $90.4k - $194.7k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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CVS Health Careers

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10,000+ employees

🏥 Healthcare

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Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

📋 Description

• 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 psychological and neuropsychological testing cases as a principal utilization management reviewer • Attend and actively participate in clinical meetings with care management and utilization management teams • Provide subject matter expertise on ABA-related questions and member concerns • Contribute to the development and refinement of 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 • Support quality assurance and fraud, waste, and abuse activities

🎯 Requirements

• 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 with willingness and ability to obtain additional licensure as required • Board Certified Behavior Analyst-Doctoral (BCBA-D) credential • Active and unrestricted state license(s) in Louisiana • 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 (preferred) • Experience reviewing medical records and determining claim payments according to company, state, federal, and industry coding principles and guidelines (preferred)

🏖️ Benefits

• 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

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