
10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
🛒 Retail
Healthcare • Healthcare Insurance • Retail
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
🕒 September 18
Where this job comes from
Posted on CVS Health's careers page, not through a job board
First seen by Remote Rocketship September 18
Still open on CVS Health's site. Checked 1 hour ago.

10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
🛒 Retail
Healthcare • Healthcare Insurance • Retail
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
• 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
• 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
• 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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