Behavioral Health Physician – Autism, ABA Therapy

Job not on LinkedIn

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $152k - $217.2k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

😶‍🌫️ Therapist

🦅 H1B Visa Sponsor

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Consulting • Logistics • Healthcare Insurance

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• Serve as the physician subject matter expert for Behavioral Health, Autism Spectrum Disorder (ASD), and Applied Behavior Analysis (ABA) therapy programs • Review complex authorization requests, appeals, and medical necessity determinations related to behavioral health and autism treatment services • Conduct peer-to-peer consultations with providers and apply evidence-based clinical criteria to support appropriate care decisions • Provide clinical guidance to utilization management, quality, case management, and operational teams • Interpret and apply Medicaid regulations, medical policies, and behavioral health treatment guidelines • Collaborate with clients and internal stakeholders to improve healthcare outcomes, quality initiatives, and access to behavioral health services • Review clinical documentation and contribute to high-quality, evidence-based care decisions • Collaborate with providers, clients, and multidisciplinary healthcare teams • Conduct peer-to-peer reviews, complex case consultations, and medical necessity determinations

🎯 Requirements

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) • Active, unrestricted U.S. medical license • Active, unrestricted license to practice medicine in California • Board Certification in Psychiatry, Child & Adolescent Psychiatry, Developmental Behavioral Pediatrics, Neurology, or a related specialty • Minimum of five years of post-residency clinical experience treating individuals with Autism Spectrum Disorder and behavioral health conditions • Strong knowledge of ABA therapy, behavioral health treatment models, and evidence-based clinical guidelines • Experience with Medicaid programs, utilization management, prior authorization, appeals, or medical review activities • Excellent analytical, communication, and decision-making skills • Ability to work independently in a remote environment • Work must be performed within the United States

🏖️ Benefits

• Flexible hours • Work-life balance • Continuous learning and career development • Generous, flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies