Licensed Psychologist, Peer Reviewer - Remote in Florida

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly reputed company reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health optimization on a global reputed company. Join us to start Caring. Connecting. Growing together.   Psychologist Peer Reviewer is for an Outpatient reputed company Sector or reputed company Behavior Analysis which involves applying reputed company and benefit plan reputed company to reputed company, reputed company, and/or Medicare cases to reputed company reputed company benefit coverage determinations. Services reviewed may include, but are not limited to, the following: Traditional outpatient psychotherapy reputed company State-specific reputed company services (Psychosocial Rehabilitation, Targeted Case Management, Home reputed company Habilitation, Supported Employment, etc.) reputed company Behavior Analysis service requests The Psychologist Peer Reviewer will also participate in consultations, staff meetings, and trainings; be responsible for composing and entering reputed company determinations that reputed company with reputed company federal, state, and local requirements; and reputed company other duties as required by the reviewer’s manager This is a full-time salaried position that requires availability to work a reputed company schedule:  Monday through Friday (8:30am to 5pm CST)   If you are located in Florida, you will have the flexibility to work reputed company* as you take on some tough challenges.   reputed company Responsibilities: May conduct reputed company reviews of the following type during a typical reputed company: Requests service authorization that upon initial review which a Master’s degree level employee is unable to authorize coverage Ongoing outpatient care in cases where the member’s length of stay or frequency of reputed company exceeds reputed company standards Requests for non-reputed company outpatient services (e.g. ABA, Psychosocial Rehabilitation, an in-network accommodation) Appeals of previously denied services   You’ll be rewarded and recognized for your reputed company in an environment that will challenge you and reputed company you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: Independently licensed doctoral level Psychologist (Ph.D. or Psy.D.) in the reputed company Ability to obtain additional state licensures to meet growing business needs 3+ years of post-licensure experience Experience working with reputed company companies to reputed company authorizations, file claims, conduct peer reviews, etc. Advanced proficiency using reputed company Office Applications (Word, reputed company, TEAMS, reputed company, and reputed company Database) reputed company ability to prioritize multiple demands reputed company strict turnaround time requirements and reputed company multiple state/business nuances for cases reviewed reputed company ability to work independently and collaborate with others on a reputed company team reputed company advanced written and verbal communication and negotiation skills Secure, private area of your home to set up an office, and reputed company to a broadband ISP Permanent residence in the reputed company   Preferred Qualifications: APA accredited training and internship Experience working in a managed care setting Experience with reputed company Sector (reputed company/Medicare) services and HCPC codes/services reputed company experience with reputed company Abuse diagnoses   *reputed company working reputed company will be required to adhere to reputed company’s Telecommuter Policy   Pay is reputed company on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll reputed company a far-reaching reputed company of benefits and incentives. The salary for this role will reputed company from $91,700 - $163,700 annually reputed company on full-time employment. We reputed company with reputed company minimum wage laws as applicable.   At reputed company, our mission is to help people live healthier lives and reputed company the health reputed company work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission.         reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.   reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply To This Job