Psychologist Reviewer

Centene Corporation is hiring a Remote Psychologist Reviewer (Applied Behavior Analysis) to support its Medical Management/Health Services team for 28 million members. This fully remote role requires an active Indiana psychologist license and is based out of Fort Wayne, Allen County, US.

Key Responsibilities

• Conduct comprehensive clinical reviews of ABA therapy claims and documentation.
• Ensure compliance with state and federal regulations, Centene policies, and evidence‑based practice standards.
• Provide clear, actionable feedback to providers and internal teams to improve care quality and cost‑effectiveness.
• Collaborate with case managers, physicians, and interdisciplinary staff to resolve complex clinical issues.
• Maintain accurate audit records and contribute to continuous improvement initiatives.

Qualifications

• Active, unrestricted psychologist license in Indiana.
• Experience in Applied Behavior Analysis, autism spectrum disorders, or related specialty preferred.
• Strong analytical skills with ability to interpret clinical data and documentation.
• Excellent written and verbal communication skills.
• Proficiency with remote work tools and electronic health record systems.

Compensation & Benefits

Annual salary: $190,732.02. Competitive benefits package, flexible workplace arrangements, and opportunities for professional growth within a national diversified health organization.

Frequently Asked Questions

Do I need to be based in Indiana to apply?

Yes, you must hold an active, unrestricted Indiana psychologist license, but the role is fully remote.

What type of work will I be reviewing?

You will review Applied Behavior Analysis therapy claims, ensuring clinical accuracy, compliance, and adherence to best‑practice standards.

What benefits does Centene offer for this role?

Centene provides a competitive benefits package, flexible work arrangements, and professional development opportunities.