Behavioral Health Physician – Autism, ABA Therapy

This is a fully remote position, open to applicants in California.

📋 Description

• Act as the physician subject matter expert in Behavioral Health, Autism Spectrum Disorder (ASD), and Applied Behavior Analysis (ABA) therapy programs.

• Evaluate intricate authorization requests, appeals, and determinations of medical necessity concerning behavioral health and autism treatment services.

• Facilitate peer-to-peer consultations with providers while employing evidence-based clinical criteria to endorse suitable care decisions.

• Offer clinical direction to utilization management, quality assurance, case management, and operational teams.

• Interpret and implement Medicaid regulations, medical policies, and guidelines for behavioral health treatments.

• Partner with clients and internal stakeholders to enhance healthcare outcomes, quality initiatives, and access to behavioral health services.

• Assess clinical documentation and aid in making high-quality, evidence-based care decisions.

• Collaborate with providers, clients, and interdisciplinary healthcare teams.

• Perform peer-to-peer reviews, complex case consultations, and medical necessity assessments.

⛳️ Requirements

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO).

• Active, unrestricted medical license in the United States.

• Active, unrestricted license to practice medicine in California.

• Board Certification in Psychiatry, Child & Adolescent Psychiatry, Developmental Behavioral Pediatrics, Neurology, or a related specialty.

• At least five years of post-residency clinical experience in treating individuals with Autism Spectrum Disorder and behavioral health conditions.

• In-depth 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.

• Exceptional analytical, communication, and decision-making skills.

• Capability to work independently in a remote setting.

• Work must be conducted within the United States.

🏝️ Benefits

• Flexible hours.

• Work-life balance.

• Continuous learning and career development opportunities.

• Generous and flexible vacation policy.

• 401(k) employer match.

• Comprehensive health benefits.

• Educational assistance.

• Leadership and technical development academies.