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Centene Corporation Supervisor, Autism Reviews in California, California

Position Purpose:

Ensure team completes retrospective medical documentation reviews with demonstrated inter-observer agreement. Ensure processes are in place for consistent execution of policies and procedures for retrospective medical documentation reviews and to monitor and identify gaps in productivity.

  • Ensure team completes retrospective medical documentation reviews with demonstrated inter-observer agreement.

  • Ensure processes are in place for consistent execution of policies and procedures for the reviews.

  • Communicate with providers regarding the review process or review outcomes.

  • Perform regular activities to monitor and identify deficits in meeting productivity requirements.

  • Work, in collaboration with clinical and non-clinical review team, to ensure seamless completion of reviews from start-to-end.

  • Perform medical documentation reviews and other clinical tasks, as necessary.

Education/Experience:

Master’s degree in Applied Behavior Analysis, Psychology, or related field. 5+ years of clinical experience in multiple settings (in-home, school and center-based) and with all ages of beneficiaries. Familiarity with the TRICARE Autism Care Demonstration (ACD) and familiarity with health insurance funding for Applied Behavior Analysis (ABA) services for autism preferred.

License/Certification:

Board Certified Behavior Analyst (BCBA)

Government Security Clearance

This position will be supporting a Federal government contract, therefore it requires U. S. citizenship and proof of favorable adjudication following submission of Department of Defense form SF86 or higher security.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

TITLE: Supervisor, Autism Reviews

LOCATION: California, California

REQNUMBER: 1226684

COMPANY: Legal & Compliance

POSITION TYPE: Both

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