Clinical Reviewer, Behavioral Health

1 month ago
United States — Remote$76.1K - $114.2KFull TimeMental Health Therapy

Job Description

About the Role

Join Point32Health as a Clinical Reviewer, Behavioral Health in United States.

Key Responsibilities

  • Concurrent review of Behavior Health Services Identification and determination of benefit coverage for behavioral health coverage requests.
  • Identifies and determines medical necessity of out of network requests for services.
  • Effective communication with the Medical Director, regarding identified variances for specific members according to criteria utilized for medical review.

Requirements

  • based communications: webinar, instant messaging, thin client, soft phone, or others Proficiency with or ability to learn technology
  • $114,177.38
  • 26 -$114,177.38

Benefits & Compensation

  • Salary: $76.1K - $114.2K

Work Schedule

  • Full-Time position.
  • Remote position - work from anywhere.

Apply to join Point32Health as a Clinical Reviewer, Behavioral Health.

Key Skills

Benefit Coverage ReviewsUtilization ManagementRegulatory Guidelines AdherencePrior Authorization RequestsConcurrent ReviewMedical Necessity DeterminationClinical Criteria SetsCase Management InteractionProvider CollaborationTeamworkCritical ThinkingCommunication SkillsPrioritizationProductivity Goal AchievementCompliance Policy AdherenceMicrosoft Office Proficiency
HealthcareAdministrativeSocial Servicesvia Workday

Position Insights

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Clinical Reviewer, Behavioral Health at Point32Health a 4.0 out of 10 for work-life balance — classified as below average. This places the position in the average range of all Mental Health Therapy physician listings evaluated on our platform. Contributing factors include remote work flexibility.

Candidates should carefully assess workload expectations and scheduling demands before applying.

Mental Health Therapy — Physician Career Context

This Mental Health Therapy position at Point32Health is open to physician candidates.

Physicians (MD/DO) are in high demand across healthcare settings, with growing interest in positions that offer sustainable schedules and reduced administrative burden.

Remote physician positions in Mental Health Therapy have grown significantly in recent years, offering clinicians the ability to maintain a full patient panel without geographic constraints or commute-related burnout.

Compensation Analysis

Point32Health lists compensation for this physician position at $76k to $114k annually.

Location & Logistics

This is a fully remote physician position. Remote clinicians can practice from any state where they hold an active license, eliminating commute time and offering maximum schedule flexibility. Many remote healthcare positions also allow providers to establish a more sustainable long-term practice pattern.

Why This Position Stands Out

  • Fully remote — work from anywhere with an active license
  • Transparent compensation ($76k–$114k)

Skills, Responsibilities & Benefits

Key skills and qualifications: Benefit Coverage Reviews, Utilization Management, Regulatory Guidelines Adherence, Prior Authorization Requests, Concurrent Review, Medical Necessity Determination, Clinical Criteria Sets, Case Management Interaction. Candidates with experience in these areas may be especially well-suited for this Mental Health Therapy role.

Core responsibilities: The Behavioral Health Utilization Management Clinician conducts benefit coverage reviews and utilization management according to regulatory guidelines, aiming to ensure clinically appropriate service delivery and support business goals. Key duties include adhering to review guidelines, managing auth...

Benefits package: Medical Insurance, Dental Insurance, Vision Insurance, Retirement Plans, Paid Time Off, Employer-paid Life Insurance, Employer-paid Disability Insurance, Tuition Program. A comprehensive benefits package is an important factor in evaluating total compensation beyond base salary.

About WeekdayDoc

WeekdayDoc is the only healthcare job board that scores every position for burnout risk and work-life balance. Every listing includes a proprietary burnout score, transparent salary data when available, and lifestyle filters for no-call, no-weekends, and remote positions. Browse more Mental Health Therapy physician jobs on WeekdayDoc to compare work-life balance scores and compensation across employers.

Point32Health logo

About Point32Health

Insurance
Canton, Massachusetts
2-5

Benefits & Perks

Medical Insurance
Dental Insurance
Vision Insurance
Retirement Plans
Paid Time Off
Employer-paid Life Insurance
Employer-paid Disability Insurance
Tuition Program
4.0

Work-Life Balance Score

Below Average

Protective Factors (1)

Remote work (RR 0.57; 14-23% ↓ burnout)

Interpretation: Position includes 1 validated protective factor against burnout.

Job Details

Employment Type

Full-time

Posted

1mo ago

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