BH Medical Director, Medicaid

Become a part of our caring community The Behavioral Health Medical Director provides clinical leadership for Medicaid behavioral health utilization management and makes timely, consistent, and defensible medical-necessity determinations. The role primarily supports Illinois Medicaid and may support other Medicaid markets as needed. The Behavioral Health Medical Director provides clinical leadership and supports Medicaid behavioral health utilization management operations. The physician reviews complex behavioral health requests, applies applicable clinical criteria and Medicaid policies, and makes timely, consistent, and defensible medical-necessity determinations.…