Humana Inc. is seeking a Behavioral Health Medical Director to lead Medicaid behavioral health utilization management in Illinois. The role entails reviewing complex requests, applying clinical criteria and Medicaid policies, and making timely medical-necessity determinations.
This remote position reports to the Lead Behavioral Health Medical Director and may support other Medicaid markets. Responsibilities include peer-to-peer consultations, appeals, provider disputes, quality reviews, state
#J-18808-LjbffrRemote Behavioral Health Medical Director, Medicaid in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.