At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** The Illinois Behavioral Health Director is a key conduit for Behavioral Health related information as well as Behavioral Health related programming, initiatives, and processes. This position is the business owner for both external and internal Behavioral Health related reports and deliverables. Also, the Director may be tasked with updating, revising, validating, or creating Behavioral Health related Policies & Procedures, Standard Operating Procedures, and Desktops as needed. This position has a critical role in interfacing and liaising with the Medicaid state regulator to address Behavioral Health related issues and concerns and disseminates Behavioral Health related information across the various functional departments as needed related to statewide Medicaid Behavioral Health benefit changes. Further, the Director is a key contributor to Request for Proposals (RFP’s) for both new business and re-bids as it relates to Behavioral Health. The Director supports the design and implementation of Behavioral Health specific programs and initiatives including Scalable Actions Items (SAIs). Finally, the role supports development and implementation of BH programs and initiatives across the other Aetna Medicaid markets. The Behavioral Health Director reports to the Senior Director Behavioral Health - Medicaid Care Management. This is a fully remote role. Eligible candidates must live in Illinois and have a professional license as outlined in the requirements below. In state travel to attend meetings will be required. **Core duties:** + Lead multiple aspects of Illinois Behavioral Health Integration including leading trainings, monitoring progress and outcomes, and adapt processes and procedures as necessary + Support all products including ICM (Integrated Care Management), MLTSS (Medicaid Long Term Support Services), and FIDE (Fully Integrated Dual Eligibility-Medicaid Medicare). + Coordinates across ICM and LTSS IL products to address member Behavioral Health needs and ensure contractual compliance . + Accountable for development, implementation, and ongoing management of complex medical management and clinical operations programs and projects to improve health plan outcomes. + Design conceptual models, initiative planning, business results, stakeholder relationship management and satisfaction for small to moderate scale projects and complex high value initiatives. + Provide guidance and direction to internal and external stakeholders and/or matrixed staff as required to support initiatives. + Accountable for transferring clinical and operational knowledge, best practices, and methodologies. + Utilize clinical experience and skills in a collaborative process across the markets to evaluate and facilitate appropriate healthcare services/benefits for members. + Gather, analyze and synthesize clinical data to drive achievement of strategic business goals/objectives. + Act as an advocate of change while influencing others to see the value in programs/projects, including managing interpersonal sensitivities and articulating the strategic view to ensure project alignment. + Awareness and tracking of state trends including legislative. + Develop and execute franchise model policies, procedures, workflows, training materials as needed and modify to incorporate contract/regulatory requirements for state stakeholders and to meet accreditation needs. **Required Qualifications** + Illinois resident + One of the following Illinois licenses is required: Licensed behavioral health clinician- Licensed Professional Counselor, Licensed Clinical Professional Counselor, Licensed Social Worker/Licensed Clinical Social Worker (clinical licensure preferred) + Minimum of 7 years demonstrated experience in managing large initiatives and projects with demonstrated outcomes + Demonstrated experience in providing behavioral health and Care Management services to include assessments, care planning, interventions, monitoring, reporting (managed care preferred) + Proven communication skills both written and verbal and able to communicate effectively with all levels of an organization from C-Suite executives to front-line staff + Ability to work collaboratively with internal and external teams to build knowledge an improve processes + Group facilitation/presentation skills that inform and influence internal and external parties + Experience in successfully building, maintaining, and supporting effective relationship across cross-functional teams to achieve goals + Ability to travel 15-20% for scheduled leadership meetings at ABH IL headquarters in Chicago and elsewhere in-state. **Preferred Qualifications** + Managed care experience + Ability to manage multiple timelines and produce evidence of driving toward success with regular updates on progress in all areas of clinical project or program management + Licensed Clinical Professional Counselor (LCPC) or Licensed Clinical Social Worker (LCSW) + Participation in strategic projects and process improvements based on lessons learned + Profound understanding of clinical workflows and best practices + Ability to effectively manage client expectations and inspire confidence **Education** Master's degree in Counseling or related field from an accredited college or university **Pay Range** The typical pay range for this role is: $121,514.00 - $261,723.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 08/02/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.