Behavioral Treatment Consultant

The Behavioral Treatment Consultant reviews and adjudicates Medicaid prior authorization requests for behavioral treatment services, ensuring timely access to appropriate care through accurate clinical evaluations. This fully remote role involves evaluating medical necessity and eligibility in accordance with state Medicaid policies, collaborating with providers, and serving as a clinical subject matter expert. The position offers the opportunity to make a meaningful impact on members' access to care while working alongside a highly skilled and supportive team.