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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 Principal Clinical Leader for the Aetna Better Health of Illinois plan functions as the key Behavioral Leader for the health plan. This role will be a key member of the health plan leadership as the subject matter expert to support the Behavioral Health needs of our ABHIL Medicaid members. The role will be the key conduit for Behavioral Health information via internal collaboration across the various functional areas (Care Management, Utilization Management, Provider Relations, Network, and Quality). In addition, this role will interface with state entities, community stakeholders, Behavioral Health providers, and community-based organizations. This individual serves as the HFS contractually required Behavioral Health Lead for ABHIL. In addition, this role will drive the overall Behavioral Health Strategy for the ABHIL plan focusing on design, implementation, and ongoing monitoring of innovative Behavioral Health initiatives & pilots to better meets the needs of vulnerable sub-populations within our Illinois Medicaid membership. Some examples include Justice Involved members, members with frequent hospital admissions & re-admissions, members with Substance Use Disorder, and members with co-morbid Behavioral and Physical Health needs.

This position is fully remote. Eligible candidates must live in Illinois – Cook County preferred.

Required Qualifications

+ Illinois residentActive licensure in Illinois as an Licensed Professional Counselor (LPC), or Licensed Clinical Professional Counselor (LCPC), or Licensed Social Worker (LSW), or Licensed Clinical Social Worker (LCSW).

+ 3 or more years of clinical experience in community behavioral health

+ 3 or more years of Medicaid managed care experience

+ Demonstrated experience in project/program management related to behavioral health

Preferred Qualifications

+ Prefer Illinois licensure as a Licensed Clinical Professional Counselor (LCPC) or Licensed Clinical Social Worker (LCSW)

+ 5 or more years’ experience in Medicaid managed care

+ Demonstrated experience and deep understanding of the Illinois Behavioral Health delivery system

+ Demonstrated experience designing and implementing innovative Behavioral Health programs and initiatives

+ Demonstrated experience providing oversight and administration of Behavioral Health programs and strategy

Education

Master's degree in Counseling, Social work, or closely 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: 09/13/2025

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.