Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). At least 7 years of healthcare experience, including experience in care management, utilization management, behavioral health, and/or managed care operations - preferably in an auditing capacity, and at least 3 years of experience in LTSS, quality improvement, and/or member health and safety oversight, or equivalent combination of relevant education and experience.