Founding Behavioral Health Program Director (Remote)

Founding Behavioral Health Program Director (Future VP of Behavioral Health) Build a Statewide Behavioral Health Division From the Ground Up** Bridging Care — Washington State (Remote) Bridging Care is Washington’s largest provider of community-based care coordination under the Health Homes Program, serving 2,200+ Medicaid members across the state. We are rapidly expanding into integrated Behavioral Health — and we’re searching for a rare clinician-leader who can both serve clients now and build a multi-million-dollar statewide BH division within 12–18 months. This is a ground-floor, high-impact, high-autonomy role for someone who is both a strong clinician and a true builder. If you are energized by creating something meaningful, solving complex challenges, and building a Behavioral Health division that improves thousands of lives, this is a career-defining opportunity. This role is fully virtual and can be based anywhere in Washington State. ⭐ Your Mission To serve clients clinically AND design, launch, and scale a statewide, virtual-first Behavioral Health division — building the systems, workflows, team, and payer relationships needed to create a financially strong program with exceptional clinical quality. You are not inheriting a system. You are building the system. You will begin hands-on and grow into the role of General Manager of Behavioral Health as the division becomes profitable. ⭐ What You Will Lead — AND Do 1. Build & Launch (Day 1) • Lead the creation of our WA State Behavioral Health Agency (BHA) with DOH • Support King County BH-ASO contracting • Support MCO contracting (CHPW, CCW, Molina, UHC, Kaiser, Wellpoint) • Architect workflows: referral → intake → treatment → billing → QA • Create documentation templates and clinical standards • Integrate BH services seamlessly with our 2,200-member care coordination model 2. Provide Clinical Services (Bootstrap Phase) To keep the division cash-light and self-funding, you will: • Carry a caseload of ~15–25 clients/week via telehealth • Conduct intakes (90791) and therapy sessions • Maintain excellent documentation and compliance • Begin generating revenue immediately while building the division • This phase lasts only until the program becomes profitable — then your caseload decreases as leadership expands. 3. Grow & Scale (Months 4–12) • Hire and supervise additional clinicians (initially 1099, then W2) • Partner with a fractional prescriber and build an integrated therapy/medication model • Implement dashboards, KPIs, and scalable processes • Develop productivity, quality, and financial systems • Build the foundation of a statewide team 4. Operate & Optimize (Months 6–18) • Own clinical quality, compliance, documentation standards, and audit readiness • Manage toward productivity, financial performance, and strong outcomes • Improve access, reduce no-show rates, and build a sustainable clinical model • Serve as the key operational leader for behavioral health • Prepare for promotion to General Manager of Behavioral Health ⭐ Who You Are ✔ You are BOTH clinical AND operational You enjoy providing therapy — and you love building systems, workflows, and programs. ✔ You are a builder, not a maintainer You thrive in environments where you get to create structure, not just follow it. ✔ You think in terms of “Who, not How” You know how to recruit the right clinicians and build a high-performing team. ✔ You can talk to payers, regulators, and clinicians Comfortably covering compliance, documentation, quality, outcomes, workflows, and financial performance. ✔ You are entrepreneurial and mission-driven You want to improve lives AND build a sustainable, profitable division. ✔ You are hungry for growth You want a pathway to become a VP of Behavioral Health — and eventually lead a statewide scalable operation. ⭐ Qualifications Required: • WA license: LMHC, LMFT, LCSW/LICSW (Must possess an active unrestricted license to practice in the state of Washington). • Strong outpatient therapy experience • Strong documentation & compliance skillset • Comfort balancing clinical work and program-building • Experience with telehealth • Strong leadership instincts; desire to scale a team • Operational thinking: processes, systems, workflows, KPIs Preferred but not required: • Experience with WA Medicaid, MCOs, or BH-ASO • Experience with DOH licensing or audits • Experience leading teams or mentoring clinicians • Experience in startups, integrated care, community mental health, or multidisciplinary settings ⭐ Compensation Base Salary: $100,000 – $135,000 (DOE, aligned with bootstrap phase) → Early earning potential: $120k–$150k+ Career Path: Clear progression to: Director → VP of Behavioral Health with expanded salary, reduced caseload, and a full team under you. Future Upside: • Leadership development support • Ability to build and run a multi-million-dollar statewide division Benefits: Remote work (anywhere in WA) Medical/Dental/Vision PTO Technology stipend ⭐ Why Join Bridging Care? You will be the founding architect of a major new service line for one of Washington’s fastest-growing care organizations. You will have: • A massive built-in referral base • Strong MCO relationships • Full executive support • A statewide virtual infrastructure • True autonomy and creativity • A real pathway to run this division as VP • The chance to impact thousands of lives • The opportunity to build one of WA’s most impactful BH programs This is a rare opportunity to build AND lead — to serve AND scale — to create something life-changing from the ground up. Pay: $100,000.00 - $135,000.00 per year Benefits: • Dental insurance • Health insurance • Life insurance • Paid time off • Vision insurance Work Location: Remote Apply tot his job