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.

Salary : $100,000 - $135,000