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