Senior Manager Behavioral Health
About The Position
The Providence Health Plan Sr. Manager of Behavioral Health (BH) provides strategic, clinical, and operational leadership for the health plan's Behavioral Health Utilization Management and Care Management programs across all lines of business, including Commercial, Medicare, and Medicaid. This role is accountable for the overall performance, quality, compliance, and financial outcomes of the BH program, including prior authorization, concurrent review, care management, and post service claims review. Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. We welcome 100% remote work for residents who reside in one of the following States: Washington, Oregon and California.
Requirements
- Bachelor's Degree or equivalent educ/experience.
- Active, unrestricted clinical license (e.g., LCSW, LMFT, LPC, Psychologist, or equivalent behavioral health clinical licensure).
- 5 years - Minimum of 3–5 years of leadership experience in behavioral health utilization management, care management, or clinical review within a health plan or managed care setting.
- Working knowledge of behavioral health regulatory requirements across Commercial, Medicare, and Medicaid lines of business.
Nice To Haves
- Prior experience in a leadership role within behavioral health or medical management.
- Experience working in a matrixed or highly collaborative environment.
- Exposure to audit support, quality monitoring, or compliance activities related to behavioral health.
Benefits
- Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security.
- We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
- Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits.
- Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
