Description
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.
Required Qualifications:
* 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.
Preferred Qualifications:
* 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.
Salary Range by Location:
* California: Humboldt: Min: $63.50, Max: $100.26
* California: All Northern California - Except Humboldt: Min: $71.25, Max: $112.48
* California: All Southern California - Except Bakersfield: Min: $63.50, Max: $100.26
* California: Bakersfield: Min: $60.92, Max: $96.18
* Oregon: Non-Portland Service Area: Min: $56.79, Max: $89.66
* Oregon: Portland Service Area: Min: $60.92, Max: $96.18
* Washington: Western - Except Tukwila: Min: $63.50, Max: $100.26
* Washington: Southwest - Olympia, Centralia & Below: Min: $60.92, Max: $96.18
* Washington: Tukwila: Min: $63.50, Max: $100.26
* Washington: Eastern: Min: $54.21, Max: $85.59
* Washington: Southeastern: Min: $56.79, Max: $89.66
Why Join Providence Health Plan?
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.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 425124
Company: Providence Jobs
Job Category: Behavioral Health
Job Function: Clinical Care
Job Schedule: Full time
Job Shift: Day
Career Track: Leadership
Department: 5018 HCS MEDICAL MANAGEMENT OR REGION
Address: CA Burbank 511 S Buena Vista St
Work Location: Providence High School-Burbank
Workplace Type: Remote
Pay Range: $see posting - $see posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
