E-3 Visa Behavioral Health Manager Jobs
Behavioral Health Manager roles qualify for E-3 visa sponsorship when the position requires a bachelor's degree or higher in psychology, social work, counseling, or a related behavioral science field. Australian professionals can secure two-year renewable E-3 status with no lottery, making this a direct path to U.S. clinical leadership.
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Get Access To All JobsWe’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
May reside anywhere in the US
Position Summary
The Behavioral Health Medical Policy Lead is responsible for the identification, development, and execution of behavioral health clinical and payment policies, ensuring alignment with evidence-based guidelines, regulatory requirements, and enterprise affordability goals.
This role serves as a subject matter expert (SME) bridging clinical policy, coding, and claims adjudication by translating behavioral health policy intent into clear business requirements that drive accurate configuration and enforcement within claims processing platforms.
The position partners across Medical Policy, Medical Coding, Compliance, and vendor teams to ensure policy is operationalized consistently across end-to-end claims workflows (intake, edits, adjudication, denials, and appeals).
Behavioral Health Policy Identification & Development
- Lead identification of new and emerging behavioral health policy opportunities, including:
- Utilization management gaps
- Medical correct coding vulnerabilities
- Payment integrity risks
- Interpret clinical evidence, regulatory guidance, and industry best practices to:
- Develop or revise behavioral health medical policies
- Define coverage criteria, limitations, and exclusions
- Ensure policies are clinically sound, evidence-based, and aligned with CMS/state guidance
Payment Policy & Claims Editing Strategy
- Define and drive payment policy strategies to ensure accurate claim adjudication and cost containment
- Translate behavioral health policy intent into:
- Claims editing logic
- Correct coding requirements (DX, CPT/HCPCS, modifiers, frequency rules)
- Adjudication outcomes (deny, pend, allow, PA requirement)
- Partner with payment integrity and vendor teams (e.g., editing engines) to implement scalable solutions
Business Requirements Development (BRDs)
- Own development of detailed Business Requirements Documents (BRDs) to support policy implementation, including:
- Policy intent and business objectives
- Coding and clinical logic
- Claims system behavior across adjudication points
- Configuration and testing requirements
- Ensure requirements are:
- Clear, actionable, and testable
- Aligned with claims platform capabilities (e.g., ACAS, QNXT, HRP)
- Act as the primary liaison between clinical SMEs and technical/configuration teams
Claims Adjudication & Operational Integration
- Partner with claims operations to ensure policy is correctly implemented across:
- Front-end edits
- Pre-payment edits
- Post-adjudication processes
- Validate that behavioral health policies are correctly translated into system logic and medical coding rules
- Support testing, defect resolution, and go-live readiness
Quality Assurance, Compliance & Audit Readiness
- Perform policy QA and validation to ensure:
- Alignment between clinical intent and system execution
- Compliance with federal/state regulations and payer requirements
- Support audits and remediation efforts by:
- Identifying gaps in policy, medical coding, or configuration
- Driving corrective actions
Cross-Functional Leadership & Governance
- Serve as Behavioral Health SME across:
- Medical Policy governance forums
- Payment policy and vendor edit workgroups
- Partner with:
- Clinical teams (BH providers, UM)
- Medical coding SMEs
- Compliance and legal
- IT and vendor partners
- Lead end-to-end policy lifecycle from intake through execution and monitoring
Required Qualifications
- 7+ years of experience in medical policy, payment policy, or correct coding; behavioral health clinical practice; or utilization management
- Ability to interpret behavioral health clinical standards and translate into policy
- Apply correct coding frameworks (ICD-10, CPT/HCPCS) in policy and claims contexts
- Develop business requirements documents (BRDs) supporting claims system configuration
- Strong knowledge of behavioral health services (e.g., psychiatry, SUD, therapy modalities) and medical necessity criteria and utilization management
- Experience translating policy into medical coding logic (ICD-10, CPT, HCPCS), claims editing and adjudication rules
- Demonstrated experience developing business requirements (BRDs) for system implementation
- Experience with claims adjudication platforms and/or vendor editing solutions
Preferred Qualifications
- Experience with Medicaid and/or Medicare behavioral health policy
- Experience with payment integrity vendors (e.g., Cotiviti, Optum, ClaimsXten)
- Strong background in policy governance, audit/remediation and process improvement / Lean methodologies
- Formal training or coursework in healthcare policy or health economics, clinical informatics or data analytics and/or utilization management or population health
- Ability to effectively influence cross-functional teams without formal authority
Education
- Bachelor’s degree in behavioral health or related field
- Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) (aligns with medical policy + coding roles) required and/or obtained within one year of start date in role
Pay Range
The typical pay range for this role is:
$67,900.00 - $182,549.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 07/28/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
May reside anywhere in the US
Position Summary
The Behavioral Health Medical Policy Lead is responsible for the identification, development, and execution of behavioral health clinical and payment policies, ensuring alignment with evidence-based guidelines, regulatory requirements, and enterprise affordability goals.
This role serves as a subject matter expert (SME) bridging clinical policy, coding, and claims adjudication by translating behavioral health policy intent into clear business requirements that drive accurate configuration and enforcement within claims processing platforms.
The position partners across Medical Policy, Medical Coding, Compliance, and vendor teams to ensure policy is operationalized consistently across end-to-end claims workflows (intake, edits, adjudication, denials, and appeals).
Behavioral Health Policy Identification & Development
- Lead identification of new and emerging behavioral health policy opportunities, including:
- Utilization management gaps
- Medical correct coding vulnerabilities
- Payment integrity risks
- Interpret clinical evidence, regulatory guidance, and industry best practices to:
- Develop or revise behavioral health medical policies
- Define coverage criteria, limitations, and exclusions
- Ensure policies are clinically sound, evidence-based, and aligned with CMS/state guidance
Payment Policy & Claims Editing Strategy
- Define and drive payment policy strategies to ensure accurate claim adjudication and cost containment
- Translate behavioral health policy intent into:
- Claims editing logic
- Correct coding requirements (DX, CPT/HCPCS, modifiers, frequency rules)
- Adjudication outcomes (deny, pend, allow, PA requirement)
- Partner with payment integrity and vendor teams (e.g., editing engines) to implement scalable solutions
Business Requirements Development (BRDs)
- Own development of detailed Business Requirements Documents (BRDs) to support policy implementation, including:
- Policy intent and business objectives
- Coding and clinical logic
- Claims system behavior across adjudication points
- Configuration and testing requirements
- Ensure requirements are:
- Clear, actionable, and testable
- Aligned with claims platform capabilities (e.g., ACAS, QNXT, HRP)
- Act as the primary liaison between clinical SMEs and technical/configuration teams
Claims Adjudication & Operational Integration
- Partner with claims operations to ensure policy is correctly implemented across:
- Front-end edits
- Pre-payment edits
- Post-adjudication processes
- Validate that behavioral health policies are correctly translated into system logic and medical coding rules
- Support testing, defect resolution, and go-live readiness
Quality Assurance, Compliance & Audit Readiness
- Perform policy QA and validation to ensure:
- Alignment between clinical intent and system execution
- Compliance with federal/state regulations and payer requirements
- Support audits and remediation efforts by:
- Identifying gaps in policy, medical coding, or configuration
- Driving corrective actions
Cross-Functional Leadership & Governance
- Serve as Behavioral Health SME across:
- Medical Policy governance forums
- Payment policy and vendor edit workgroups
- Partner with:
- Clinical teams (BH providers, UM)
- Medical coding SMEs
- Compliance and legal
- IT and vendor partners
- Lead end-to-end policy lifecycle from intake through execution and monitoring
Required Qualifications
- 7+ years of experience in medical policy, payment policy, or correct coding; behavioral health clinical practice; or utilization management
- Ability to interpret behavioral health clinical standards and translate into policy
- Apply correct coding frameworks (ICD-10, CPT/HCPCS) in policy and claims contexts
- Develop business requirements documents (BRDs) supporting claims system configuration
- Strong knowledge of behavioral health services (e.g., psychiatry, SUD, therapy modalities) and medical necessity criteria and utilization management
- Experience translating policy into medical coding logic (ICD-10, CPT, HCPCS), claims editing and adjudication rules
- Demonstrated experience developing business requirements (BRDs) for system implementation
- Experience with claims adjudication platforms and/or vendor editing solutions
Preferred Qualifications
- Experience with Medicaid and/or Medicare behavioral health policy
- Experience with payment integrity vendors (e.g., Cotiviti, Optum, ClaimsXten)
- Strong background in policy governance, audit/remediation and process improvement / Lean methodologies
- Formal training or coursework in healthcare policy or health economics, clinical informatics or data analytics and/or utilization management or population health
- Ability to effectively influence cross-functional teams without formal authority
Education
- Bachelor’s degree in behavioral health or related field
- Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) (aligns with medical policy + coding roles) required and/or obtained within one year of start date in role
Pay Range
The typical pay range for this role is:
$67,900.00 - $182,549.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 07/28/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
See all 1,744+ E-3 Visa Behavioral Health Manager Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new E-3 Visa Behavioral Health Manager Jobs.
Get Access To All JobsTips for Finding E-3 Visa Sponsorship as a Behavioral Health Manager
Translate your Australian credentials for U.S. employers
A three-year Australian bachelor's in psychology or social work is generally accepted as equivalent to a U.S. four-year degree for E-3 visa purposes, but include a credential evaluation letter from a NACES-approved evaluator in your application package to preempt employer hesitation.
Target health systems with existing LCA filing history
Large hospital networks, integrated health systems, and federally qualified health centers file LCAs regularly and have HR teams familiar with the E-3 process. Smaller private practices may have no sponsorship infrastructure, so filter your search toward established healthcare organizations.
Frame your role as a specialty occupation upfront
Behavioral Health Manager positions must require a specific bachelor's degree to qualify as a specialty occupation. When negotiating your offer, confirm the job description explicitly states a degree requirement in behavioral science, clinical psychology, or social work rather than listing it as preferred.
Clarify licensure portability before accepting an offer
State behavioral health licensure doesn't transfer automatically from Australia. Confirm with your prospective employer whether the role requires a U.S. LCSW, LPC, or LMFT license and whether they'll allow a grace period to complete equivalency requirements after your E-3 is approved.
Use Migrate Mate's E-3 filing service for the LCA and paperwork
Once you have a signed offer letter, the LCA must be certified by DOL before your consulate appointment. Migrate Mate's E-3 filing service manages the entire process from LCA submission through consulate preparation, which is particularly useful when your employer has no prior E-3 experience.
Prepare for nonimmigrant intent questions specific to this field
Behavioral health roles are often tied to community programs that attract long-term U.S. residency interest, which consular officers notice. Bring documentation showing your Australian professional ties, such as registration with AHPRA or membership in the Australian Association of Psychologists.
E-3 Visa Behavioral Health Manager: Frequently Asked Questions
Where can I find Behavioral Health Manager jobs with E-3 visa sponsorship?
Migrate Mate is the recommended starting point for Australian professionals searching for Behavioral Health Manager roles with E-3 sponsorship. The platform filters by visa type and role, surfacing employers who have filed LCAs or have active sponsorship infrastructure. Generic job boards don't filter by E-3 eligibility, so you waste time on roles where sponsorship was never on the table.
How much does it cost to get an E-3 visa?
Migrate Mate's E-3 filing service covers the entire process for $499, including the Labor Condition Application, visa document preparation, and consulate appointment guidance. Traditional immigration lawyers charge $2,000–$5,000+ for the same work. The E-3 has less paperwork than most work visas, so paying thousands for legal help is usually unnecessary.
Does a Behavioral Health Manager role qualify as a specialty occupation for the E-3?
Yes, provided the position requires a specific bachelor's degree in behavioral science, clinical psychology, social work, or counseling as a minimum entry requirement. The key distinction is that the degree requirement must be tied to the role itself, not just preferred. If the job description accepts any bachelor's degree regardless of field, the specialty occupation standard may not be met and your E-3 application could be challenged.
How does the E-3 compare to the H-1B for Behavioral Health Manager roles?
The E-3 is significantly more accessible for this role. There's no lottery, no annual cap pressure, and the 10,500 annual allocation for Australians has never been exhausted. H-1B visa requires entering a random lottery with roughly a one-in-four selection rate, meaning qualified candidates are rejected purely by chance. For Australian nationals, the E-3 is the more reliable path into U.S. behavioral health leadership.
Can I change employers while on an E-3 as a Behavioral Health Manager?
Yes, but you need to restart the process with the new employer rather than transfer the existing visa. The new employer must file a fresh LCA with DOL and you'll need a new E-3 visa stamp, which typically requires a consulate appointment in Australia or a third country. You can begin working for the new employer once the new E-3 is approved, so plan your transition timeline accordingly.