Clinical Program ManagerHybrid role (3 days/week in office) at our Salt Lake City, Boise, Fargo, Portland, Vancouver, Renton, Medford, Burlington, Lewiston, Little Rock and Springdale offices. Preference will be given to current employees and candidates who reside within a commutable distance from our Salt Lake City, Boise, Fargo, Lewiston, Little Rock and Springdale offices or who are willing to relocate.Who We Are Looking For: Every day, Cambia's dedicated team of Program Managers are living our mission to make health care easier and lives better. As a member of the Health Services Operations (HSO) Clinical Program Management team, our Health Care Services (HCS) Program Manager provides direction, oversight and organization to ensure overall success of one or more complex clinical programs (e.g. cost stewardship, specialty pharmacy, care management, etc.). The HCS Program Manager supports a HCS executive or directing program sponsor to ensure program deliverables are met while striving to improve care quality, enhance consumer experience, and reduce cost. Responsibilities include managing program initiatives from inception to sustainment and providing oversight related to program evaluation, development, processes and reporting during all phases of the program. Initiatives may involve managing internally developed programs or programs established through a vendor partnership. This role requires strong communication skills and the ability to build relationships across the organization (e.g, Health Care Services, Health Plan Operations, Data & Technology, and Finance) - all in service of creating a person-focused health care experience.
Are you ready to lead complex clinical programs that directly improve care quality and make health care easier for thousands of members? Do you thrive in collaborative environments where you can build relationships across diverse teams while driving innovative health care solutions? Then this role may be the perfect fit.
What You Bring to Cambia: Qualifications: - Bachelor's Degree in Business, Health Care Administration, or related field (Masters preferred)
- 5+ years' experience with project and/or program management in healthcare, healthcare insurance operations or other large, complex industry.
- Experience in clinical area preferred. May have equivalent combination of education and experience.
Skills and Attributes: - Ability to think analytically, effectively applying project management and financial techniques, and providing recommendations to management using critical thinking and sound judgment.
- Ability to coordinate cross-functionally with all levels of the organization for the purpose of driving solutions and resolving issues in a timely and effective manner.
- Proficiency in effectively managing high-profile projects, identifying and mitigating risks, and reporting barriers to program deliverables.
- Strong analytical skills, with the ability to analyze complex data and situations, learn quickly and create options, recommendations and action plans.
- Experience in independently defining, developing, managing and reporting on processes and metrics.
- Ability to accomplish results through others by establishing relationships, effective controls and monitoring processes.
- Ability to partner effectively with external partners/vendors.
- Familiarity with health plan and clinical terminology, operations and trends.
- Excellent communication and facilitation skills with all levels of the organization, including the ability to resolve complex issues, build consensus among groups of diverse stakeholders, manage strategic partner relationships, and effectively lead and engage internal teams in the fulfillment of roles and responsibilities.
- Solid knowledge of program evaluation concepts and methodologies, with experience in program effectiveness analysis, measurement, and reporting.
- Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired
What You Will Do at Cambia: - Works closely with project sponsor(s), cross-functional teams, and project managers to plan and develop scope, deliverables, required resources, work plan, budget, and timing for new initiatives.
- Effectively manages internal/external stakeholder relationships, ensuring the focused pursuit of desired outcomes.
- Manages program and project teams to identify risks and opportunities across multiple initiatives or workstreams to ensure program goals are reached.
- Educates and trains the leadership, staff, business associates and other stakeholders regarding new program elements, process, and implementation.
- Maintains a system for ongoing data/statistical reporting and program assessment. Develop and communicate program documents, project plans, etc.
- Effectively collaborates with internal program leaders, senior management, and cross-functional managers/directors to develop program monitoring and assessment protocols for evaluation and improvement. Recommend program and process changes as appropriate.
#LI-Hybrid
Pay ranges vary based on the candidate's work location. The expected hiring range depends on skills, experience, education, and training; relevant licensure / certifications; and performance history.
National pay structure - applies to the Boise, Portland, Salem, Seattle/Renton/Tacoma, Burlington, Vancouver, and Salt Lake City metro areas. The full salary range is $88,000 - $143,000 and the bonus target is 10%. The expected salary range is $93,500 - $126,500.
Regional pay structure - applies to North Dakota and to Idaho, Oregon, Washington, and Utah locations outside the metro areas listed above. The full salary range is $79,000 - $129,000 and the bonus target is 10%. The expected salary range is $84,200 - $113,900.
Learn more about our benefits.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
As part of our security requirements, new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees.
