Assistant Director Affordability Pharmacy

Cambia Health Solutions•Medford, OR
•$127,000 - $231,000•Hybrid

About The Position

The Assistant Director of Affordability Pharmacy provides leadership for the Affordability Program Office and/or one or more Affordability Levers within Cambia’s Affordability function and Health Services Operations team. The role leads the end-to-end affordability portfolio, from identifying opportunities and designing solutions through business-case development, contracting, implementation, performance management, and value realization. The Assistant Director partners with Affordability Owners and cross-functional leaders to set priorities, align resources, remove barriers, and drive accountability for measurable affordability outcomes. The role also advances standardized governance, portfolio management, and operating practices to support consistent execution, transparency, and sustainable enterprise value. The position partners with the VP and senior leaders to define and execute the Cost Stewardship strategic roadmap, including annual planning and initiative prioritization across Clinical/Medical Management, Payment Integrity, Network Management, and Pharmacy. It leads portfolio execution, business-case development, performance monitoring, governance, reporting, process improvement, vendor evaluation, and team development. The role supervises 3–8 direct FTEs. This is a hybrid position requiring three days per week in an office. Listed office locations are Salt Lake City, Boise, Fargo, Portland, Vancouver, Renton, Medford, Burlington, Lewiston, Little Rock, and Springdale. Preference is given to current employees and candidates who live within commuting distance of Salt Lake City, Boise, Fargo, Lewiston, Little Rock, or Springdale, or are willing to relocate.

Requirements

  • Bachelor’s degree in Healthcare Administration, Business Administration, Public Health, Nursing, Pharmacy, Finance, or a related field, or an equivalent combination of education and relevant experience.
  • Eight or more years of progressively responsible leadership experience in healthcare delivery, managed care, health insurance, healthcare consulting, or another complex healthcare environment.
  • Five or more years leading large cross-functional strategic initiatives, enterprise programs, or operational transformation efforts.
  • Demonstrated success leading affordability, cost management, value-based care, medical management, provider operations, payment integrity, pharmacy, or other complex healthcare operational initiatives.
  • Experience developing business cases, managing enterprise portfolios, facilitating executive governance, and driving measurable financial and operational outcomes.
  • Experience influencing executive leaders and collaborating with Finance, Actuarial, Clinical Operations, Health Informatics, Product, Technology, Provider Network, and executive leadership.
  • Ability to translate enterprise goals into executable initiatives and understand complex healthcare systems, identify upstream cost and quality drivers, and design integrated solutions across clinical, operational, financial, and technology domains.
  • Exceptional written, verbal, and presentation skills, including facilitating executive discussions, influencing decisions, and communicating with senior leadership.
  • Ability to influence across organizational boundaries without formal authority.
  • Strong business acumen, including financial analysis, business-case development, financial forecasting, and value realization.
  • Expertise leading enterprise, cross-functional portfolios involving multiple stakeholders.
  • Strong facilitation, negotiation, consensus-building, analytical, and problem-solving skills, including simplifying complex operational problems into actionable solutions.
  • Experience using operational metrics, financial analysis, and performance dashboards.
  • Experience building governance structures, accountability frameworks, and operating models.
  • Experience driving organizational change and leading transformation initiatives.
  • Ability to develop high-performing teams and foster accountability and continuous improvement.
  • Proficiency with AI-enabled productivity and analytical tools to improve executive decision-making, operational performance, and organizational effectiveness.

Nice To Haves

  • Master’s degree (MBA, MHA, MPH, or equivalent).
  • Experience evaluating external solutions, vendor partnerships, and build-versus-buy decisions.
  • Experience with AI tools and technologies to enhance productivity and decision-making in professional settings is highly desired.

Responsibilities

  • Partner with the VP and senior leadership to define and execute the Cost Stewardship strategic roadmap, including annual planning, initiative prioritization, and portfolio management across Clinical/Medical Management, Payment Integrity, Network Management, and Pharmacy.
  • Lead end-to-end initiative lifecycle management from opportunity identification through execution, with appropriate rigor, clear milestones, defined ownership, business rationale, and accountability for targeted value.
  • Monitor portfolio execution, identify dependencies and barriers, escalate blockers through governance channels with recommended interventions, and support timely delivery of savings targets.
  • Partner with Health Informatics, Finance, Actuarial, and cross-functional subject matter experts to develop execution-ready solutions and business cases with validated sizing, confidence scoring, KPIs, and implementation plans connected to enterprise trend targets.
  • Establish governance, reporting, and decision frameworks; lead Cost Stewardship execution meetings; maintain a single source of truth for pipeline and performance dashboards; coordinate early engagement across shared services; and prepare executive communications.
  • Develop standardized portfolio and project execution tools, business-case frameworks, milestone-tracking artifacts, and Health Services operating-model elements, including governance structures, accountability design, and change management.
  • Evaluate build-versus-buy opportunities and oversee strategic vendor relationships for performance and value realization.
  • Coach and develop a high-performing team, setting clear expectations and fostering professional growth, collaboration, innovation, accountability, and continuous improvement.
  • Provide direction to the team, engage members toward common goals, and create a positive experience that helps people flourish.

Benefits

  • Medical, dental, and vision coverage for employees and eligible family members, including mental health benefits.
  • Annual employer contribution to a health savings account.
  • Generous paid time off, varying by role and tenure, in addition to 10 company-paid holidays.
  • 401(k) plan with company match and a potential discretionary contribution based on company performance, with no vesting period.
  • Up to 12 weeks of paid parental time off, subject to eligibility requirements.
  • Award-winning wellness programs that reward participation.
  • Employee Assistance Fund.
  • Commute and parking benefits.
  • Competitive base pay and bonus opportunities.
  • Work-from-home options for most roles, subject to wired internet requirements.
  • Employee resource groups and opportunities to participate in company-supported community outreach programs.
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