Clinical Program Manager, II, Sr. DOE

Cambia Health Solutions•Medford, OR

8d•$92,700 - $208,000•Hybrid

About The Position

This is a hybrid role requiring 3 days per week in the office, with potential work locations in Burlington, Renton, Spokane, Vancouver, Portland, Medford, Salt Lake City, Boise, Lewiston, or Fargo. Candidates must reside within commutable distance or be willing to relocate. The Clinical Program Manager provides direction, oversight, and organization to ensure the overall success of complex clinical programs (e.g., cost stewardship, specialty pharmacy, care management). This role supports a Health Service Organization (HSO) executive or directing program sponsor to meet program deliverables while improving care quality, enhancing consumer experience, and reducing costs. Responsibilities include managing program initiatives from inception to sustainment and providing oversight for program evaluation, development, processes, and reporting. Initiatives may involve internally developed programs or those established through vendor partnerships. The role requires strong communication skills and the ability to build relationships across various departments such as Health Care Services, Health Plan Operations, Data & Technology, and Finance.

Requirements

Bachelor's Degree in Business, Health Care Administration, or related field (Masters preferred)
Minimum 5+ years' experience with project and/or program management in healthcare, healthcare insurance operations or other large, complex industry
Experience in clinical area preferred.
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.
Candidates must reside within commutable distance of one of the listed offices or be willing to relocate.
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.

Nice To Haves

Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired

Responsibilities

Works closely with project sponsors, cross-functional teams, and project managers to plan and develop scope, deliverables, required resources, work plans, budget, and timing for new initiatives while facilitating prioritization of work among various stakeholders.
Effectively manages internal and external stakeholder relationships, educates and trains leadership, staff, business associates, and other stakeholders regarding new program elements, processes, and implementation.
Manages program and project teams to identify risks and opportunities across multiple initiatives or workstreams, independently identifying gaps and process improvements to ensure program goals are reached.
Maintains systems for ongoing data and statistical reporting, develops and communicates program documents and project plans, and collaborates with internal program leaders, senior management, and cross-functional managers to develop monitoring and assessment protocols for evaluation and improvement.
Uses data, market intelligence, and deep business analysis to identify opportunities, develop business cases, surface actionable insights, design new solutions or programs, and recommend program and process changes aligned with corporate and division goals.
Uses a thorough understanding of the business and specialized clinical knowledge to provide objective assessments of existing programs, influence initiatives, drive innovative solutions, and support clinical strategy development as assigned.
May independently lead and develop clinical strategies in partnership with Medical Directors and other key leaders, including leading the planning and execution of annual corporate objectives work.

Benefits

Medical, dental and vision coverage for employees and their 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.
Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
Award-winning wellness programs that reward you for participation.
Employee Assistance Fund for those in need.
Commute and parking benefits.
Competitive base pay
Market-leading 401(k) with a significant company match
Bonus opportunities