Clinical Program Manager

Cambia Health Solutions • Medford, OR

4d • $79,000 - $143,000 • Hybrid

About The Position

The Clinical Program Manager is part of Cambia’s Health Services Operations (HSO) Clinical Program Management team. The role provides direction, oversight, and organization to ensure the success of one or more complex Health Care Services (HCS) clinical programs, such as cost stewardship, specialty pharmacy, or care management. The Program Manager supports an HCS executive or directing program sponsor in meeting program deliverables while improving care quality, enhancing the consumer experience, and reducing cost.

The role manages initiatives from inception through sustainment, overseeing program evaluation, development, processes, and reporting throughout each phase. Programs may be internally developed or established through vendor partnerships. The position works across Health Care Services, Health Plan Operations, Data & Technology, Finance, and other areas to build relationships and deliver a person-focused health care experience.

This is a hybrid role requiring three days per week in the 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 within commuting distance of Salt Lake City, Boise, Fargo, Lewiston, Little Rock, or Springdale offices, or those willing to relocate.

Requirements

• Bachelor's degree in business, health care administration, or a related field; equivalent combinations of education and experience may be considered.
• At least 5 years of project and/or program management experience in health care, health insurance operations, or another large, complex industry.
• Analytical thinking and the ability to apply project management and financial techniques and make recommendations using critical thinking and sound judgment.
• Ability to coordinate across functions and organizational levels to drive solutions and resolve issues in a timely and effective manner.
• Proficiency managing high-profile projects, identifying and mitigating risks, and reporting barriers to program deliverables.
• Strong analytical skills, including the ability to analyze complex data and situations, learn quickly, and develop options, recommendations, and action plans.
• Experience independently defining, developing, managing, and reporting on processes and metrics.
• Ability to achieve results through others by establishing relationships, effective controls, and monitoring processes.
• Ability to partner effectively with external partners and vendors.
• Familiarity with health plan and clinical terminology, operations, and trends.
• Excellent communication and facilitation skills across organizational levels, including resolving complex issues, building consensus among diverse stakeholders, managing strategic partner relationships, and leading and engaging internal teams.
• Knowledge of program evaluation concepts and methodologies, including experience with program effectiveness analysis, measurement, and reporting.

Nice To Haves

• Master's degree.
• Experience in a clinical area.
• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings.

Responsibilities

• Work with project sponsors, cross-functional teams, and project managers to plan and develop initiative scope, deliverables, resources, work plans, budgets, and timing.
• Manage internal and external stakeholder relationships to maintain focus on desired outcomes.
• Manage program and project teams in identifying risks and opportunities across initiatives or workstreams and ensuring program goals are achieved.
• Educate and train leadership, staff, business associates, and other stakeholders on new program elements, processes, and implementation.
• Maintain ongoing data and statistical reporting systems and assess programs.
• Develop and communicate program documents, project plans, and related materials.
• Collaborate with internal program leaders, senior management, and cross-functional managers and directors to develop program monitoring and assessment protocols.
• Evaluate programs and recommend program or process changes as appropriate.

Benefits

• Competitive salary and bonus opportunities.
• Medical, dental, and vision coverage for employees and eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Paid time off and 10 company-paid holidays.
• 401(k) plan with company match and a potential discretionary contribution based on company performance.
• Up to 12 weeks of paid parental time off, subject to eligibility requirements.
• Wellness programs.
• Employee Assistance Fund.
• Commute and parking benefits.
• Work-from-home options for most roles, subject to internet requirements.
• Employee resource groups and opportunities to participate in community outreach programs.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level