Clinical Program Manager

Cambia Health Solutions•Fargo, ND

3d•Hybrid

About The Position

The Clinical Program Manager is part of Cambia’s Health Services Operations Clinical Program Management team and provides direction, oversight, and organization to ensure the success of one or more complex clinical programs. Programs may include cost stewardship, specialty pharmacy, or care management, and may be internally developed or established through vendor partnerships. The role supports a Health Care Services executive or directing program sponsor to meet program deliverables while improving care quality, enhancing the consumer experience, and reducing costs. The position manages initiatives from inception through sustainment, overseeing program evaluation, development, processes, and reporting throughout all phases. It works with sponsors, cross-functional teams, project managers, internal leaders, senior management, and external partners to plan and deliver initiatives, monitor results, address risks, and recommend improvements. This is a hybrid role requiring three days per week in an office. Offices are listed in Salt Lake City, Boise, Fargo, Portland, Vancouver, Renton, Medford, Burlington, Lewiston, Little Rock, and Springdale; preference is given to current employees and candidates near certain listed offices or willing to relocate.

Requirements

Bachelor’s degree in Business, Health Care Administration, or a related field; an equivalent combination of education and experience may be considered.
At least 5 years of project and/or program management experience in healthcare, healthcare insurance operations, or another large, complex industry.
Ability to think analytically, apply project management and financial techniques, and make recommendations using critical thinking and sound judgment.
Ability to coordinate cross-functionally at all organizational levels to drive solutions and resolve issues promptly and effectively.
Proficiency managing high-profile projects, identifying and mitigating risks, and reporting barriers to program deliverables.
Strong analytical skills, including analyzing complex data and situations, learning quickly, and developing options, recommendations, and action plans.
Experience independently defining, developing, managing, and reporting on processes and metrics.
Ability to achieve results through others by building relationships and establishing effective controls and monitoring processes.
Ability to partner effectively with external partners and vendors.
Excellent communication and facilitation skills, 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 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.
Familiarity with health plan and clinical terminology, operations, and trends.

Responsibilities

Work with project sponsors, cross-functional teams, and project managers to plan initiative scope, deliverables, resources, work plans, budgets, and timelines.
Manage internal and external stakeholder relationships to support desired outcomes.
Manage program and project teams in identifying risks and opportunities across initiatives and workstreams, and ensure program goals are achieved.
Educate and train leaders, staff, business associates, and other stakeholders about new program elements, processes, and implementation.
Maintain systems for ongoing data and statistical reporting and program assessment.
Develop and communicate program documents and project plans.
Collaborate with program leaders, senior management, and cross-functional managers and directors to develop monitoring and assessment protocols for evaluation and improvement.
Recommend program and process changes as appropriate.
Oversee program evaluation, development, processes, and reporting through all program phases.

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 varying by role and tenure, plus 10 company-paid holidays.
401(k) retirement plan with company match and potential discretionary contribution based on company performance, with no vesting period.
Up to 12 weeks of paid parental time off, subject to eligibility requirements.
Wellness programs that reward participation.
Employee Assistance Fund.
Commute and parking benefits.
Work-from-home options for most roles, subject to internet and security requirements.
Employee resource groups and opportunities to participate in community outreach programs.