Health Care Services Program Manager

Cambia Health Solutions • Medford, OR

4d • $92,700 - $125,400 • Hybrid

About The Position

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 Care Services 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 an 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. Do you thrive when the work is complex, the mission is clear, and the team around you is exceptional? Are you the kind of person who doesn't just manage programs — you give them a heartbeat? Then this role may be the perfect fit.

Requirements

• 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.
• 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.
• Employees are required 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.

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 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.

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.

What This Job Offers

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