Network Innovations Program Manager, Primary Care Programs

Cambia Health Solutions

5d • $111,000 - $150,700 • Hybrid

About The Position

Every day, Cambia’s dedicated team is living our mission to make health care easier and lives better. As a member of the Network Innovations team, our Network Innovations Program Manager, Primary Care Programs leads and oversees the full lifecycle of innovation models and programs — from inception through sustainment — ensuring deliverables, KPIs, and operational improvements are consistently achieved. This role serves as a cross-functional connector, building relationships across teams such as Network Contracting, Actuarial, and Data & Technology Services to drive program success and support portfolio leadership – all in service of creating a person-focused health care experience.

Requirements

• Bachelor's degree in Business, Health Care Administration, or related field (Masters preferred)
• 8 years of experience with project and/or program management in healthcare, payment integrity, value-based care, healthcare insurance operations or equivalent and transferrable combination of education and experience.
• Systematic and systemic thinker with the ability to analyze complex data, develop recommendations, and create actionable plans
• Skilled at nurturing relationships and building consensus among diverse stakeholders, including during moments of conflict
• Proven ability to coordinate cross-functionally at all levels of the organization to improve processes and resolve issues effectively
• Experience independently defining, managing, and reporting on KPIs while identifying risks and barriers to program deliverables
• Strong facilitation and leadership skills, with the ability to lead high-profile programs and communicate effectively with stakeholders
• Adept at accomplishing results through others by establishing effective controls, monitoring processes, and partnering with external vendors
• Familiarity with value-based care trends, healthcare industry terminology, and health plan operations
• Experience leveraging AI tools and technologies to enhance productivity and support informed decision-making is highly desired

Responsibilities

• Work closely with innovations portfolio leadership and cross-functional teams to plan and develop scope, deliverables, required resources, work plan, budget, and timing for new and ongoing innovations
• Navigate and maintain internal/external stakeholder relationships, including vendor partnerships, ensuring the focused pursuit and communication of desired outcomes.
• Collaborate with project teams to identify risks and opportunities across multiple initiatives or workstreams to ensure program goals are reached.
• Produce content and collateral to educate leadership, business partners, and other stakeholders regarding program elements, processes, progress, outcomes, and strategy.
• Maintain a system for ongoing program reporting and program assessment.
• Develop and communicate program documents, KPI reports, project plans, etc. to key stakeholders.
• Collaborate with innovations portfolio leadership, Network Management contracting leadership, and cross-functional teams to develop program monitoring and assessment protocols for evaluation and improvement.
• Recommend program and process changes as appropriate to innovations portfolio leadership.
• Independently identify program opportunities, gaps, risks, issues, and process improvements.

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