Clinical Program Manager, II, Sr. DOE

Clinical Program Manager, II, or Sr. DOE Hybrid role (3 days/week in office) at our Burlington, Renton, Spokane, Vancouver, Portland, Medford, Salt Lake City, Boise, Lewiston, or Fargo offices. Candidates must reside within commutable distance of that location or be willing to relocate. Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For 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 Service Organization team, our Clinical 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 Clinical Program Manager supports a HSO 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 making our members’ health journeys easier. What does it look like to build a career with purpose – and a team that's genuinely invested in yours? Ready to be the trusted partner behind leaders who are changing health care from the inside out? Then this role may be the perfect fit. Qualifications 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. May have equivalent combination of education and experience Skills And Attributes 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. Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired What You Will Do At Cambia 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. Pay ranges vary based on the candidate's work location. The expected hiring range depends on skills, experience, education, and training; relevant licensure / certifications; and performance history. Program Manager Oregon, Washington, Utah, and Idaho: The expected hiring range is $92,700 - $125,400; the full salary range is $87,000 - $142,000 and the bonus target for this position is 15%. North Dakota: The expected hiring range is $90,906.79 - $122,991.55 and the full salary range is $80,716.23 - $133,182.10. Program Manager II Oregon, Washington, Utah, and Idaho: The expected hiring range is $111,400 - $150,700; the full salary range is $104,000 - $171,000 and the bonus target for this position is 15%. North Dakota: The expected hiring range is $114,251.88 - $154,576.08 and the full salary range is $101,444.41 - $167,383.55. Program Manager Sr Oregon, Washington, Utah, and Idaho: The expected hiring range is $136,000 - $184,000; the full salary range is $128,000 - $208,000 and the bonus target for this position is 15%. North Dakota: The expected hiring range is $128,145.07 - $173,372.75 and the full salary range is $113,780.47 - $187,737.35. About Cambia Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through. Why Join the Cambia Team? At Cambia, You Can Work alongside diverse teams building cutting-edge solutions to transform health care. Earn a competitive salary and enjoy generous benefits while doing work that changes lives. Grow your career with a company committed to helping you succeed. Give back to your community by participating in Cambia-supported outreach programs. Connect with colleagues who share similar interests and backgrounds through our employee resource groups. We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more. Benefits In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include: 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. Learn More About Our Benefits. We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees 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. We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required. If you need accommodation for any part of the application process because of a medical condition or disability, please email View email address on click.appcast.io. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. #J-18808-Ljbffr