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Network Innovations Program Manager, Primary Care Programs

Full-time

Cambia Health Solutions

Network Innovations Program Manager, Primary Care Programs Hybrid opportunity within Portland, OR; Medford, OR; Renton, WA; Spokane, WA; Vancouver, WA; Burlington, WA; Boise, ID; Lewiston, ID; Salt Lake City, UT 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 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. Do you have a passion for driving innovation and improving healthcare delivery? Do you thrive in a dynamic, cross-functional environment where building strong relationships and managing complex programs are keys to success? If so, this role may be the perfect fit What You Bring to Cambia: Qualifications: The Network Innovations Program Manager would have a 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. Skills and Attributes: 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 What You Will Do at Cambia: 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. The expected hiring range for the Network Innovations Program Manager, Primary Care Programs is $111,000 - $150,700 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15%. The current full salary range for this role is $104,000 - $171,000. #LI-hybrid 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. 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. Everyone is a health care consumer deserving of a simpler, more personalized experience. Cambia is transforming the health care system to revolve around people. For over 100 years we’ve designed people-first health solutions rooted in the nation’s first health plan, a loggers’ wage pool established in the Pacific Northwest. Today that pioneering spirit aligns our family of over 20 companies, including 4 not-for-profit BlueCross and BlueShield licensed health plans serving over 3 million Americans. Cambia blends data science with a compassionate human perspective to anticipate people’s needs, and empower them to make smarter health care choices. Interested in driving accessibility, affordability and quality health care for real people? Apply to any of our open jobs or join the Twitter conversation @Cambia. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

Vacancy posted more than 2 months ago

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