Health Care Services Program Manager
Hybrid within Oregon, Washington, Idaho or Utah
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 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 abilit
y 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.
What You Bring to Cambia:
Qualifications:
* 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.
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