Clinical Program Manager, II, Sr. DOE

About the role

Cambia’s Clinical Program Manager builds a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Responsibilities

• Builds direction, oversight and organization for complex clinical programs.
• Supports a HSO executive or program sponsor to meet program deliverables while improving care quality, enhancing consumer experience, and reducing cost.
• Manages program initiatives from inception to sustainment and provides oversight related to program evaluation, development, processes and reporting.
• Manages program and project teams to identify risks and opportunities, 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.
• Provides objective assessments of existing programs, influences initiatives, drives innovative solutions, and supports 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.

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

Skills and Attributes

• Strong analytical skills, with the ability to analyze complex data and situations, learn quickly and create options, recommendations and action plans
• 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
• 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

Pay and Benefits

• 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.