Clinical Program Manager, II, Sr. DOE

About the role

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

• Builds and manages program initiatives from inception to sustainment.
• Provides oversight related to program evaluation, development, processes and reporting during all phases of the program.
• 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.
• 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. May have equivalent combination of education and experience

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. 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.