Program Director, Network Innovations

About the role

Join our Cause to create a person-focused and economically sustainable health care system. As a member of the Network Innovations team, our Program Director Network Innovations develops and launches complex cross-market programs supporting Provider Partnership Innovation, including initiatives like the Cambia Bundled Payment program.

Responsibilities

• Develops and launches complex cross-market programs supporting Provider Partnership Innovation
• Manages and drives execution to support Specialty Alternative Payment Models
• Supports and leads the specialty programs including ongoing program management, program efficiency identification, and overall program(s) execution
• Oversees the complete program lifecycle from development to operational sustainment, ensuring successful outcomes for members, providers, and employers

Qualifications

• Bachelor’s degree in Business Administration, Healthcare Administration or related field (Master’s preferred)
• 10+ years of related experience in business or health care management with preference for experience driving transformation programmatic innovation, Alternative Payment Model development, payment innovation and/or strategic implementation

Skills and Attributes

• Alternative Payment Model Leadership
• Strong facilitation and consensus-building skills with internal/external teams at all organizational levels
• Knowledge of industry trends, provider relations, and value-based reimbursement methods
• Proven track record managing multi-discipline, high-performance teams and diverse work streams
• Competency in budgeting, organizing work, establishing success measures, and managing deliverables
• Experience initiating and managing complex transformation programs and leading organizational change
• Ability to construct actionable business cases and track implementation of new operational processes
• Big-picture perspective with strong relationship-building skills and collaborative team approach

What You Will Do

• Represents Network Innovations in various forums and provides thought leadership for strategic program development
• Leads Alternative Payment Model program development and integration activities including strategy, design, architecture, quality assurance, customer experience, and operational sustainment
• Serves as key point of contact with strategic vendors while facilitating operational and strategic interactions with internal and third-party stakeholders
• Ensures delivery of sustained program interactions with key customer segments (providers, members, employers) and integration with other value-based programs
• Organizes, motivates, and leads program development efforts with functionally and geographically diverse delivery teams across the company
• Identifies critical program risks and issues, drives resolution, and ensures requirements and dependencies are communicated to relevant stakeholders
• Maintains expertise on industry best practices and value-based healthcare innovation while representing Cambia as a leader at conferences and industry events