Cost Stewardship Program Manager
Cambia Health Solutions

Job Info

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Cost Stewardship Program Manager

Work Remotely from Oregon, Washington, Idaho or Utah

Primary Job Purpose

The Health Care Services (HCS) Program Manager provides strategic direction, oversight and organization to ensure overall success of one or more complex clinical programs (e.g. cost stewardship, specialty pharmacy). The Program Manager supports a 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 ability to build relationships across the organization (e.g. Health Care Services, Health Plan Operations, Data & Technology, and Finance). The Program Manager may have Project Management Staff supporting this work, through either direct reports or temporarily assigned project managers.

General Functions and Outcomes

• Work closely with project sponsor(s), cross-functional teams, and project managers to plan and develop scope, deliverables, required resources, work plan, budget, and timing for new initiatives.
  
• Effectively manage internal/external stakeholder relationships, ensuring the focused pursuit of desired outcomes.
  
• Manage program and project teams to identify risks and opportunities across multiple initiatives or workstreams to ensure program goals are reached.
  
• Educate and train the leadership, staff, business associates and other stakeholders regarding new program elements, process and implementation.
  
• Maintain a system for ongoing data/statistical reporting and program assessment. Develop and communicate program documents, project plans, etc.
  
• Effectively collaborate with internal program leaders, senior management, and cross-functional managers/directors to develop program monitoring and assessment protocols for evaluation and improvement. Recommend program and process changes as appropriate.
  

Minimum Requirements

• 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 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.
  
• Ability to resolve issues and build consensus among groups of diverse stakeholders.
  
• 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.
  

Normally to be proficient in the competencies listed above

The HCS Program Manager would have a Bachelor's Degree in Business, Health Care Administration, or related field (Masters preferred), and 8 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.

Work Environment

• Work is primarily performed in an office environment
• Travel may be required, locally or out of state.

Healthcare Services Program Manager

The base pay annual salary range for this job is $91,500 to $149,000

We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and 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 CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.

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