Program Manager, Clinical Programs Development and Performan
Company: Cambia Health Solutions, Inc.
Posted on: February 22, 2021
Program Manager, Clinical Programs Development and Performance
Seattle, WA Salt Lake City, UT Medford, OR Lewiston, ID Burlington,
WA Tacoma, WA Salem, OR Program Manager, Clinical Programs
Development and Performance Seattle, WA; Portland, OR; Boise, ID;
Salt Lake City, UT; Lewiston, ID, Burlington, WA,; Tacoma, WA;
Telecommute within WA, OR, ID, UT. Working collaboratively with the
Clinical Services Leadership Team, lead the clinical workstreams to
design, launch and implement new clinical programs including
internal and purchased programs. Includes clinical program design
and development, external market scans for emerging clinical
program trends, evaluation of build vs. buy business cases,
assessment of vendor solutions, support of go-to-market processes
and RFP proposals. Provides cross-functional leadership to bring
new clinical programs to market with hand offs to Clinical Services
operational leaders for on-going management and sustainment of new
clinical programs. Works collaboratively with Clinical Services
leaders and vendor management team, Cambia Health internal partners
including Sales, Marketing, Product, Strategic Finance and
Sourcing; and external partners and vendors. Responsible for
driving the Clinical Services strategic roadmap and priorities,
strategic initiatives, annual operating plan and clinical
scorecard. Oversees staff providing related communication and
reporting support. Responsibilities
- In partnership with clinical leaders, assesses market trends
and evaluates need for new program offerings.
- Facilitates development of strategic initiatives, roadmaps,
scorecards and RFPs for Clinical Services.
- Effectively leads tactical execution of large scale, complex
clinical transformation programs.
- Establishes and maintains program management practices and
process, actively supporting Clinical Services goals and
- Provides day-to-day leadership of cross-functional project
teams comprised of business, technology and vendor/consulting
- Creates a sense of urgency within the organization and
translates quickly evolving directions into action.
- Trains the organization on all program related changes as
necessary and drives communication strategy across functional teams
and the organization
- Works closely with cross-functional leaders to clarify program
goals and create operational plans to ensure successful execution
of the relationship with our provider partners.
- Works collaboratively with teams to plan, design, develop,
implement, and manage programs to ensure ongoing performance
expectations for the program are met.
- Represents program goals and initiatives with various
audiences. Cultivates and maintains relationships with key internal
and external stakeholders.
- Develops and oversees monitoring and reporting procedures to
ensure deliverables and budget are on track. Communicates program
status and areas of risk or opportunity.
- Handles all management level responsibilities for direct staff,
including performance reviews, employee development, hiring,
coaching, counseling, and retention.
- Partners with cross-functional leaders, provider groups, and
vendors to lead organizational change.
- Expertise in health plan clinical programs with a focus on
population health and care coordination.
- Experience in areas such as care management models,
partnerships with providers, third-party suppliers of clinical
services, community groups and other member-touching
- Proven ability to lead the design, development and
implementation of process, structure, tools and measurement
indicators that drive operational results.
- Demonstrated experience leading a large scale, complex business
transformation and/or system implementation in a multi-state
- Experience in new product/service development, especially in
healthcare and/or with a significant information technology
compliment; demonstrated success in leading product/service
- Demonstrated ability to work collaborative and
cross-functionally and organize cross functional activities to
deliver results in a matrixed organizational structure.
- Excellent judgment, problem solving, creativity, flexibility,
analytical, communication and presentation skills.
- Experience with business process redesign and optimization
including ability to recognize process deficiencies and recommend
and implement improvements.
- Excellent written and verbal communication skills, ability to
present and facilitate and drive executive level discussions and
strong customer and stakeholder management skills. Normally to be
proficient in the competencies listed above:
- Program Director, Clinical Programs and Performance, would have
a Bachelor's degree in nursing or behavioral health or Master's
degree in healthcare administration, public health or related
field, 8 years of experience in project and/or program management
preferably in Clinical Case Management, and/or Population Health,
including management/leadership experience or equivalent
combination of education and experience.
- Professional license in nursing, psychology or related clinical
field preferred. Regence employees are part of the larger Cambia
family of companies, which seeks to drive innovative health
solutions. We offer a competitive salary and a generous benefits
package. We are an equal opportunity 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 drug screen and
background check is required. Regence is 2.2 million members, here
for our families, co-workers and neighbors, helping each other be
and stay healthy and provide support in time of need. We've been
here for members more than 90 years. Regence is a nonprofit health
care company offering individual and group medical, dental, vision
and life insurance, Medicare and other government programs as well
as pharmacy benefit management. We are the largest health insurer
in the Northwest/Intermountain Region, serving members as Regence
BlueShield of Idaho, Regence BlueCross BlueShield of Oregon,
Regence BlueCross BlueShield of Utah and Regence BlueShield (in
Washington). Each plan is an independent licensee of the Blue Cross
and Blue Shield Association.
If you're seeking a career that affects change in the health care
system, consider joining our team at Cambia Health Solutions. We
advocate for transforming the health care system by making health
care more affordable and accessible, increasing consumers'
engagement in their health care decisions, and offering a diverse
range of products and services that promote the health and
well-being of our members. Cambia's portfolio of companies spans
health care information technology and software development; retail
health care; health insurance plans that carry the Blue Cross and
Blue Shield brands; pharmacy benefit management; life, disability,
dental, vision and other lines of protection; alternative solutions
to health care access and free-standing health and wellness
solutions. Information about how Cambia Heath Solutions collects,
. 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 drug screen and background check are required.
Information about how Cambia Health Solutions collects, uses, and
27 Days Ago Full time R-2020-27061 About Us Everyone is a health
care consumer deserving of a simpler, more personalized experience.
Cambia is transforming the health care system to revolve around
people. For over 100 years we've designed people-first health
solutions rooted in the nation's first health plan, a loggers' wage
pool established in the Pacific Northwest. Today that pioneering
spirit aligns our family of over 20 companies, including 4
not-for-profit BlueCross and BlueShield licensed health plans
serving over 3 million Americans. Cambia blends data science with a
compassionate human perspective to anticipate people's needs, and
empower them to make smarter health care choices. Interested in
driving accessibility, affordability and quality health care for
real people? Apply to any of our open jobs or join the Twitter
conversation @Cambia . Information about how Cambia Health
Solutions collects, uses, and discloses information is available in
Keywords: Cambia Health Solutions, Inc., Seattle , Program Manager, Clinical Programs Development and Performan, Executive , Seattle, Washington
Didn't find what you're looking for? Search again!