Blue Path Shared Savings Program Manager

BLUE PATH SHARED SAVINGS PROGRAM MANAGER (HEALTHCARE)

Work from home (telecommute) within Oregon, Washington, Idaho or Utah 

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.  

Who We Are Looking For: 

Every day, Cambia’s Payment Integrity Team is living our mission to make health care easier and lives better. The Blue Path Program Manager provides strategic direction, oversight and organization to ensure overall success of the Blue Path are Sure Path flexible pricing and shared savings program.  The Blue Path Program Manager supports an executive or directing program sponsors to ensure program deliverables are met while striving to improve group admin fees and driving additional revenue.  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.  – all in service of making our members’ health journeys easier.  

If you're a motivated and experienced Program Manager looking to make a difference in the healthcare industry, apply for this exciting opportunity today!
 

What You Bring to Cambia: 

Preferred Key Experience:

• Familiarity with Shared Savings and or Health insurance Sales processes and policies.

• Prior Program management experience preferred

• Experience working with leading multiple teams that are not directly reporting to this position and leading up with executive leadership driving program changes that meet current market needs.  

Qualifications and Certifications:  

• Bachelor’s degree in business, Health Care Administration, or related field (Masters preferred)

• 8 years of experience with project and/or program management in healthcare, payment integrity, shared savings, healthcare insurance operations or equivalent combination of education and experience

Skills and Attributes (Not limited to):  

• 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 payment integrity, health plan and clinical terminology, operations and trends.  

• Strong facilitation skills, including the ability to resolve issues and build consensus among groups of diverse stakeholders.

• Ability to effectively handle multiple high-profile projects, identifying and mitigating risks and reporting barriers to program deliverables.

• Extensive knowledge of health plan, payment integrity and shared savings processes.  

What You Will Do at Cambia (Not limited to):   

• Work closely with project sponsor(s), cross-functional teams and executive sponsors 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.

• Uses a thorough understanding of the business and/or specialized clinical knowledge to influence initiatives and drive innovative solutions.

• Works with teams or customers to perform deep data driven analysis of business opportunities to surface actionable insights or requirements.

• Independently identifies opportunities, gaps and process improvements.

The expected hiring range for The Blue Path Shared Saving Program Manager is $110k–$130k, depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15%.  The current full salary range for this position is $104k Low/ $130k MRP / $169k High

About Cambia

Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care.  Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.

Why Join the Cambia Team?

At Cambia, you can:  

• Work alongside diverse teams building cutting-edge solutions to transform health care.  
• Earn a competitive salary and enjoy generous benefits while doing work that changes lives.  
• Grow your career with a company committed to helping you succeed. 
• Give back to your community by participating in Cambia-supported outreach programs.  
• Connect with colleagues who share similar interests and backgrounds through our employee resource groups.  

We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.  

In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include: 

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits. 
• Annual employer contribution to a health savings account.  
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays. 
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period). 
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave). 
• Award-winning wellness programs that reward you for participation. 
• Employee Assistance Fund for those in need. 
• Commute and parking benefits. 

Learn more about our benefits. 

We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.