Program Director, Provider Performance

Location: United States

Job Description:

Program Director, Provider Performance

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 dedicated team is living our mission to make health care easier and lives better. As a member of the Network Innovations team, our Program Director, Provider Performance is accountable for planning, prioritization, implementation, and management of Cambia's provider performance framework project and related initiatives - all in service of making our members' health journeys easier.

Are you passionate about provider performance? Do you thrive working with cross functional teams? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

• The Program Director would have a bachelor's degree in business or health administration (Master's preferred) or related field
• 10+ years of experience in program management or equivalent combination of education and experience.
• Experience driving transformation in programmatic innovation, alternative payment model development, network & product strategy, and strategic implementation are all desired.
• Prior experience in implementation and management of provider evaluation methodologies/programs with either payers or provider organizations also preferred.

Skills and Attributes:

• Demonstrated ability to develop, manage, and sustain cross functional relationships internally and externally
• Knowledge of health plan network dynamics, alternative payment models, and forward-thinking healthcare trends
• Conducts business with high regard for Cambia's corporate values and in compliance with its Code of Business Conduct.
• Performs other duties and responsibilities as assigned.
• Experience in the area of project coordination and management.
• Excellent verbal and written communication skills. Ability to communicate effectively, both orally and in writing, with individuals and groups, regarding complex issues and initiatives.
• Ability to adapt quickly to changing market conditions, enterprise needs, and technical advancements.

What You Will Do at Cambia:

• Planning and Prioritization: Accountable for planning, prioritization, implementation, and management of Cambia's provider performance framework project and related initiatives internally and externally to achieve enterprise success criteria. The provider performance framework is Cambia's methodology to evaluate health care providers across quality, appropriateness of care, and cost efficiency and will be used enterprise wide to help guide Cambia members to high value care.
• Stakeholder Engagement: Work closely with cross-functional teams, including Network Management, Actuarial, Digital, Product, and other business stakeholders. Liaise with matrixed support to ensure high-functioning program implementation and operations.
• Process Governance and Management: Continually evolve and optimize the workflows required for operational excellence across the project internally and externally; create, document, and socialize program governance and best practices, including training materials and education.
• External Collaboration and Partnerships: Build, cultivate, and leverage strong partnership with vendor for ongoing reliability and joint development.
• Effective Communication: Create and maintain effective executive reporting to represent overall project health, mitigate risk, and inform strategic decisions. Own documentation and dissemination of product releases, new capabilities, training, education, and process documentation.
• Support Network Innovations: Support Network Innovations programs team in initiatives to impact quality and cost stewardship of our members
• Thought Leadership: Provides thought leadership, systems thinking, design thinking and industry expertise to the development of strategic programs, horizontally integrating with innovation and operations across the organization.

The expected hiring range for the Program Director, Provider Performance is $120,700 - $163,300 depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 15%.  The current full salary range for this role is $113,000 - $185,000. #LI-remote

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.

We are an Equal Opportunity employer dedicated to 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.