Assistant Director - Hybrid Affordability & Utilization Mgmt

Cambia Health; Little Rock (AR); Hybrid; USD 141,000 - 231,000; Full time

Benefits offered by this job

Health benefits

401(k) match

Paid holidays

Work from home options

Job summary

Cambia Health seeks an Assistant Director of Affordability Utilization Management and Appeals to lead the affordability portfolio across Clinical/Medical Management, Payment Integrity, Network Management, and Pharmacy levers. Hybrid role with in-office days in multiple metro areas.

You will partner with senior leaders to identify opportunities, build business cases, and drive measurable savings while advancing governance and operating models that enable durable enterprise value.

Qualifications

• Bachelor's degree required; Master's preferred.
• Eight+ years of leadership in healthcare; five+ years leading large cross-functional initiatives.
• Experience in affordability, cost management, value-based care, or related areas.
• Experience developing business cases and managing enterprise portfolios.

Responsibilities

• Define and execute Cost Stewardship strategic roadmap across multiple levers.
• Lead end-to-end initiative lifecycle from identification to value realization.
• Monitor portfolio execution and escalate blockers with interventions.
• Develop governance and reporting frameworks for enterprise transparency.
• Coach and develop a high-performing team and drive organizational change.

Skills

Leadership

Strategic thinking

Executive communication

Financial analysis

Governance

Portfolio management

Change management

Cross-functional collaboration

Education

Bachelor's degree in Healthcare Administration, Business Administration, Public Health, Nursing, Pharmacy, Finance, or related field

Master's degree (MBA, MHA, MPH, or equivalent) preferred

Job description

Cambia Health seeks an Assistant Director of Affordability Utilization Management and Appeals to lead the affordability portfolio across Clinical/Medical Management, Payment Integrity, Network Management, and Pharmacy levers. Hybrid role with in-office days in multiple metro areas.

You will partner with senior leaders to identify opportunities, build business cases, and drive measurable savings while advancing governance and operating models that enable durable enterprise value.