Assistant Director Product Owner - Payment Integrity

Cambia Health Solutions; Salt Lake City (UT); Híbrido; USD 150.000 - 210.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental and vision coverage

401(k) with company match

Paid time off

Parental leave

Wellness programs

Descripción de la vacante

Cambia Health Solutions is seeking an Assistant Director Product Owner for Payment Integrity in a hybrid role. You will strategize and roadmap Payment Integrity initiatives, leading Product Owners, and partnering with Operations, Technology, Analytics, and external vendors to translate business needs into actionable plans.

You will oversee end-to-end readiness, leverage data for prioritization, and manage vendor partnerships while driving measurable outcomes and cost improvements.

Formación

• Bachelor's degree in business administration/health care administration, finance, or related field.
• 6 years of experience in product management, health plan operations, healthcare, insurance, or equivalent.
• Advanced degree preferred.

Responsabilidades

• Own the Payment Integrity product strategy and roadmap, aligning with enterprise goals and regulatory requirements.
• Lead and develop Product Owners and team members with clear accountability for outcomes.
• Partner with business and technology leaders to translate opportunities into capabilities and executable work.
• Oversee vendor relationships, data, and systems changes to support evolving Payment Integrity capabilities.
• Use financial, quality, and operational measures to evaluate outcomes and drive improvements.
• Drive end-to-end readiness across claims editing and payment integrity workflows.
• Identify risks and dependencies early and propose clear options for decision-making.
• Provide direction to your team and foster a positive, growth-oriented environment.

Conocimientos

Health plan claims

Product strategy

Cross-functional leadership

Data-driven decisions

Vendor management

AI tools usage

Executive communication

Risk assessment

Educación

Bachelor's degree in business administration/healthcare administration/finance or related field

Advanced degree preferred

Descripción del empleo

Assistant Director Product Owner - Payment Integrity Hybrid role (3 days/week in office) at our Salt Lake City, Boise, Fargo, Portland, Vancouver, Renton, Medford, Burlington, Lewiston, Little Rock and Springdale offices.

Preference will be given to current employees and candidates who reside within a commutable distance from our Salt Lake City, Boise, Fargo, Lewiston, Little Rock and Springdale offices or who are willing to relocate. 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 of Product Owners are living our mission to make health care easier and lives better. As a member of the Payment Integrity team, our AD Product Management leads the strategy, roadmap, and delivery of Payment Integrity capabilities that improve payment accuracy, strengthen pre- and post-payment controls, and reduce avoidable medical expense. This role leads Product Owners and partners across Operations, Technology, Analytics, Finance, Claims, and external vendors to translate business priorities into an executable product roadmap, improve end-to-end payment integrity workflows, and deliver measurable outcomes. As a people leader, you are willing to learn and grow, understanding that leadership is a craft that is continuously honed as you support your team and the lives that depend upon us. Do you have a passion for improving payment accuracy and building capabilities that help ensure claims are paid correctly? Do you thrive leading teams, working across complex vendor and technology ecosystems, and turning business needs into clear priorities and measurable outcomes? Then this role may be the perfect fit.

Qualifications:

• Bachelor's degree in business administration, health care administration, clinical discipline, finance, or related field.
• Advanced degree preferred.
• 6 years of experience in product management, health plan operations, healthcare, insurance, or an equivalent combination of education and experience.

Skills and Attributes:

• Strong knowledge of health plan claims, payment integrity, reimbursement, pre- and post-payment workflows, or related health plan operations.
• Proven ability to translate complex operational and technical needs into product strategy, roadmaps, prioritized backlogs, and measurable outcomes.
• Experience leading cross-functional work across Claims, Operations, Technology, Analytics, Finance, and vendor partners.
• Strong business acumen with the ability to use data, financial impact, quality measures, and operational performance to guide prioritization and investment decisions.
• Excellent written and verbal communication skills, with the ability to effectively engage senior leadership and stakeholders at all levels.
• Skilled at navigating complex issues, dependencies, and trade-offs while creating clarity and driving decisions.
• Demonstrated success managing strategic relationships with external partners and vendors.
• Experience with claims editing, payment policy, coding, reimbursement, audit, or payment integrity technology strongly preferred.
• Experience leveraging AI tools and technologies to enhance productivity, quality, analytics, or decision-making highly desired.

What You Will Do at Cambia:

• Own the Payment Integrity product strategy and roadmap, aligning priorities to enterprise goals, medical expense reduction opportunities, regulatory requirements, and operational needs.
• Lead and develop Product Owners and team members, creating clear accountability for outcomes, priorities, and delivery.
• Partner with business and technology leaders to translate payment integrity opportunities into prioritized capabilities, requirements, and executable work.
• Oversee operational, process, data, vendor, and systems changes required to support evolving Payment Integrity capabilities.
• Use financial, quality, operational, and vendor performance measures to evaluate outcomes, identify gaps, and recommend corrective action.
• Drive end-to-end readiness across claims editing and payment integrity workflows, including testing, implementation, issue resolution, and post-production stabilization.
• Manage strategic vendor relationships and ensure vendor capabilities, integrations, performance, and roadmaps align with business needs.
• Identify risks, dependencies, capacity constraints, and trade-offs early and bring forward clear options and recommendations for decision.
• As a member of our strong leadership community, you will provide direction to your team, engage them towards common goals and create a positive experience that helps people flourish.

FTEs Supervised 3-5 #LI-Hybrid Pay ranges vary based on the candidate's work location. The expected hiring range depends on skills, experience, education, and training; relevant licensure / certifications; and performance history. National pay structure — applies to the Boise and Lewiston, ID; Salt Lake City, UT, Oregon and Washington. The full salary range is $141,000 - $231,000 and the bonus target is 20%. The expected salary range is $150,500 - $203,600. Regional pay structure — applies to North Dakota and Idaho and Utah locations outside the metro areas listed above: The full salary range is $127,000 - $208,000 and the bonus target is 20%. The expected salary range is $135,400 - $183,200.

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 an 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. As part of our security requirements, new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees.

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. If you need accommodation for any part of the application process because of a medical condition or disability, please email [e-mail]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

Cambia Health Solutions is a family of companies headquartered in Portland, Oregon, working to make healthcare simpler, more affordable and more person-focused. Through our regional health insurance plans, innovative technologies and strategic investments, we are delivering consumer-centric solutions that: Help people achieve better health and well-being Make healthcare more available, affordable, and personalized Are easily understood by everyone.

We put people at the heart of everything we do. Our company reaches more than 70 million Americans nationwide, including more than 6 million people enrolled in our regional health plans. 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?

Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.