Manager Operations Technical Services HSO

Cambia Health Solutions; Boise (ID); Hybrid; USD 110,000 - 160,000; Full time

Job summary

Cambia Health Solutions is seeking a Manager Utilization Management to lead the operations technical services data and reporting functions. You will oversee dashboards, data marts and BI solutions, guiding a team of analysts across locations to deliver actionable insights that support a person-focused health care experience.

The role emphasizes strategic planning, leadership, and collaboration with IT and business partners to optimize operational decisions and outcomes.

Qualifications

• Bachelor's degree in CS/Math/Business/Engineering or related field.
• 10+ years of related professional experience, including 3+ years of supervisory/leadership experience.
• Experience leading teams across multiple locations and remotely.

Responsibilities

• Oversee development of reports, dashboards, extracts, data marts and testing processes.
• Manage a team of business/data analysts and programmer analysts.
• Collaborate with business owners and IT to deliver operational BI solutions.
• Translate business requirements into technical BI solutions.

Skills

Team leadership

Project management

Stakeholder management

Communication skills

Data-driven decisions

Education

Bachelor's degree in Computer Science, Mathematics, Business Administration, Engineering or a related field

Job description

Manager Utilization Management

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.

to create a person-focused and economically sustainable health care system.

Every day, Cambia’s dedicated of Clinical Services leaders are living our mission to make health care easier and lives better. As a member of the Clinical Services leadership team, our Manager Operations Technical Services is responsible for executing and implementing the strategic plans and vision for the Operations Technical Services functions at Cambia. This position brings leadership in envisioning, planning and executing on the Operations division data and reporting needs. Oversees the development of reports, dashboards, extracts, data marts, small applications, and testing processes to support Operational activities; works across various business owners and IT areas to craft solutions to meet the division's data and information needs; manages a team of business/data analysts, and programmer analysts to deliver operational solutions and actionable business intelligence – all in service of creating a person-focused health care experience.

Manager Utilization Management

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 of Clinical Services leaders are living our mission to make health care easier and lives better. As a member of the Clinical Services leadership team, our Manager Operations Technical Services is responsible for executing and implementing the strategic plans and vision for the Operations Technical Services functions at Cambia. This position brings leadership in envisioning, planning and executing on the Operations division data and reporting needs. Oversees the development of reports, dashboards, extracts, data marts, small applications, and testing processes to support Operational activities; works across various business owners and IT areas to craft solutions to meet the division's data and information needs; manages a team of business/data analysts, and programmer analysts to deliver operational solutions and actionable business intelligence – all in service of creating a person-focused health care experience.

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.

Are you excited to transform raw data into actionable insights that directly improve health care experiences for members across our communities? Would you thrive in a role where your strategic vision and technical leadership help shape the future of person-focused health care? Then this role may be the perfect fit.

Qualifications

What You Bring to Cambia:

• Bachelor's degree in Computer Science, Mathematics, Business Administration, Engineering or a related field
• Minimum 10 years of related professional experience, including minimum 3 years of supervisory/leadership experience, or equivalent combination of appropriate education and experience

Skills And Attributes

• Ability to develop and lead a team including: hiring, goal setting, coaching and development (including employees in multiple locations and remotely).
• Demonstrated competency in resource and project management: budgeting, organizing work, and providing leadership to staff, strategic planning, establishing measures for success, and managing to deliverables.
• Demonstrated understanding and domain expertise within Health Insurance Operational service area(s) to include Customer Service, Claims, Membership, and/or Provider Operations.
• Understands how data is used within business processes and its impact on desired business process outcomes and reporting. Gains awareness of the security, privacy and quality requirements for critical data entities and develops processes to optimize quality and value.
• Strong communication and facilitation skills with all levels of the organization, including the ability to resolve complex issues, build consensus among groups of diverse stakeholders, manage strategic partner relationships, and effectively lead and engage internal teams in the fulfillment of roles and responsibilities.
• Knowledge of health plan operations, health plan data sources and structures, and cost containment strategies.
• Demonstrated experience in business process re-engineering or process improvements is desirable.
• Must be able to effectively adapt to rapidly changing technologies and methodologies and apply them to technological and/or business needs.
• Ability to oversee definition and documentation of business requirements with non-technical, business personnel, and translation of those requirements into a technical solution.
• Ability to develop common solutions and acceptable compromises for business users with conflicting Business Intelligence needs.
• Experience in establishing specific deliverables for staff assigned to large scale, complex projects and work.
• Proven ability to motivate teams to achieve defined deliverables and be able