Manager Operations Technical Services HSO

Cambia Health Solutions; Spokane (WA); Hybrid; USD 140,000 - 210,000; Full time

Job summary

Cambia Health Solutions is seeking a Manager Utilization Management to lead the Operations Technical Services function with a focus on data, reporting, and BI across multiple locations. This hybrid role requires strong leadership and collaboration with business and IT partners to deliver actionable insights for operational improvements.

As a people leader, you will coach a team of analysts and programmers, define deliverables, and drive data-driven decision making in a dynamic health care

Qualifications

• 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.
• Experience within Health Insurance Operational service areas (Customer Service, Claims, Membership, Provider Operations) is desirable.

Responsibilities

• Lead and develop the Operations Technical Services team across multiple locations, delivering operational BI solutions.
• Oversee the development of reports, dashboards, extracts, data marts, small applications, and testing processes to support operational activities.
• Collaborate with business owners and IT to craft data solutions that meet the division's information needs and drive business value.

Skills

Team leadership

Resource management

Project management

Business intelligence

Strategic planning

Communication

Change management

Education

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

Tools

Health Insurance Operations domain knowledge

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