Medicare Pharmacy Programs Manager, II, or Sr DOE

Cambia Health Solutions; Boise (ID); On-site; USD 92,700 - 125,400; Full time

Benefits offered by this job

Medical, dental and vision coverage

Annual employer contribution to health savings account

Generous paid time off

Market-leading retirement plan

Paid parental time off

Wellness programs

Employee Assistance Fund

Commute and parking benefits

Job summary

Cambia Health Solutions is seeking a Medicare Pharmacy Program Manager (II or Sr.) to oversee pharmacy services related to Medicare governance. This hybrid role involves significant stakeholder engagement, project management, and program development in a healthcare setting.

The ideal candidate has at least 5 years of program management experience in healthcare, a Bachelor's degree, and strong analytical skills. This position offers competitive pay and benefits, including flexible work arrangements and a robust retirement plan.

Qualifications

• 5+ years' experience in project and/or program management in healthcare or large complex industry.
• Experience in a clinical area preferred; equivalent education and experience acceptable.

Responsibilities

• Manage program and project teams to identify risks and reach program goals.
• Work closely with cross-functional teams to develop project plans and manage stakeholder relationships.
• Develop and communicate program documents and assessment protocols.
• Educate stakeholders regarding program elements and implementation.

Skills

Analytical thinking

Project management

Cross-functional coordination

Strong analytical skills

Stakeholder management

Health plan terminology

Experience with AI tools

Education

Bachelor's Degree in Business, Health Care Administration, or related field (Master's preferred)

Job description

Medicare Pharmacy Program Manager, II or Sr.

Hybrid role (3 days/week in office) at the following locations: Burlington, Renton, Spokane, Vancouver, Portland, Medford, Salt Lake City, Boise, Lewiston, or Fargo. Candidates must reside within commutable distance or be willing to relocate.

Who We Are Looking For

Every day, Cambia’s dedicated team of Program Managers live our mission to make health care easier and lives better. As a member of the Pharmacy Services team, the Medicare Pharmacy Program Manager will represent Pharmacy Services in Medicare business relationships, partner with the Pharmacy Leadership Team, establish and lead pharmacy programs for Medicare governance, and develop portfolio and initiatives to support government programs. The role creates and maintains reporting functions, shares status updates, and advocates for resource needs, all in service of a person‑focused health care experience.

Responsibilities

• Work closely with project sponsor(s), cross‑functional teams, and project managers to plan and develop scope, deliverables, required resources, work plan, budget, and timing for new initiatives.
• Effectively manage internal/external stakeholder relationships, ensuring the focused pursuit of desired outcomes.
• Manage program and project teams to identify risks and opportunities across multiple initiatives or workstreams to ensure program goals are reached.
• Educate and train the leadership, staff, business associates and other stakeholders regarding new program elements, processes, and implementation.
• Maintain a system for ongoing data/statistical reporting and program assessment.
• Develop and communicate program documents, project plans, and related artifacts.
• Collaborate with internal program leaders, senior management, and cross‑functional managers/directors to develop program monitoring and assessment protocols for evaluation and improvement.
• Recommend program and process changes as appropriate.

Qualifications

• Bachelor’s Degree in Business, Health Care Administration, or related field (Master’s preferred).
• Minimum 5+ years’ experience with project and/or program management in healthcare, healthcare insurance operations or other large, complex industry.
• Experience in clinical area preferred; equivalent combination of education and experience acceptable.

Skills & Attributes

• Ability to think analytically, applying project management and financial techniques, and providing recommendations to management using critical thinking and sound judgment.
• Ability to coordinate cross‑functionally with all levels of the organization for the purpose of driving solutions and resolving issues in a timely and effective manner.
• Proficiency in effectively managing high‑profile projects and reporting barriers to program deliverables.
• Strong analytical skills, with the ability to analyze complex data and situations, learn quickly and create options, recommendations and action plans.
• Ability to resolve issues and build consensus among groups of diverse stakeholders.
• Experience in independently defining, developing, managing and reporting on processes and metrics.
• Ability to accomplish results through others by establishing relationships, effective controls and monitoring processes.
• Ability to partner effectively with external partners/vendors.
• Familiarity with health plan and clinical terminology, operations and trends.
• Experience with AI tools and technologies to enhance productivity and decision‑making in professional settings highly desired.

Pay & Benefits

• Pay ranges by location: Program Manager (Oregon, Washington, Utah, Idaho) $92,700‑$125,400 base (full range $87,000‑$142,000); North Dakota $90,906.79‑$122,991.55 base (full range $80,716.23‑$133,182.10). Program Manager II (Oregon, Washington, Utah, Idaho) $111,400‑$150,700 base (full range $104,000‑$171,000); North Dakota $114,251.88‑$154,576.08 base (full range $101,444.41‑$167,383.55). Program Manager Sr (Oregon, Washington, Utah, Idaho) $136,000‑$184,000 base (full range $128,000‑$208,000); North Dakota $128,145.07‑$173,372.75 base (full range $113,780.47‑$187,737.35). Bonus target for all positions: 15% of base salary.
• Medical, dental and vision coverage for employees and eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account (HSA).
• Generous paid time off varying by role and tenure, plus 10 company‑paid holidays.
• Market‑leading retirement plan including company match on employee 401(k) contributions and 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 participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.

EEO Statement

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].