Program Director, Network Innovations

Cambia Health Solutions; Renton (WA); Hybrid; USD 131,000 - 160,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

401(k) with company match

Paid time off

Parental time off

Wellness programs

Job summary

Cambia Health Solutions in Portland, OR area is seeking a Program Director Network Innovations to lead cross-market programs and drive execution from concept to launch. This role focuses on Alternative Payment Model development, partnerships, and program lifecycle management to improve member, provider, and employer outcomes.

You will collaborate with diverse stakeholders, manage complex initiatives, and represent Cambia at industry events.

Qualifications

• The Program Director, Provider Partnership would have a bachelor’s degree in Business Administration, Healthcare Administration or related field (Master’s preferred) and 10+ years of related experience in business or health care management with preference for experience driving transformation programmatic innovation, Alternative Payment Model development, payment innovation and/or strategic implementation or equivalent combination of education and experience.

Responsibilities

• Uses strong knowledge of department strategies and organizational vision to represent Network Innovations in various forums and provide thought leadership for strategic program development
• Leads Alternative Payment Model program development and integration activities including strategy, design, architecture, quality assurance, customer experience, and operational sustainment
• Serves as key point of contact with strategic vendors while facilitating operational and strategic interactions with internal and third-party stakeholders
• Ensures delivery of sustained program interactions with key customer segments (providers, members, employers) and integration with other value-based programs
• Organizes, motivates, and leads program development efforts with functionally and geographically diverse delivery teams across the company
• Identifies critical program risks and issues, drives resolution, and ensures requirements and dependencies are communicated to relevant stakeholders
• Maintains expertise on industry best practices and value-based healthcare innovation while representing Cambia as a leader at conferences and industry events

Skills

Alternative Payment Model Leadership

Strategic Communication

Healthcare Industry Expertise

Team Leadership

Project & Resource Management

Business Transformation

Business Case Development

Strategic Thinking & Partnership

Education

Bachelor's degree in Business Administration, Healthcare Administration or related field

Job description

Hybrid Opportunity within Portland, OR; Medford, OR; Burlington, WA; Spokane, WA; Renton, WA; Vancouver, WA; Salt Lake City, UT; Lewiston, ID; Boise, ID

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 Program Director Network Innovations are living our mission to make health care easier and lives better. As a member of the Network Innovations team, our Program Director Network Innovations develops and launches complex cross-market programs supporting Provider Partnership Innovation will manage and drive execution to support our specialty Alternative Payment Models., including initiatives like the Cambia Bundled Payment program. This role will support and lead the specialty programs including ongoing programme management, programme efficiency identification, and overall programme(s) execution oversees the complete programme lifecycle from development to operational sustainment, ensuring successful outcomes for members, providers, and employers – all in service of making our members’ health journeys easier.

Do you have a passion for driving innovation in healthcare partnerships and leading complex, cross-functional initiatives? Do you thrive in building programmes from concept to launch while collaborating with diverse stakeholders across markets? Then this role may be the perfect fit.

Qualifications

What You Bring to Cambia:

• The Program Director, Provider Partnership would have a bachelor’s degree in Business Administration, Healthcare Administration or related field (Master’s preferred) and 10+ years of related experience in business or health care management with preference for experience driving transformation programmatic innovation, Alternative Payment Model development, payment innovation and/or strategic implementation or equivalent combination of education and experience.

Skills And Attributes

• Alternative Payment Model Leadership: Ability to lead healthcare innovation initiatives with functionally diverse stakeholders across the organization
• Strategic Communication: Strong facilitation and consensus-building skills with internal/external teams at all organizational levels
• Healthcare Industry Expertise: Knowledge of industry trends, provider relations, and value-based reimbursement methods
• Team Leadership: Proven track record managing multi-discipline, high-performance teams and diverse work streams
• Project & Resource Management: Competency in budgeting, organizing work, establishing success measures, and managing deliverables
• Business Transformation: Experience initiating and managing complex transformation programs and leading organizational change
• Business Case Development: Ability to construct actionable business cases and track implementation of new operational processes
• Strategic Thinking & Partnership: Big-picture perspective with strong relationship-building skills and collaborative team approach

What You Will Do At Cambia

• Uses strong knowledge of department strategies and organizational vision to represent Network Innovations in various forums and provide thought leadership for strategic program development
• Leads Alternative Payment Model program development and integration activities including strategy, design, architecture, quality assurance, customer experience, and operational sustainment
• Serves as key point of contact with strategic vendors while facilitating operational and strategic interactions with internal and third-party stakeholders
• Ensures delivery of sustained program interactions with key customer segments (providers, members, employers) and integration with other value-based programs
• Organizes, motivates, and leads program development efforts with functionally and geographically diverse delivery teams across the company
• Identifies critical program risks and issues, drives resolution, and ensures requirements and dependencies are communicated to relevant stakeholders
• Maintains expertise on industry best practices and value-based healthcare innovation while representing Cambia as a leader at conferences and industry events

The expected hiring range for a Program Director Network Innovations is $130,700 - $160,000 depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 15%. The current full salary range for this role is $113,000 - $185,000.

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 a 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.

Benefits

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.