Program Manager, Medicare Member Journey

Cambia Health Solutions; Renton (WA); Remote; USD 111,000 - 149,000; Full time

Job summary

An established industry player is seeking a Program Manager to lead the Medicare Member Journey operations. This role requires a motivated leader with extensive experience in program management, particularly in the healthcare sector. You will be responsible for enhancing member experiences and ensuring effective collaboration across various teams to achieve business goals. The ideal candidate will have a strong analytical mindset, excellent communication skills, and a proven ability to manage complex projects. Join a purpose-driven organization that values innovation and teamwork, and make a significant impact on the healthcare journey of its members.

Benefits

Medical, dental, and vision coverage

Annual employer contribution to health savings account

Generous paid time off

Market-leading retirement plan with company match

Up to 12 weeks of paid parental time off

Award-winning wellness programs

Employee Assistance Fund

Commute and parking benefits

Flexible work from home options

Qualifications

• 8+ years of experience in program management or project leadership.
• Strong analytical and problem-solving skills required.
• Proven track record in managing complex projects.

Responsibilities

• Manage Medicare Member Journey operations and cross-enterprise collaboration.
• Develop reporting dashboards to track KPIs and performance.
• Lead strategic initiatives from discovery to implementation.

Skills

Member Experience

Customer Lifecycle Management

Customer Engagement

Member Activation

Consumer Behavior Analytics

Project Management

Stakeholder Engagement

Analytical Skills

Problem-solving Skills

Communication Skills

Education

Bachelor's degree in business or related field

Tools

Smartsheet

Job description

PROGRAM MANAGER, MEDICARE MEMBER JOURNEY (HEALTHCARE)

Work from home (telecommute) within Oregon, Washington, Idaho or Utah

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 Medicare Strategy and Performance Team is living our mission to make health care easier and lives better. Responsible for managing Medicare Member Journey operations and ensuring effective cross-enterprise collaboration to achieve business goals across Stars, Risk Adjustment and Clinical programs – all in service of making our members’ health journeys easier.

If you're a motivated and experienced Medicare Leader looking to make a difference in the healthcare industry, apply for this exciting opportunity today!

What You Bring to Cambia:

Preferred Key Experience:

• Member Experience
• Customer Lifecycle Management
• Customer Engagement
• Member Activation
• Consumer Behavior Analytics

Qualifications and Certifications:

• Bachelor's degree in business or related field
• 8+ years of progressive experience in program management and/or project leadership, preferably in a services or consumer products company
• Equivalent combination of education and experience will be considered.

What You Will Do at Cambia (Not limited to):

Operations and Progress Monitoring:

• Responsible for systems and processes to manage operations for the Member Journey function.
• Develop and maintain action tracking systems to monitor progress, identify roadblocks, and ensure timely resolution.
• Accountable for making connections between projects and enterprise efforts to foster synergies and leverage related activities.
• Provide regular written status reports to stakeholders and leaders to keep informed of progress and needs.

Performance Management:

• Develop and maintain reporting dashboards to track key performance indicators (KPIs) and targets.
• Support budget development, visibility, and management across Member Journey operations.
• Facilitate prioritization process and risk management activities.
• Partner with insights owners to identify trends, prioritize opportunities, and propose actionable improvements for business owners.

Initiative Management:

• Manage one or more strategic initiatives from discovery to design to implementation success.
• Lead business case development and stage gate approvals with Strategic Finance partners.
• Develop detailed project plans, funding estimates, and resource needs with clear milestones, roles, and responsibilities for execution.
• Collaborate with cross-functional teams to ensure seamless execution and delivery of results.

Stakeholder Management:

• Develop and maintain strong relationships with cross-functional team members and stakeholders.
• Support operational forums ensuring effective collaboration, issue resolution, and sustained momentum.
• Develop and maintain effective communication plans to ensure stakeholders are informed and engaged.

Skills and Attributes (Not limited to):

• Proven track record of managing complex projects, stakeholder engagement, and cross-enterprise team collaboration.
• Demonstrated analytical and problem-solving skills to identify and define problems, develop solutions, and implement a chosen course of action.
• Proficiency in data analysis and visualization to set and measure progress against key performance indicators.
• Strong attention to detail, with the ability to prioritize tasks and manage multiple projects simultaneously.
• Ability to negotiate and resolve project and team issues with diplomacy and persuasiveness.
• Excellent communication, interpersonal, and project leadership skills.
• Experience with project management and reporting tools, Smartsheet preferred.

The expected hiring range for The Program Manager Medicare Member Journey is $111k–$149k, depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15%. The current full salary range for this position is $104k Low/ $130k MRP / $169k High

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.

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.

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 .