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This job was posted by https://idahoworks.gov : For more information, please see: https://idahoworks.gov/jobs/2361170 BLUE PATH SHARED SAVINGS PROGRAM MANAGER (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 Payment Integrity Team is living our mission to make health care easier and lives better. The Blue Path Program Manager provides strategic direction, oversight and organization to ensure overall success of the Blue Path are Sure Path flexible pricing and shared savings program. The Blue Path Program Manager supports an executive or directing program sponsors to ensure program deliverables are met while striving to improve group admin fees and driving additional revenue. Responsibilities include managing program initiatives from inception to sustainment and providing oversight related to program evaluation, development, processes and reporting during all phases of the program. Initiatives may involve managing internally developed programs or programs established through a vendor partnership. - all in service of making our members\' health journeys easier.

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

What You Bring to Cambia:

Preferred Key Experience:

• Familiarity with Shared Savings and or Health insurance Sales processes and policies.
• Prior Program management experience preferred
• Experience working with leading multiple teams that are not directly reporting to this position and leading up with executive leadership driving program changes that meet current market needs.

Qualifications and Certifications:

• Bachelor\'s degree in business, Health Care Administration, or related field (Masters preferred)
• 8 years of experience with project and/or program management in healthcare, payment integrity, shared savings, healthcare insurance operations or equivalent combination of education and experience

Skills and Attributes (Not limited to):

• Ability to think analytically, effectively 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 payment integrity, health plan and clinical terminology, operations and trends.
• Strong facilitation skills, including the ability to resolve issues and build consensus among groups of diverse stakeholders.
• Ability to effectively handle multiple high-profile projects, identifying and mitigating risks and reporting barriers to program deliverables.
• Extensive knowledge of health plan, payment integrity and shared savings processes.

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

Work closely with project sponsor(s), cro s-functional teams and executive sponsors 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, process and implementation.

Maintain a system for ongoing data/statistical reporting and program assessment. Develop and communicate program documents, project plans, etc.

Effectively 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.

Uses a thorough understanding of the business and/or specialized clinical knowledge to influence initiatives and drive in