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Hybrid Program Director – Accreditation and Delegation

at Cambia Health Solutions
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Posted 2 days ago

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About the role

  • Provides leadership in developing, implementing, and communicating short and long-range strategic plans, goals, and objectives for Government Program and Stars teams.
  • Aligns team strategy and goals with the organization’s vision and strategy.
  • Leads tactical execution of a large scale, complex Star Ratings quality improvement program in a multi-state environment.
  • Works closely with cross-functional leaders to clarify program goals and create operational plans to continuously improve our Star Ratings.
  • Provides day-to-day leadership of direct reports, cross-functional committees, and vendors.
  • Works collaboratively with teams to plan, design, develop, implement, and manage projects.
  • Serves as a subject matter expert on trends, gaps, best practices, competitive intelligence, and effectiveness regarding Star Ratings.
  • Represents program goals and initiatives with various audiences.
  • Cultivates and maintains relationships with key internal and external stakeholders.
  • Develops and oversees monitoring and reporting procedures to ensure deliverables and budget are on track.
  • Communicates program status and areas of risk or opportunity.
  • Handles all management level responsibilities for direct staff, including performance reviews, employee development, hiring, coaching, counseling, and retention.
  • Partners with cross-functional leaders, provider groups, and vendors to lead organizational change.
  • Creates a sense of urgency within the organization and translates quickly evolving directions into action.

Requirements

  • Bachelor’s degree in Business Administration, Healthcare Administration, or related field (Master’s degree preferred)
  • 10 years of experience in Medicare operations and business process improvement
  • 5 years of management/leadership experience or equivalent combination of education and experience
  • Expertise regarding Medicare programs with a focus on Medicare Advantage and Part D programs.
  • Proven ability to lead the design, development and implementation of process structure, tools and measurement indicators that drive operational results.
  • Demonstrated ability to think analytically, apply analytical techniques, and provide in-depth analysis and recommendations using critical thinking and sound judgment.
  • Experience with business process redesign and optimization including ability to recognize process deficiencies and recommend and implement improvements.
  • Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired
  • Demonstrated ability to lead high performing teams and to organize and support cross functional activities to deliver results in a matrix organizational structure.
  • Ability to synthesize customer and third-party feedback into operational solutions that drive ongoing enhancements to member experience within the government programs arena.
  • Excellent written and verbal communication skills, ability to present and facilitate and drive executive level discussions and strong customer and stakeholder management skills.

Benefits

  • 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.

Job title

Program Director – Accreditation and Delegation

Job type

Full Time

Experience level

Lead

Salary

$134,300 - $181,700 per year

Degree requirement

Bachelor's Degree

Location requirements

HybridPortlandUnited States

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