Medicare Pharmacy Programs Manager, II, or Sr DOE
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Job Summary
Medicare Pharmacy Program Manager II or Sr. DOE
Hybridrole(3days/weekin office)atour Burlington Renton Spokane Vancouver Portland Medford Salt Lake City Boise Lewiston or Fargooffices.
Candidates mustresidewithin commutable distance of that location or be willing torelocate.
Build a career with purpose. JoinourCauseto create a person-focused and economically sustainable health care system.
Who We Are Looking For:
Every day Cambias dedicated team ofProgram Managersare living our mission to make health care easier and lives better. As a member of thePharmacy Servicesteam ourMedicare Pharmacy Program Managerwill represent Pharmacy Services in Medicare business relationships in partnership and on behalf of the Pharmacy Leadership Team. Establish and lead pharmacy programs for Medicare program governance and workstream meetings to enhance Medicare Advantage and Medicare Part D program offerings. Develop and maintain the pharmacy portfolio or products projects and initiatives to support the full scope of Government Programs for pharmacy benefit management work and activities. Create and maintain reporting functions and key performance indicators. Share status updates and value generation strategies and progress across all areas of Pharmacy to support Medicare Advantage programs. Represent and advocate for resource needs and organizational support on Medicare programs and initiatives all in service of creating a person-focused health care experience.
ReadytoshapethefutureofMedicarepharmacyprogramsthatimpactmillionsoflives Whatifyourexpertiseinpharmacyprogrammanagementcoulddrivemeaningfulchangeinhowpeopleexperiencehealthcare Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
Bachelors Degree in Business Health Care Administration or related field (Masters 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. May have equivalent combination of education and experience
Skills and Attributes:
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 health plan and clinical terminology operations and trends.
Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desire.
What You Will Do at Cambia:
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 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.
#LI-Hybrid
Pay ranges vary based on the candidates work location. The expected hiring range depends on skills experience education and training; relevant licensure / certifications; and performance history.
Program Manager
Oregon Washington Utah and Idaho:The expected hiring range is$92700 - $125400the full salary range is$87000 - $142000 and the bonus target for this position is15%.
North Dakota:The expected hiring range is $90906.79 - $122991.55and the full salary range is$80716.23 - $133182.10.
Program Manager II
Oregon Washington Utah and Idaho:The expected hiring range is$111400 - $150700the full salary range is$104000 - $171000 and the bonus target for this position is15%.
North Dakota:The expected hiring range is$114251.88 - $154576.08and the full salary range is$101444.41 - $167383.55.
Program Manager Sr
Oregon Washington Utah and Idaho:The expected hiring range is$136000 - $184000the full salary range is $128000 - $208000 and the bonus target for this position is15%.
North Dakota:The expected hiring range is$128145.07 - $173372.75and the full salary range is$113780.47 - $187737.35.
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 were 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 . Information about how Cambia Health Solutions collects uses and discloses information is available in our .
Required Experience:
Manager
About Company
Cambia Health Solutions is a family of companies headquartered in Portland, Oregon, working to create a person-focused and economically sustainable healthcare system. Discover how Cambia’s dedication to cutting-edge innovation and positive transformation is helping change the healthca ... View more
