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Clinical Program Manager
Cambia Health Solutions. Provide direction, oversight, and organization to ensure the success of one or more complex clinical programs .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing complex clinical programs, ensuring quality care, and enhancing consumer experience while effectively collaborating with cross-functional teams. Proficient in program evaluation, financial techniques, and stakeholder relationship management to drive successful outcomes.
Highest-signal resume keywords
Program ManagementHealthcare OperationsAnalytical SkillsStakeholder Relationship ManagementCross-Functional Coordination
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Project ManagementProgram EvaluationData AnalysisProcess DevelopmentRisk IdentificationMetrics ReportingFinancial TechniquesClinical TerminologyProgram Effectiveness AnalysisVendor Partnership Management
Soft Skills
Communication SkillsFacilitation SkillsConsensus-BuildingIssue ResolutionRelationship Building
Tools & Technologies
AI ToolsStatistical Reporting Systems
Industry Keywords
HealthcareHealth Care AdministrationHealth Insurance OperationsClinical ProgramsProgram Deliverables
About the role
Key responsibilities & impact- Provide direction, oversight, and organization to ensure the success of one or more complex clinical programs
- Support a Health Care Services executive or directing program sponsor to meet program deliverables
- Improve care quality, enhance consumer experience, and reduce cost
- Manage program initiatives from inception through sustainment
- Oversee program evaluation, development, processes, and reporting throughout all program phases
- Manage internally developed programs and programs established through vendor partnerships
- Build relationships across Health Care Services, Health Plan Operations, Data & Technology, and Finance
- Work with sponsors and cross-functional teams to plan scope, deliverables, resources, work plans, budgets, and timelines
- Manage internal and external stakeholder relationships to pursue desired outcomes
- Manage program and project teams across multiple initiatives or workstreams, identifying risks and opportunities
- Educate and train leadership, staff, business associates, and stakeholders on new program elements, processes, and implementation
- Maintain ongoing data/statistical reporting and program assessment systems
- Develop and communicate program documents and project plans
- Collaborate with program leaders, senior management, and cross-functional managers/directors on monitoring and assessment protocols
- Recommend program and process changes for evaluation and improvement
Requirements
What you’ll need- Bachelor's Degree in Business, Health Care Administration, or related field
- Master's degree preferred
- 5+ years' experience with project and/or program management in healthcare, healthcare insurance operations, or another large, complex industry
- Experience in a clinical area preferred
- May have equivalent combination of education and experience
- Analytical application of project management and financial techniques
- Cross-functional coordination and issue resolution skills
- Experience managing high-profile projects, identifying and mitigating risks, and reporting barriers
- Strong analytical skills and ability to analyze complex data and situations
- Experience independently defining, developing, managing, and reporting on processes and metrics
- Ability to establish relationships, controls, and monitoring processes to accomplish results through others
- Experience partnering with external partners/vendors
- Familiarity with health plan and clinical terminology, operations, and trends
- Excellent communication and facilitation skills, including consensus-building and strategic partner relationship management
- Knowledge of program evaluation concepts and methodologies, including program effectiveness analysis, measurement, and reporting
- Experience with AI tools and technologies highly desired
- Background check required
- Personal mobile device required for MFA
- Wired internet connection required for work-from-home option, with minimum 5Mb upload and 10Mb download speeds
Benefits
Comp & perks- Competitive base pay
- Bonus opportunities; 10% bonus target
- Market-leading 401(k) with a significant company match
- Potential discretionary 401(k) contribution based on company performance, with no vesting period
- Medical, dental and vision coverage for employees and eligible family members, including mental health benefits
- Annual employer contribution to a health savings account
- Generous paid time off varying by role and tenure
- 10 company-paid holidays
- Up to 12 weeks of paid parental time off after 12 months of continuous service
- Award-winning wellness programs that reward participation
- Employee Assistance Fund
- Commute and parking benefits
- Work from home options for most roles, subject to wired internet requirements
- Employee resource groups
- Cambia-supported community outreach opportunities
- Career development and support
- Personal mobile device access for MFA