Clinical Program Consultant Sr.

Clinical Program Consultant Sr.

Work from home 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 dedicated team of Clinical Program Consultants are living our mission to make health care easier and lives better. As a member of the Transformation, Quality, and Learning team, our Clinical Program Consultant Sr. will facilitate strategy development, planning, and business development efforts to advance Cambia's Clinical Mission - all in service of creating a person-focused health care experience.

Are you passionate about improving healthcare outcomes and making a positive impact on people's lives? Are you looking for a new career opportunity that allows you to use your skills and experience to make a real difference in the healthcare industry? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

• Bachelor's degree in a related field (e.g., healthcare administration, healthcare policy, healthcare economics, public health, business administration); advanced degree preferred.

• At least five years' experience in population, medical, behavioral health and/or pharmacy program and strategy development through management consulting, healthcare investment, or an in-house strategy team.

Skills and Attributes:

• Strong familiarity with healthcare industry and clinical spend trends.

• Well-established strategy toolkit (research, quantitative analysis, qualitative synthesis, written/oral communication).

• Demonstrated strong analytical and problem-solving skills, with experience in quantitative and qualitative program and population evaluation analysis.

• Excellent written and verbal communication skills, with the ability to present complex information to senior-level audiences.

• Proven ability to work collaboratively across teams and stakeholders.

What You Will Do at Cambia:

• Analyze key clinical quality and spend trends, identifying population health and clinical program opportunities. Identify population health analysis trends and key insights to guide focused program evaluation and strategy development. Complete focused data analyses to generate clinical and business insights impacting Cambia; this may include preparing market overviews, benchmarking competitors, assessing industry developments.

• Collaborate with stakeholders across the enterprise to facilitate clinical program and strategy development, as well as address health equity disparities. Execute analytics frameworks to assess clinical market trends, line of business implications, and financial projections relevant for developing and evaluating clinical program and strategy options. Conduct secondary research on a range of key clinical topics and distill relevant findings for clinical strategy development and initiative prioritization.

• Support clinical program and strategy solution design and performance KPIs to ensure initiatives can deliver on the expected outcomes. Generate hypotheses on key strategic issues and partner in creating work plans to evaluate. Support annual evaluation of existing clinical and population health improvement programs for clinical program and strategy alignment and value contribution, including assessment of partner capacity and impact. Evaluate potential new business opportunities and partners through competitive analysis, opportunity sizing, impact analysis, and assessment of strategic alignment and prioritization. Proactively support initiative leaders in surfacing and addressing operational challenges quickly and thoughtfully.

• Support evaluation of existing clinical programs in the context of Cambia's clinical strategy to assess value contribution to health, health equity, and healthcare affordability.

• Develop and communicate key messages and conclusions to executive sponsors, project sponsors and stakeholders.

• Support Cambia's overall corporate strategy and innovation planning efforts to share clinical program and strategy implications with focus on long term growth for the enterprise.

• Partner with business leaders and Quality staff to assure Cambia's clinical program and strategy planning, assessment and impact evaluation processes satisfy NCQA population health requirements.

#LI-Remote

The expected hiring range for a Clinical Program Consultant Sr is $99,500 - $134,600 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 role is $93,000 - $153,000.

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 (eligible day one of employment if within first 12 months following birth or adoption).

• 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 and Affirmative Action employer dedicated to workforce diversity and 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 CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.