Manager Care Management - Clinical Transformation
Cambia Health

Job Info

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Manager Care Management - Clinical Transformation

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 Manager of Care Management is living our mission to make health care easier and lives better. As a member of the Clinical Transformation team, our Manager of Care Management leads and oversees care management professionals and support staff, setting performance standards and ensuring effective program execution across all Cambia plans, including case management, disease management, and care coordination. This role represents the department in interactions with internal and external stakeholders, including management, vendors, clients, providers, government officials, and consultants - all in service of making our members' health journeys easier. As a people leader, you are willing to learn and grow, understanding that leadership is a craft that is continuously honed as you support your team and the lives that depend upon us.

As a people leader, you are willing to learn and grow, understanding that leadership is a craft that is continuously honed as you support your team and the lives that depend upon us.

Are you a leader in healthcare looking for a new challenge? Do you have what it takes to lead a team and drive results in care management? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

• Bachelor's degree in nursing or related field
  
• Master's preferred
  
• 7 years of healthcare or clinical care experience
  
• 5 years of leadership experience
  
• Equivalent combination of education and experience
  
• Current unrestricted Registered Nurse (RN) License or LPN in a state or territory of the United States
  

Skills and Attributes:

• Strategic Problem-Solving and Collaboration: Identify key issues, opportunities, and effective solutions, and collaborate with cross-functional departments to drive process improvements and optimize results.
  
• Resource and Project Management Expertise: Demonstrate proficiency in managing resources and projects, including budgeting, work organization, leadership, establishing success metrics, and delivering results.
  
• Team Leadership and Development: Develop and lead high-performing teams, including talent acquisition, goal setting, coaching, and development of supervisors and employees, regardless of location or work arrangement.
  
• Effective Communication and Presentation: Communicate complex ideas clearly and persuasively, both verbally and in writing, with the ability to facilitate meetings and deliver presentations to employer or provider groups.
  
• Industry Knowledge and Awareness: Stay abreast of the latest trends and technologies in the health insurance industry, ensuring informed decision-making and strategic planning.
  
• Clinical Case Management and Utilization Management Expertise: Demonstrate a deep understanding of clinical case management and utilization management best practices, ensuring high-quality patient care and optimal resource allocation.
  
• Data-Driven Care Management: Leverage population statistics to inform care management programs, driving data-driven decision-making and improved health outcomes.
  
• Knowledge of value based care arrangements.
  

What You Will Do at Cambia:

• Develops and executes care management policies, procedures, and standards to ensure quality and service excellence.
  
• Oversees staff management, including performance reviews, employee development, hiring, and retention, and participates in talent management activities.
  
• Communicates organizational objectives and team goals, monitors results and metrics, and collaborates with other leaders to resolve issues and ensure compliance with department and regulatory standards.
  
• Manages financial targets, department budget, and resource allocation, and oversees project plans to achieve operational goals.
  
• Establishes long-term department goals and adapts operational plans in conjunction with division leadership.
  
• Develops and provides education and communication about care management programs to employees, providers, and community stakeholders, and maintains clinical competency.
  
• Oversees development and implementation of department programs, ensuring program quality and successful outcomes.
  
• As a member of our strong leadership community, you will provide direction to your team, engage them towards common goals and create a positive experience that helps people flourish.
  

#LI-Remote

The expected hiring range for a Manager Care Management is $109,700 - $148,400 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 $103,000 - $168,000

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 (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 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.

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