Clinical program coordinator
Cambia Health Solutions, Inc
Location
Lewiston, ID | United States
Job description
Remote in ID, OR, WA, UT
Primary Job Purpose Responsible for partnering with clinical stakeholders to develop, execute, evaluate and maintain clinical programs and strategies to support cost containment and clinical quality improvements. Performs project management, team leadership, system analysis, research & design for purposes of project completion. Guides and assists in clinical program outreach, maintains policy/procedures, monitors and reports out on program outcomes, coordinates with other departments to achieve program goals, and assists in vendor management and oversight.
General Functions And Outcomes - Provides ownership of existing clinical programs, including but not limited to: acting subject matter expert for each assigned program, maintenance of program policies procedures, monitoring program processes and outcomes, program execution, and making data-driven decisions to grow and adapt programs to business needs.
- Helps provide support and intervention on a variety of clinical programs.
- Analyzes metrics to ensure programs are on target.
- Evaluates, documents and manages clinical product offerings on a regular basis to maintain a competitive product portfolio with strong ROI.
- Provides consultative expertise for strategic partners, plan leadership, purchasers, and other Health Plan stakeholders as needed.
- Performs team leadership as part of project management responsibilities. Makes task assignments to project team members and monitors compliance with all project due dates and facilitates communication about current clinical programs.
- Interacts, coordinates, and communicates with all levels of management, internal and external customers such as clients, business partners and outside consultants in order to ensure effective use of systems and processes, provide project updates, and ensure coordination of activities.
- Partners with clinical stakeholders and vendors to accomplish program goals.
Minimum Requirements - Knowledge and understanding of health insurance, benefit design, clinical products and services.
- Knowledge of claims processing systems. Facets knowledge preferred.
- Ability to coordinate activities with all levels of staff and external business partners through clear and concise verbal and written communication skills.
- Demonstrated analytical ability to identify problems, develop solutions and implement a chosen course of action.
- Ability to organize, plan, prioritize and manage multiple projects within time constraints.
- Ability to work well under pressure.
- Demonstrated ability to use MS Office products and other corporate software as required.
Normally to be proficient in the competencies listed above Clinical Program Coordinator would have a bachelor’s degree and 3-5 years of experience in the health care industry or equivalent combination of education and experience. Project management experience and clinical degree or certification preferred.
The expected hiring range for a Clinical Program Coordinator is $61,200 ($68k WA) - $82,800 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 10% . The current full salary range for this role is $57,000 ($68k WA) - $94,000.
Benefits Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:
- medical, dental, and vision coverage for employees and their eligible family members
- annual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)
- paid time off varying by role and tenure in addition to 10 company holidays
- up to a 6% company match on employee 401k 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)
- one-time furniture and equipment allowance for employees working from home
- up to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.
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
[email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.
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