Manager Clinical Operational Excellence
Cambia Health

Job Info

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Manager Clinical Operational Excellence

Remote in ID, OR, WA, UT

Primary Job Purpose

Responsible for providing oversight and leadership for Cambia's Clinical Operational Excellence program to improve member health, operational excellence, and affordability. This position will provide: direct consultation on complex, cross-functional projects, oversight to the Clinical Operational Excellence team, and mentorship to health services managers/directors. The leader will develop the Clinical Operational Excellence program to help identify, prioritize, design, implement, and facilitate change management clinical operational excellence initiatives.

General Functions and Outcomes

• Handles all management level responsibilities for staff, including performance reviews, employee development, hiring, firing, coaching, counseling, and retention.
  
• Assigns and prioritizes work, sets goals, and coordinates daily activities of the team. Provides regular updates and communication to staff through 1:1 and team meetings.
  
• Manages and provides oversight and leadership in the planning and implementation of process improvement initiatives. Accountable for the team's performance and results of cross functional process improvement projects. Directs and organizes overall effort to create new cross-functional capabilities.
  
• Provides leadership in developing, and implementing new processes that improve core operation, employer experience, consumer experience and/or project delivery.
  
• Seeks out information from customers and third-party stakeholders; uses it to establish prioritized operational solutions that drive ongoing enhancements
  
• Advises leadership and business executives about the improvement initiative portfolio status and resource planning for delivering strategic business initiatives.
  
• Consults directly at the executive level across the organization and executes process improvement initiatives on their behalf.
  
• Leads efforts to systematically collect, synthesize and report operational performance information, designs, implements and manages metrics and indicators to track performance to goals and objectives.
  
• Creates influential metrics, dashboards, and presentations that use information to influence senior leadership on business trends and strategies. Identifies, mitigates and manages operational risks and issues.
  
• Manages financial targets and department budget, authorizes expenditures, monitors workforce allocation and resources, and oversees project plans.
  
• In conjunction with division leadership, establishes and communicates long-term goals for the department and adapts operational plans as changes occur.
  

Minimum Requirements

• Proven leadership competencies in recognizing process deficiencies, analyzing developing, implementing and measuring effectiveness of existing business processes, including process redesign and optimization with the ability to develop sustainable, repeatable and quantifiable improvement.
  
• Drives tangible and measurable improvements of key processes through the leadership, training, and mentoring of a team of change agents.
  
• Demonstrated ability in leading multiple, complex organizational transformation projects.
  
• Demonstrated adaptive leadership skill, leading teams through ambiguity and change in order to deliver complex strategic initiatives.
  
• Ability to develop and lead a team including: hiring, goal setting, coaching and development (including employees who may be in multiple locations or work remotely).
  
• Demonstrated analytical, influential and problem-solving skills, ability to analyze data and complex business situations, learn quickly and synthesize corresponding solutions, options and action plans.
  
• Familiarity with health insurance industry trends, operations and technology.
  
• Strong communication and facilitation skills with all levels of the organization, including the ability to resolve complex issues and build consensus among groups of diverse stakeholders.
  

Normally to be proficient in the competencies listed above

Manager Clinical Operational Excellence would have a Bachelor's degree in Business, Engineering, Finance, or related field and ten years of experience in Healthcare process improvement, performance improvement business consulting, or general management with experience leading, developing and managing process improvement initiatives or a similar position or equivalent combination of education and experience. MBA is preferable but not required.

Required Licenses, Certifications, Registration, Etc.

Lean/Six Sigma Black Belt, Business Process Management (BPM/CBPP), or equivalent is required. Certifications in one or more of the following preferred: Change Management or Project/Program Management (PMP/PGMP)

FTEs Supervised

2-5

Work Environment

• Work primarily remote
  
• Travel may be required, either local or out of state.
  
• May be required to work outside normal working hours.
  

#LI-Remote

The expected hiring range for a Manager Clinical Operational Excellence is $129,500 - $175,500 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 $122,000 - $198,500.

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 CambiaCareers@cambiahealth.com. 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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