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Cambia Health Solutions Program Manager (Healthcare / Pharmacy) in Seattle, Washington

----Job Description----Program Manager (Healthcare/Pharmacy)Remote within WA, OR, ID, or UT. Candidates outside of these states will not be considered.Responsible for partnering with clinical stakeholders to develop, execute, evaluate and maintain clinical programs and strategies to support cost containment and clinical quality improvements related to pharmacy. Performs project management, team leadership, system analysis, research & design for purposes of project completion. Guides and assists in pharmacy 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. Collaborates with Formulary and Prior Authorization teams, Quality and Medicare stars teams, Provider Partnership and Innovation team, and Case Management, among others.Responsibilities* Providers 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.* Analyze metrics to ensure programs are on target.* Evaluate, document and manage clinical product offerings on a regular basis to maintain a competitive product portfolio with strong ROI.* Provide consultative expertise for strategic provider partners, plan leadership, purchasers, Quality Incentive Plan participants, contracted pharmacy partners 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 represents pharmacy services to facilitate communication about current clinical programs.* Interacts, coordinates and communicates with all levels of management, internal and external customers such as clients, pharmacy providers, business partners and outside consultants in order to ensure effective use of systems and processes, provide project updates, and ensure coordination of activities.* Partner with clinical stakeholders and vendors to accomplish program goals.* Represents Pharmacy Services in internal meetings to facilitate communication about current clinical programs.* Develops strategies, implements and oversees programs and evaluation protocols in accordance with clinical team, and using data to drive decisions. Ensures initiatives are delivered on time and meet customer expectations. May lead company-wide programs/projects or direct the work of other staff.* Partner with departments external to pharmacy to promote integration of clinical services and provide holistic member care.* Negotiate, monitor and manage vendor performance, manage inter-departmental coordination to ensure alignment of strategic goals and streamlined member experience.* Partners with analysts to develop meaningful dashboards and presentations that use information to inform and influence business activities and strategies, including senior leaders.* Serves as a Cambia resource for current programs and new opportunities by combining business knowledge with program evaluation concepts and methodologies.Minimum Requirements* 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.<

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