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Program Director Accreditation and Delegation
Program Director Accreditation and DelegationWashington Staffing • Portland, OR, US
Program Director Accreditation and Delegation

Program Director Accreditation and Delegation

Washington Staffing • Portland, OR, US
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Program Director Accreditation and Delegation

Hybrid in Portland, OR or Renton, WA

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 Program Directors are living our mission to make health care easier and lives better. As a member of the Government Programs team, our Program Directors manage the large-scale, complex projects and multiple related initiatives in support of the Medicare Star Ratings Program, providing cross-functional program leadership and strategic planning. Responsible for driving tactical execution of the Star Ratings strategy and program management to ensure work stays on track, quality results are achieved, and the program continually evolves to become a comprehensive, best-in-class program - all in service of making our members' health journeys easier.

Are you someone who sees accreditation and delegation as an opportunity to directly impact member outcomes and organizational excellence? Are you ready to bring your strategic vision and program management expertise to a mission-driven organization committed to making health care easier and lives better? Then this role may be the perfect fit.

What You Bring to Cambia :

Qualifications :

  • Bachelor's degree in Business Administration, Healthcare Administration, or related field (Master's degree preferred)
  • 10 years of experience in Medicare operations and business process improvement
  • 5 years of management / leadership experience or equivalent combination of education and experience

Skills and Attributes :

  • Expertise regarding Medicare programs with a focus on Medicare Advantage and Part D programs.
  • Proven ability to lead the design, development and implementation of process structure, tools and measurement indicators that drive operational results.
  • Demonstrated ability to think analytically, apply analytical techniques, and provide in-depth analysis and recommendations using critical thinking and sound judgment.
  • Experience with business process redesign and optimization including ability to recognize process deficiencies and recommend and implement improvements.
  • Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired
  • Demonstrated ability to lead high performing teams and to organize and support cross functional activities to deliver results in a matrix organizational structure.
  • Ability to synthesize customer and third-party feedback into operational solutions that drive ongoing enhancements to member experience within the government programs arena.
  • Excellent written and verbal communication skills, ability to present and facilitate and drive executive level discussions and strong customer and stakeholder management skills.

    • What You Will Do at Cambia :

  • Provides leadership in developing, implementing, and communicating short and long-range strategic plans, goals, and objectives for Government Program and Stars teams. Aligns team strategy and goals with the organization's vision and strategy.
  • Leads tactical execution of a large scale, complex Star Ratings quality improvement program in a multi-state environment.
  • Works closely with cross-functional leaders to clarify program goals and create operational plans to continuously improve our Star Ratings.
  • Provides day-to-day leadership of direct reports, cross-functional committees, and vendors. Works collaboratively with teams to plan, design, develop, implement, and manage projects.
  • Serves as a subject matter expert on trends, gaps, best practices, competitive intelligence, a
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    Program Director • Portland, OR, US

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