Program Director – Network Innovations

Role Overview

• Develops and launches complex cross-market programs supporting Provider Partnership Innovation.
• Manages and drives execution to support specialty Alternative Payment Models, including initiatives like the Cambia Bundled Payment program.
• Supports and leads specialty programs including ongoing program management, program efficiency identification, and overall program execution.
• Oversees the complete program lifecycle from development to operational sustainment, ensuring successful outcomes for members, providers, and employers.
• Represents Network Innovations in various forums and provides thought leadership for strategic program development.
• Leads Alternative Payment Model program development and integration activities including strategy, design, architecture, quality assurance, customer experience, and operational sustainment.
• Serves as key point of contact with strategic vendors while facilitating operational and strategic interactions with internal and third-party stakeholders.
• Ensures delivery of sustained program interactions with key customer segments (providers, members, employers) and integration with other value-based programs.
• Organizes, motivates, and leads program development efforts with functionally and geographically diverse delivery teams across the company.
• Identifies critical program risks and issues, drives resolution, and ensures requirements and dependencies are communicated to relevant stakeholders.
• Maintains expertise on industry best practices and value-based healthcare innovation while representing Cambia as a leader at conferences and industry events.

Requirements

• A bachelor’s degree in Business Administration, Healthcare Administration or related field (Master’s preferred).
• 10+ years of related experience in business or health care management.
• Preference for experience driving transformation programmatic innovation, Alternative Payment Model development, payment innovation and/or strategic implementation.
• Ability to lead healthcare innovation initiatives with functionally diverse stakeholders across the organization.
• Strong facilitation and consensus-building skills with internal/external teams at all organizational levels.
• Knowledge of industry trends, provider relations, and value-based reimbursement methods.
• Proven track record managing multi-discipline, high-performance teams and diverse work streams.
• Competency in budgeting, organizing work, establishing success measures, and managing deliverables.
• Experience initiating and managing complex transformation programs and leading organizational change.
• Ability to construct actionable business cases and track implementation of new operational processes.
• Big-picture perspective with strong relationship-building skills and collaborative team approach.

Benefits

• 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.