Cambia Health Solutions · 15 hours ago
Assistant Director Health Services Technology
Portland, OR
Full-time
Remote
Senior Level, Lead/Staff
$147K/yr - $199K/yr
15+ years exp
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Responsibilities
Collaborates with business leaders and stakeholders to understand and address key issues, providing technical expertise and guidance to inform business decisions, and ensures accountability for systems and technology services that improve performance of Health Services Operations.
Researches and analyzes technical trends, industry developments, and emerging technologies to provide business leaders with opportunities and recommendations to increase automation and value delivery, and monitors and reports on results tied to specific key performance indicators within operations.
Develops and implements a clinical technology roadmap, aligning clinical and business strategies, mandates (e.g., interoperability), and developing technologies (e.g., AI) to achieve highest overall value, and ensures that technology solutions meet business needs and drive value.
Implements and maintains industry-recommended technology oversight principles and change control, ensuring that technology solutions are secure, reliable, and meet business needs, and implements and maintains security, privacy, and quality protocols and processes.
Develops and maintains processes for requesting, sizing, assessing cost and feasibility of system and technical requests to support data-driven leadership investment decisions, and manages and allocates financial targets and department budget.
Facilitates governance structure and processes to enable prioritization and sequencing of internal and external technical resources across a shared project roadmap to achieve highest overall value, and establishes and manages team goals and performance objectives that align with the goals of the business.
Leads and manages teams of clinical business analysts, technical analysts, and technical project management who proactively engage operations business partners to offer technical and system improvements that align with industry best practices and drive business value.
Collaborates with internal teams, including IT, Procurement, and Finance, to ensure business needs are met, providing technical expertise and guidance to inform business decisions, and communicates effectively with stakeholders, including business leaders, technical teams, and operations business partners.
Understands and analyzes how data is used within business processes and its impact on desired business process outcomes and reporting, providing technical expertise and guidance to inform business decisions, and ensures that consumer-centric thinking is at the forefront of all technical services and solutions.
Provides oversight and support for the definition, resourcing, configuring, scheduling, and delivery of system and technology initiatives within Health Services, and takes corrective action as needed to ensure that technology solutions meet business needs and drive value.
Qualification
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Required
Bachelor’s degree in business management, healthcare administration, technology or related field
15 years’ experience in technical and business operations including 10 years of management experience or an equivalent combination of education and experience.
5 years managing technical services within the health plan clinical and claims platforms
Successful experience managing the delivery of clinical health plan technology services with high volume processing in customer-focused operations, including care management, pre-authorization, concurrent stay review, appeals, and downstream impact on claims.
Proven ability to collaborate with business and vendor partners to conceptualize solutions, define scope, deliverables, and implementation plans, and drive business outcomes through effective consulting skills.
Successful experience managing the delivery of clinical health plan technology services with high volume processing in clinical and customer-focused operations, including care management, medical policy automation, pre-authorization, concurrent stay review, appeals, and downstream impact on claims and customer service.
Proven experience leading large-scale change initiatives, including planning and executing organizational, people, process, and technology changes that drive business transformation.
Proven ability to spearhead cross-functional initiatives, unite diverse teams, communicate effectively, and drive collective success across various locations, business lines, and departments.
Proven ability to make sound data-driven decisions leveraging data reporting, analytics, and operational metrics, and to create effective business cases with associated return on investment and total cost of ownership.
Capability to manage internal and external suppliers, ensuring they deliver value and meet agreed-upon commitments, using tools such as SWOT analysis, Service Level Agreements, Key Performance Indicators, and improvement plans.
Proven ability to identify, evaluate, and implement tools and technologies that improve process automation, driving efficiency and effectiveness in business operations.
Demonstrated ability to lead high-performing teams, manage managers, and direct vendors, with a proven track record of achieving project objectives and driving business outcomes.
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.
Company
Cambia Health Solutions
Cambia Health Solutions is a nonprofit total health solutions company based in the Pacific Northwest/Intermountain region, serving
5001-10000 employees
H1B Sponsorship
Cambia Health Solutions has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (4)
2022 (12)
2021 (21)
2020 (20)
Funding
Current Stage
Late StageLeadership Team
Jared L. Short
President & CEO
Mike Rains
Chief Financial Officer
Recent News
2024-12-04
2024-12-04
2024-12-04
Company data provided by crunchbase
