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This job was posted by https://idahoworks.gov : For more information, please see: https://idahoworks.gov/jobs/2308326 Assistant Director Health Services Technology

Work from home within Oregon, Washington, Idaho or Utah

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 Senior leaders are living our mission to make health care easier and lives better. As a member of the Transformation, Quality, and Learning team, our Assistant Director Health Services Technology is responsible for providing strategic leadership and technical expertise to develop and implement technology solutions that drive business outcomes and improve the performance of Health Services Operations. This role will lead cross-functional teams to design, develop, and deliver technology solutions that meet business needs, and will collaborate with stakeholders to ensure that technology solutions are aligned with business strategy and priorities. Partners across Cambia to ensure efficient, effective upstream and downstream technology deliver - all in service of making our members\' health journeys easier.

As a people leader, you are willing to learn and grow, understanding that leadership is a craft that is continuously honed as you support your team and the lives that depend upon us.

Are you a seasoned healthcare professional with a passion for technology and innovation? Do you have a proven track record of driving business outcomes through strategic leadership and technical expertise? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

• 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

Skills and Attributes:

• Health Insurance Industry Expertise: 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.
• Business Consulting: 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.
• Clinical Health Plan Technology Management: 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.
• Change Leadership: Proven experience leading large-scale change initiatives, including planning and executing organizational, people, process, and technology changes that drive business transformation.
• Collaborative Leadership: Proven ability to spearhead cross-functional initiatives, unite diverse teams, communicate effectively, and drive collective success across various locations, business lines, and departments.
• Data-Driven Decision Making: 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.
• Supplier Management: Capability to manage internal and external suppliers, ensuring they deliver value and meet ag eed-upon commitments, using tools such as SWOT analysis, Service Level Agreements, Key Performance Indicators, and improvement plans.
• Process Automation: Proven ability to identify, evaluate, and implement tools and technologies that improve process automation, driving efficiency and effectiveness in business operations.
• Leadership and Team Management: 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.

What You Will Do at Cambia:

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 t