Talent.com
Dir Quality Program Management
Dir Quality Program ManagementCambia Health Solutions • Portland, OR, US
No longer accepting applications
Dir Quality Program Management

Dir Quality Program Management

Cambia Health Solutions • Portland, OR, US
30+ days ago
Job type
  • Full-time
Job description

Director Quality Program Management

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 is living our mission to make health care easier and lives better. As a member of the Quality team, our Director Quality Program Management provides leadership for the development, implementation and management of clinical quality program management functions across all Cambia plans (includes quality outcomes, quality improvement initiatives, HEDIS, accreditation, delegation oversight and compliance functions) all in service of creating a person-focused health care experience.

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.]

Do you have a passion for improving healthcare quality? Are you highly organized and process driven? Then this role may be the perfect fit.

What You Bring to Cambia :

Qualifications :

  • Master's Degree in Healthcare, Nursing, Business or related field
  • 10 years of progressively responsible health care experience, 5 years in Quality Management, 5 years of management / leadership experience or equivalent combination of education and experience.

Skills and Attributes :

  • Demonstrates ability to lead high performing teams, manage managers, and direct vendors.
  • Strong communication and facilitation skills with all levels of the organization, including the ability to resolve issues and build consensus among groups of diverse stakeholders.
  • Demonstrated ability to leverage AI tools and resources to drive efficiency and innovation within area of expertise
  • General business acumen including understanding of market dynamics, financial / budget management, data analysis and decision making.
  • Knowledge of health insurance industry trends and technology.
  • Knowledge of quality improvement theory, research design and statistics in the healthcare setting.
  • Understanding of medical risk management.
  • Demonstrates ability to create, advocate for and execute quality management programs that achieve desired outcomes targets and drive performance across internal teams, the delivery system and / or external vendors.
  • Extensive knowledge of CMS and state regulatory requirements and demonstrated ability to manage compliant operations.
  • Health Plan Accreditation (NCQA or URAC) and HEDIS measurement and reporting experience strongly preferred.
  • Ability to decipher and interpret clinical data and deliver presentations to various internal / external audiences related to clinical outcomes.
  • What You Will Do at Cambia :

  • Provides leadership in developing, implementing, and communicating short and long-range plans, goals, and objectives for the Quality Management function. Aligns team goals with the organization's vision and strategy.
  • Manages the organization by ensuring clear performance expectations along with appropriate skills sets.
  • Fosters an effective work environment and ensures employees receive recognition, feedback and development. Participates in organizational talent management and succession planning.
  • Determines appropriate staffing levels and resource needs, creates and manages department and / or project budget, allocates resources, and approves expenditures.
  • Ensures quality management programs achieve desired outcomes and meet federal and state regulations, accreditation standards, quality metrics, client requirements, and evolving models of care (e.g. accountable care organizations, patient centered homes).
  • Leads multi-functional team to assure compliance with accreditation standards.
  • Ensures policies and procedures are updated timely as regulatory guidance changes and communicates / ensures necessary changes are implemented within impacted departments.
  • Oversees regulatory and contract compliance within the Quality, Utilization Management and Care Management functions.
  • Provides leadership in preparation for regulatory audits and accrediting surveys.
  • Collaborates with Medical Directors, Health Informatics, Provider Services and other departments as needed to collect, analyze, and report on effectiveness of programs and address quality of care issues.
  • Leads identification and implementation of quality improvement and population health programs that improve performance.
  • Ensures education and training for leadership and staff and business associates as to the quality management plan and their respective responsibilities.
  • Represents the organization in a variety of external forums focused on quality improvement.
  • You bring unique value to our community of 200 leaders running our company. By actively engaging with your peers and inspiring your teams, you play an essential role in making health care easier and lives better.
  • The expected hiring range for a Director Quality Program Management is $161,500-218,500 depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The current full salary range for this role is $152,000-247,000.

    About Cambia

    Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.

    Why Join the Cambia Team?

    At Cambia, you can :

  • Work alongside diverse teams building cutting-edge solutions to transform health care.
  • Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
  • Grow your career with a company committed to helping you succeed.
  • Give back to your community by participating in Cambia-supported outreach programs.
  • Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
  • We believe a career at Cambia is more than just a paycheck and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.

    In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include :

  • 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.
  • We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.

    We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required. If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com . Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy .

    Create a job alert for this search

    Program Management • Portland, OR, US

    Related jobs
    Quality Assurance Director

    Quality Assurance Director

    ColumbiaCare Services, Inc. • Portland, OR, United States
    Full-time
    Be among the first 25 applicants.APPLY TODAY AND MAKE A DIFFERENCE IN THE MENTAL HEALTH FIELD!.Relocation Assistance Available • •. Enjoy our many benefits and incentives including : .Affordable Medical...Show more
    Last updated: 18 days ago • Promoted
    Construction Quality Control Manager (QCM)

    Construction Quality Control Manager (QCM)

    Kikiktagruk Inupiat Corporation • Portland, OR, USA
    Full-time
    Quick Apply
    Construction Quality Control Manager (QCM).Midnight Sun Global Services is seeking a well-qualified Quality Control Manager in support of a Federal contract at the Portland Air National Guard Base ...Show more
    Last updated: 24 days ago
    Program Director Accreditation and Delegation

    Program Director Accreditation and Delegation

    Washington Staffing • Portland, OR, US
    Full-time
    Program Director Accreditation and Delegation.Hybrid in Portland, OR or Renton, WA.Join our Cause to create a person-focused and economically sustainable health care system.Every day, Cambia's dedi...Show more
    Last updated: 5 days ago • Promoted
    SAP Manufacturing Workstream Manager - Consumer Goods

    SAP Manufacturing Workstream Manager - Consumer Goods

    Accenture • Beaverton, OR, United States
    Full-time
    Accenture's SAP practice, and we live to see how this can transform the way we live and work.We are the industry-leader for building SAP solutions and we're curious and always learning.We bring rei...Show more
    Last updated: 4 hours ago • Promoted • New!
    Manager Sterile Processing

    Manager Sterile Processing

    Providence Health & Service • Portland, OR, United States
    Full-time
    Manager of Sterile Processing at Providence Portland Medical Center- Full-Time, Day Schedule.Learn more about working at Providence, Click Here!. Providence offers a fantastic benefits package which...Show more
    Last updated: 10 days ago • Promoted
    Product Management Analyst III

    Product Management Analyst III

    Daimler Truck North America • Portland, OR, United States
    Full-time
    This position is responsible for the strategy and positioning of the product segment.You will be responsible for analyzing the market for your products. determining any product gaps; advising Prici...Show more
    Last updated: 17 days ago • Promoted
    Technical Program Manager, Manufacturing Capabilities Deployment

    Technical Program Manager, Manufacturing Capabilities Deployment

    Ichor Systems, Inc. • Tualatin, OR, US
    Full-time
    Ichor Systems has an immediate opening for a.The Technical Program Manager (TPM) leads cross-functional programs to deploy and scale advanced manufacturing capabilities across global sites.This rol...Show more
    Last updated: 30+ days ago
    Industry 4.0 Development Program - July 2026

    Industry 4.0 Development Program - July 2026

    Precision Castparts Corp • Lake Oswego, OR, United States
    Permanent
    With more than 120 operations and approximately 20,000 employees worldwide, Precision Castparts Corp.In addition, we are the leading producer of airfoil castings for the industrial gas turbine mark...Show more
    Last updated: 4 days ago • Promoted
    Program Manager - Non-IT 5

    Program Manager - Non-IT 5

    Skill • Beaverton, Oregon, United States
    Temporary
    We are seeking a highly experienced and visionary Non-IT Program Manager to step into a pivotal role, driving large-scale, international programs that define organizational excellence.This will be ...Show more
    Last updated: 16 hours ago • Promoted • New!
    Practice Management Specialist

    Practice Management Specialist

    Davis Wright Tremaine • Portland, OR, United States
    Full-time
    This is an exciting opportunity to work for one of the top law firms in the U.Davis Wright Tremaine LLP is looking for a. Practice Management Specialist.Seattle, Portland, San Francisco, or Los Ange...Show more
    Last updated: 24 days ago • Promoted
    Program Director - Energy Efficiency

    Program Director - Energy Efficiency

    Energy Solutions (USA) • Portland, OR, US
    Full-time
    Program Director - Energy Efficiency.Interested in joining a growing company where you will work with talented colleagues, enhance a supportive and energetic culture, and be part of the climate sol...Show more
    Last updated: 17 hours ago • Promoted • New!
    Program Manager

    Program Manager

    Ohm Systems • Beaverton, OR, United States
    Full-time
    Quick Apply
    MsoNoSpacing"> Manager Notes : This role is On-site at WHQ; typical work hours, WFH Fridays...Show more
    Last updated: 7 hours ago • New!
    Quality Control Manager

    Quality Control Manager

    Southland Holdings • Portland, OR, US
    Full-time
    Quick Apply
    Southland Holdings is currently searching for a qualified Quality Control Manager with Concrete, Water / Wastewater Treatment Plant experience. This position with be responsible for establishing quali...Show more
    Last updated: 30+ days ago
    Quality Manager - Cable Manufacturing

    Quality Manager - Cable Manufacturing

    Samtec • Wilsonville, OR, US
    Full-time
    Founded in 1976, Samtec is a leading global manufacturer of electronic interconnect solutions, generating $950 million in annual revenue. Our extensive product portfolio includes High-Speed Board-to...Show more
    Last updated: 13 days ago • Promoted
    Senior Director, Product & Regulatory Management

    Senior Director, Product & Regulatory Management

    PacificSource • Portland, OR, United States
    Full-time
    Senior Director, Product & Regulatory Management page is loaded## Senior Director, Product & Regulatory Managementlocations : Portland, ORtime type : Full timeposted on : Posted Todayjob requisi...Show more
    Last updated: 8 days ago • Promoted
    Vulnerability and Patch Management Program Lead

    Vulnerability and Patch Management Program Lead

    Edgewater Federal Solutions • Vancouver, WA, United States
    Full-time
    Vulnerability and Patch Management Program Lead.Edgewater's Vulnerability and Patch Management Program Lead will serve as the single point of accountability for planning, executing, and assuring al...Show more
    Last updated: 12 days ago • Promoted
    Senior Manager, Technical Program Management

    Senior Manager, Technical Program Management

    PlanGrid • Portland, OR, US
    Full-time
    Senior Manager, Technical Program Management.Autodesk is seeking an experienced Senior Manager to lead a team of Technical Program Management professionals in driving strategic initiatives that sup...Show more
    Last updated: 30+ days ago • Promoted
    Managed Services - PIT QRD - Director

    Managed Services - PIT QRD - Director

    Portland Staffing • Portland, OR, US
    Full-time
    At PwC, our people in managed services focus on a variety of outsourced solutions and support clients across numerous functions. These individuals help organizations streamline their operations, red...Show more
    Last updated: 5 hours ago • Promoted • New!