Jobs for People with MS: National MS Society

UMP Clinical Program Manager 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 UMP Clinical Program Manager is living our mission to make health care easier and lives better. As a member of the Health Care Authority team, the UMP Clinical Program Manager leads and manages clinical programs and relationships with HCA clinical staff. This role involves overseeing program execution, ensuring regulatory compliance, and serving as a clinical expert. The manager will participate in key meetings and build strong relationships with the HCA clinical team to drive successful outcomes and maintain regulatory compliance - all in service of making our members' health journeys easier. Are you a strategic thinker and enjoy aligning clinical programs with organizational goals and objectives? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit. What You Bring to Cambia: Qualifications: * UMP Clinical Program Manager would have a Bachelor's degree in Nursing or related field, 3 years of experience in a clinical and/or operational environment and 5 years account management or customer management experience or equivalent combination of education and experience. Required Licenses, Certifications, Registration, Etc. * Current RN or LPN license to practice in Washington State Skills and Attributes: * Healthcare Industry Knowledge: Comprehensive understanding of the healthcare industry and related benefit products and services. * Autonomy and Prioritization: Ability to work independently with effective prioritization and time management. * Collaboration and Teamwork: Demonstrated team player with ability to organize teams to achieve a common goal. * Communication and Presentation: Excellent verbal and written communication skills, including presentation skills. * Analytical and Problem-Solving: Demonstrated analytical skills to identify problems, develop solutions, and implement a chosen course of action. * Care Management and Account Expertise: Familiarity with Care Management practice and protocols, and experience working directly with clients or external stakeholders. * Policy and Contract Analysis: Ability to analyze and interpret policies and contracts, with a focus on identifying key terms, conditions, and implications, and to negotiate and resolve complex issues with diplomacy and persuasiveness. What You Will Do at Cambia: * Primary Point of Contact: Serve as the primary point of contact for HCA/UMP Clinical Staff and Regence medical management team for all HCA/UMP clinical programs and issues. * Contract Compliance: Ensure all clinical deliverables and requirements in the UMP contract are met and resolve any escalated clinical issues. * Program Leadership: Lead and manage various clinical programs, with a specific focus on Care Management programs and services. * Clinical Strategy and Planning: Serve as the clinical lead, managing Clinical Strategies meetings and related work, and coordinate with Health Informatics, ASO team, and Regence support staff. Reporting and Documentation: Ensure all standard reports, activity reports, points of contact, calendar of events, meetings, agendas, and minutes are maintained and completed. * Collaboration and Communication: Attend various meetings with HCA/UMP clinical staff, and work directly with the operations and reporting analyst to support clinical work for UMP. * Team Participation: Actively participate on the ASO Medical Management team, contributing to the development and implementation of clinical programs and initi To view the full job description,