Senior Provider Engagement Consultant
Cambia Health Solutions, Inc., Portland, OR, United States
**Build a career with purpose. Join our**
**to create a person-focused and economically sustainable health care system.** Every day, Cambia’s dedicated team of Provider Engagement Consultants are living our mission to make health care easier and lives better. As a member of the Network Management team, our Senior Provider Engagement Consultants serves as the primary strategic liaison between Cambia and key Medicare Advantage providers, leading cross-functional teams to drive provider performance in cost, quality, risk, and member experience. This role provides strategic leadership and decision-making support to achieve short and long-term business objectives through consistent provider relationship management and collaboration – all in service of making our members’ health journeys easier.
* Deep knowledge of health insurance industry trends, integrated finance and delivery models, and evolving accountable care and payment models, with experience in both provider and payor organizations* Executive presence with proven ability to lead change, influence stakeholders, and navigate highly matrixed organizations to improve operating and strategic positions* Strong business acumen including strategic planning, financial/budget management, market dynamics analysis, and data-driven decision making* Demonstrated success supporting complex business initiatives and driving results across internal teams and external partners* Excellent consulting, communication, and facilitation skills at all organizational levels, with ability to influence and build lasting relationships* Proficiency in Microsoft Office tools with proven ability to present analytical data and research findings for effective decision-making* Strategic thinking capability to see the big picture, approach business problems innovatively, and clarify key issues in complex situations* Experience with AI tools and technologies to enhance productivity and decision-making highly desired* Develops and drives strategic direction for assigned provider groups related to Medicare Advantage and commercial APM objectives* Serves as primary point of contact for key provider groups, partnering with market provider relations teams* Executes engagement strategies including Medicare Stars, risk adjustment, and clinical initiatives* Leads cross-functional Cambia teams to achieve provider performance targets in quality, utilization, and member experience* Collaborates with provider organization leaders to drive successful performance in APM arrangements* Acts as subject matter expert on Medicare, value-based care models, and APM performance* Supports senior leadership on special projects advancing Cambia's value-based and innovative provider relationshipsThe expected hiring range for a **Senior** **Provider Engagement Consultant** is $111,400 - $120,000 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15%. The current full salary range for this role is $104,000 - $171,000. * 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.* 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.Everyone is a health care consumer deserving of a simpler, more personalized experience.
is transforming the health care system to revolve around people. For over 100 years we’ve designed people-first health solutions rooted in the nation’s first health plan, a loggers’ wage pool established in the Pacific Northwest. Today that pioneering spirit aligns our family of over 20 companies, including 4 not-for-profit
serving over 3 million Americans.Cambia blends data science with a compassionate human perspective to anticipate people’s needs, and empower them to make smarter health care choices..### *Information about how Cambia Health Solutions collects, uses, and discloses information is available in our .* #J-18808-Ljbffr
**to create a person-focused and economically sustainable health care system.** Every day, Cambia’s dedicated team of Provider Engagement Consultants are living our mission to make health care easier and lives better. As a member of the Network Management team, our Senior Provider Engagement Consultants serves as the primary strategic liaison between Cambia and key Medicare Advantage providers, leading cross-functional teams to drive provider performance in cost, quality, risk, and member experience. This role provides strategic leadership and decision-making support to achieve short and long-term business objectives through consistent provider relationship management and collaboration – all in service of making our members’ health journeys easier.
* Deep knowledge of health insurance industry trends, integrated finance and delivery models, and evolving accountable care and payment models, with experience in both provider and payor organizations* Executive presence with proven ability to lead change, influence stakeholders, and navigate highly matrixed organizations to improve operating and strategic positions* Strong business acumen including strategic planning, financial/budget management, market dynamics analysis, and data-driven decision making* Demonstrated success supporting complex business initiatives and driving results across internal teams and external partners* Excellent consulting, communication, and facilitation skills at all organizational levels, with ability to influence and build lasting relationships* Proficiency in Microsoft Office tools with proven ability to present analytical data and research findings for effective decision-making* Strategic thinking capability to see the big picture, approach business problems innovatively, and clarify key issues in complex situations* Experience with AI tools and technologies to enhance productivity and decision-making highly desired* Develops and drives strategic direction for assigned provider groups related to Medicare Advantage and commercial APM objectives* Serves as primary point of contact for key provider groups, partnering with market provider relations teams* Executes engagement strategies including Medicare Stars, risk adjustment, and clinical initiatives* Leads cross-functional Cambia teams to achieve provider performance targets in quality, utilization, and member experience* Collaborates with provider organization leaders to drive successful performance in APM arrangements* Acts as subject matter expert on Medicare, value-based care models, and APM performance* Supports senior leadership on special projects advancing Cambia's value-based and innovative provider relationshipsThe expected hiring range for a **Senior** **Provider Engagement Consultant** is $111,400 - $120,000 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15%. The current full salary range for this role is $104,000 - $171,000. * 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.* 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.Everyone is a health care consumer deserving of a simpler, more personalized experience.
is transforming the health care system to revolve around people. For over 100 years we’ve designed people-first health solutions rooted in the nation’s first health plan, a loggers’ wage pool established in the Pacific Northwest. Today that pioneering spirit aligns our family of over 20 companies, including 4 not-for-profit
serving over 3 million Americans.Cambia blends data science with a compassionate human perspective to anticipate people’s needs, and empower them to make smarter health care choices..### *Information about how Cambia Health Solutions collects, uses, and discloses information is available in our .* #J-18808-Ljbffr