Quality Consultant Sr - Health Outcomes Accreditation

Cambia Health Solutions

Bellevue, WA

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JOB DETAILS

SALARY

$87,000–$142,000 Per Year

JOB TYPE

Full-time, Employee

SKILLS

Accreditation Standards, Analysis Skills, Artificial Intelligence (AI), Business Administration, Calendar Management, Communication Skills, Consulting, Cross-Functional, Documentation, Documentation Plan, Documentation Standards, Establish Priorities, Health Economics, Health Plan, Healthcare, Healthcare Administration, Healthcare Quality, Internet/Online Service, Leadership, Leading Edge Technology, Loans, Maintain Compliance, Managed Care, Meeting Minutes, Multitasking, Operations Planning, Performance Metrics, Presentation/Verbal Skills, Program Evaluation, Project Planning, Project Tracking, Qualitative Analysis, Quality Management, Regulatory Compliance, Regulatory Requirements, Reporting Skills, Systems Maintenance, Time Management, Writing Skills

LOCATION

Bellevue, WA

POSTED

30+ days ago

Hybrid 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 Quality Consultant Seniors are living our mission to make health care easier and lives better. As a member of the Quality Management team, our Quality Consultant Senior - Health Outcomes Accreditation (HOA) develops, implements and maintains documentation, reporting and interventions in support of HOA. Establishes tracking mechanisms to monitor progress against accreditation standards, facilitates stakeholder engagement across the organization and provides subject matter expertise on evolving HOA requirements. Ensures activities meet regulatory requirements and ensures all submission materials effectively demonstrate Cambia's commitment to accreditation standards - all in service of creating an economically sustainable health care system.

Are you someone who sees accreditation not as a hurdle, but as an opportunity to demonstrate organizational excellence? Are you someone who thrives on translating complex regulatory requirements into actionable strategies that engage stakeholders at every level? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

Bachelor's degree in business administration or related field

8 years of progressive experience in health care administration, quality, project leader or project support or equivalent combination of education and experience

Certified Professional in Healthcare Quality (CPHQ) preferred

Skills and Attributes:

Proficiency in HOA and Health Plan Accreditation requirements, documentation standards, evaluation processes, and reporting (Population Health Management specialization strongly preferred)

Knowledge of quality improvement processes, performance measurement, population health frameworks, and cultural competence; ability to develop clinical quality measurement and program evaluation activities

Strong quantitative, qualitative, and analytical skills with experience in report writing incorporating graphic and statistical elements

Understanding of health plan operations and managed care environment

Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired

Demonstrated competencies in organizing, planning, prioritizing, and delivering multiple projects within time constraints

Strong ability to guide discussions and engage stakeholders effectively

Excellent verbal and written communication skills with ability to engage effectively across multiple areas and organizational levels

What You Will Do at Cambia:

Develops and maintains comprehensive HOA documentation (work plans, reporting, surveys, policies and procedures) and tracking systems to ensure compliance with regulatory, accreditation, and performance measurement requirements

Serves as subject matter expert and primary point of contact for HOA standards, coordinating and collaborating with accreditation entities and business partners

Prepares enterprise for accreditation submissions and reviews; monitors exposure to accreditation risks and identifies mitigation opportunities

Compiles information for internal monitoring and external audits; produces written reports and program evaluations with complex data aligned to HOA requirements

Manages and coordinates community engagement activities including scheduling, meeting minutes, reporting, and processes

Engages stakeholders and employs cross-functional collaboration across departments and leadership levels

Keeps leaders informed through regular written and verbal project status communications

#LI-Hybrid

The expected hiring range for a Quality Consultant Sr is $92,700 - 125,400 depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 15%. The current full salary range for this role is $87,000 - $142,000.

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.

Learn more about our 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.\n \nApply here: https://www.aplitrak.com/?adid=YmJnZW5lcmljLjM4NjA5Ljg3NjlAY2FtYmlhaGVhbHRoY29tcC5hcGxpdHJhay5jb20

About the Company

Cambia Health Solutions

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