Senior Provider Engagement Consultant
Hybrid opportunity within Portland, OR; Medford, OR; Salt Lake City, UT; Lewiston, ID; Boise, ID; Renton, WA; Burlington, WA; Vancouver, WA; Spokane, WA.
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 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.
Do you have a passion for building strategic partnerships and driving measurable results in healthcare? Do you thrive in a collaborative environment where you can lead cross-functional teams to achieve shared goals? Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
* Provider Engagement Consultant Sr. would have a bachelor's degree (Master's preferred) in Business Administration, Healthcare Administration or related field and 8 years relevant experience in a large healthcare delivery, health insurance or health care consulting organization with specific experience building provider partnerships and/or value-based agreements or equivalent combination of education and experience.
Skills and Attributes:
* 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
What You Will Do at Cambia:
* 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 CambiaBBTECH_RESERVED
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