Provider Engagement Consultant

Provider Engagement Consultant

Hybrid opportunity 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 Provider Engagement Consultants are living our mission to make health care easier and lives better. As a member of the Provider Network team, our Provider Engagement Consultant provides strategic support and decision-making guidance to Network Management and business unit leaders, focusing on driving provider performance in Alternative Payment Models (APM) and cost, quality, and risk objectives for Medicare Advantage and commercial populations. This role serves as the primary point of contact for key provider relationships, working cross-functionally across Cambia to execute short and long-term objectives that require provider engagement and collaboration - all in service of creating a person-focused health care experience.

Do you have experience in provider engagement and performance improvement initiatives? Are you passionate about translating complex organizational priorities into actionable strategies that improve patient outcomes? Are you passionate about working with healthcare providers to achieve measurable outcomes in cost, quality, and member experience? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

• Provider Engagement Consultant would have a bachelor's degree 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 trends, integrated finance and delivery models, and evolving accountable care and payment structures, with experience in both provider and payor organizations

• Proven ability to solve complex problems across multiple stakeholders in highly matrixed organizations with executive presence and change management skills

• Strong understanding of market dynamics, strategic planning, financial management, data analysis, and decision-making to drive organizational improvements

• Demonstrated competency in supporting complex business strategies and driving measurable results across internal teams and external partners

• Excellent consulting, written/verbal communication, and facilitation skills at all organizational levels with proven ability to influence outcomes

• Proficiency in Microsoft Office tools with ability to analyze data, conduct research, and create effective presentations for decision-making

• Ability to see the big picture, think strategically about business problems, and maintain strong partnerships while clarifying key issues in complex situations

What You Will Do at Cambia:

• Develops, coordinates, and drives strategic direction for assigned provider groups related to Medicare Advantage and commercial APM objectives

• Acts as primary point of contact for assigned key provider groups in partnership with market provider relations teams

• Executes engagement strategies such as Medicare Stars, risk adjustment, and clinical initiatives to improve provider performance

• Leads cross-functional teams within Cambia to achieve desired provider outcomes including performance on quality, utilization, and member experience targets

• Works with key leaders within provider organizations to engage and drive providers toward successful performance in APM arrangements

• Serves as subject matter expert on Medicare, value-based care models, and APM performance with provider partners

• Assists senior leadership with special projects related to advancing Cambia's value-based and innovative provider relationships

• Monitors and analyzes provider performance metrics to identify opportunities for improvement and strategic intervention

The expected hiring range for a Provider Engagement Consultant is $104,000-$110,500 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 $104,000 - $169,900. #LI-hybrid

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.