Quality Consultant Sr

Quality Consultant Senior - Health Outcomes AccreditationBuild 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 field8 years of progressive experience in health care administration, quality, project leader or project support or equivalent combination of education and experienceCertified Professional in Healthcare Quality (CPHQ) preferredSkills 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 activitiesStrong quantitative, qualitative, and analytical skills with experience in report writing incorporating graphic and statistical elementsUnderstanding of health plan operations and managed care environmentExperience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desiredDemonstrated competencies in organizing, planning, prioritizing, and delivering multiple projects within time constraintsStrong ability to guide discussions and engage stakeholders effectivelyExcellent verbal and written communication skills with ability to engage effectively across multiple areas and organizational levelsWhat 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 requirementsServes as subject matter expert and primary point of contact for HOA standards, coordinating and collaborating with accreditation entities and business partnersPrepares enterprise for accreditation submissions and reviews; monitors exposure to accreditation risks and identifies mitigation opportunitiesCompiles information for internal monitoring and external audits; produces written reports and program evaluations with complex data aligned to HOA requirementsManages and coordinates community engagement activities including scheduling, meeting minutes, reporting, and processesEngages stakeholders and employs cross-functional collaboration across departments and leadership