Healthcare Risk Adjustment Leader

7 days ago


Washington, United States Cambia Health Solutions Full time

About the Role

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We are seeking a highly experienced Senior ACA Program Director to lead our Affordable Care Act (ACA) risk adjustment programs. As a key member of our Government Programs Risk Adjustment team, you will be responsible for developing and implementing effective strategies to ensure accurate risk scores and drive business outcomes.

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Key Responsibilities:

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  • Accountable for end-to-end ACA risk adjustment outcomes, including opportunity analyses, KPI development, reporting, and management.">
  • Work closely with cross-functional teams to ensure effective and appropriate outcomes for ACA risk adjustment.">
  • Demonstrate expertise in working with third-party service providers, building collaborative relationships, and leading within a matrix structure.">
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Requirements:

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  • Bachelor's degree in healthcare administration, business administration, or a related field, and 10 years of experience in healthcare or an equivalent combination of education and experience.">
  • Deep subject matter expertise in risk adjustment, with a focus on ACA, as well as leadership experience in risk adjustment and health insurance.">
  • Proven ability to collaborate effectively with stakeholders, communicate complex information, and drive results-oriented outcomes.">
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About Cambia Health Solutions

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Cambia Health Solutions is a purpose-driven organization dedicated to creating a person-focused and economically sustainable healthcare system. We value diversity, equity, and inclusion, and we strive to foster a culture of collaboration, innovation, and excellence.

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Compensation and Benefits:

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The estimated salary range for this position is $119,900 - $162,200, depending on skills, experience, education, and location. The bonus target is 15%. Our comprehensive benefits package includes medical, dental, and vision coverage, generous paid time off, and a market-leading retirement plan.

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Why Join Us?

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At Cambia Health Solutions, we offer a dynamic work environment that supports personal and professional growth. We prioritize diversity, equity, and inclusion, and we believe that every employee brings unique perspectives and talents to our organization. If you share our passion for delivering high-quality care and driving meaningful change, we encourage you to apply for this exciting opportunity.



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