Healthcare Contracting Executive Senior

4 weeks ago


Portland, Oregon, United States Cambia Health Solutions, Inc Full time
About the Role

We are seeking a highly skilled and experienced Healthcare Contracting Executive Senior to join our team at Cambia Health Solutions, Inc.

This is a unique opportunity to work with a purpose-driven organization that is dedicated to transforming healthcare and improving the lives of our members.

Key Responsibilities
  • Maintain and expand our healthcare delivery system network by negotiating contracts and building relationships with providers.
  • Monitor financial and utilization performance of contracts, develop plans to improve performance, and meet with key provider leaders to review reports and recommend strategies.
  • Develop and maintain new regional networks to support the introduction of new products, understanding health plan market pricing and communicating strategic benefits to providers.
  • Collaborate with provider consultants and representatives to ensure contracts are administered appropriately and improvement plans are managed.
  • Develop and manage risk arrangements, including pricing and accountable health system funding arrangements, and lead plan initiatives/pilots focused on provider network configuration, reimbursement, and management.
  • Serve as a mentor to new contractors and others within the department, providing resources and guidance to support the organization's objectives.
Requirements
  • Bachelor's Degree in healthcare, business, or a related field and 7 years of experience in a healthcare industry provider contracting, relations, or analytical capacity or equivalent combination of education and experience.
  • Strong industry knowledge, negotiation and relationship-building skills, payment methodology expertise, data analysis and strategy development, high-pressure environment skills, senior-level negotiation and communication skills, leadership and portfolio management.
About Cambia

Cambia Health Solutions, Inc. is a purpose-driven organization that is dedicated to transforming healthcare and improving the lives of our members. We are committed to creating a person-focused and economically sustainable healthcare system.

We offer a competitive salary and benefits package, including medical, dental, and vision coverage, a 401(k) plan with a company match, and paid time off. We also offer a flexible work environment, including the option to work from home.

We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and 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.



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