Strategic Leader for Member Engagement and Risk Adjustment

7 days ago


Washington, United States Cambia Health Solutions Full time

About Us

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Cambia Health Solutions is a leading healthcare company dedicated to making health care easier and lives better. Our mission is to create a person-focused and economically sustainable health care system.

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The Role

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We are seeking an experienced Strategic Leader for Member Engagement and Risk Adjustment to join our team. In this role, you will be responsible for planning, executing, and overseeing performance of member engagement programs. You will collaborate with other areas to ensure the best care for Cambia's members and the most accurate risk scores.

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Key Responsibilities

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  • Develop and implement strategic plans for member engagement programs, including in-home assessments, direct scheduling with PCPs, mail or digital campaigns.
  • Collaborate with other member-facing functions to ensure a coordinated approach that engages the member and improves health outcomes and member satisfaction.
  • Proactively develop KPIs, reporting, and tools needed to understand drivers of success or limitations and solve problems.
  • Create a long-range planning function for risk adjustment to ensure appropriate strategic direction.
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Requirements

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  • Bachelor's degree in Healthcare, Business, or related field and 7 years of experience in Healthcare or equivalent combination of education and experience.
  • 5 years' experience in risk adjustment leadership, including member engagement, program leadership, and execution.
  • 3-5 years strategic planning, including development of operational models, financial analysis, and external benchmarking.
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What We Offer

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A competitive salary range of $132,600 - $179,400 depending on skills, experience, education, and training; relevant licensure/certifications; performance history; and work location. The bonus target for this position is 15%.

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Benefits

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At Cambia Health Solutions, we offer a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) plan, and paid time off.

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About the Location

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This role is based in Oregon, Washington, Idaho, or Utah, allowing you to work from home and enjoy a comfortable work-life balance.

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How to Apply

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If you are passionate about serving others and learning new things, and thrive as part of a collaborative, caring team, please submit your application. We look forward to reviewing your qualifications



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