Senior Provider Engagement Consultant

Senior Provider Engagement Consultant

Hybrid opportunity within Portland, OR; Medford, OR; Salt Lake City, UT; Lewiston, ID; Boise, ID; Renton, WA; Burlington, WA; Vancouver, WA; Spokane, WA.

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 Network Management team, our Senior Provider Engagement Consultants serves as the primary strategic liaison between Cambia and key Medicare Advantage providers, leading cross-functional teams to drive provider performance in cost, quality, risk, and member experience. This role provides strategic leadership and decision-making support to achieve short and long-term business objectives through consistent provider relationship management and collaboration – all in service of making our members’ health journeys easier.  

Do you have a passion for building strategic partnerships and driving measurable results in healthcare? Do you thrive in a collaborative environment where you can lead cross-functional teams to achieve shared goals? Then this role may be the perfect fit.

What You Bring to Cambia: 

Qualifications:  

• Provider Engagement Consultant Sr. would have a bachelor's degree (Master's preferred) 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 industry trends, integrated finance and delivery models, and evolving accountable care and payment models, with experience in both provider and payor organizations

• Executive presence with proven ability to lead change, influence stakeholders, and navigate highly matrixed organizations to improve operating and strategic positions

• Strong business acumen including strategic planning, financial/budget management, market dynamics analysis, and data-driven decision making

• Demonstrated success supporting complex business initiatives and driving results across internal teams and external partners

• Excellent consulting, communication, and facilitation skills at all organizational levels, with ability to influence and build lasting relationships

• Proficiency in Microsoft Office tools with proven ability to present analytical data and research findings for effective decision-making

• Strategic thinking capability to see the big picture, approach business problems innovatively, and clarify key issues in complex situations

• Experience with AI tools and technologies to enhance productivity and decision-making highly desired

What You Will Do at Cambia:  

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

• Serves as primary point of contact for key provider groups, partnering with market provider relations teams

• Executes engagement strategies including Medicare Stars, risk adjustment, and clinical initiatives

• Leads cross-functional Cambia teams to achieve provider performance targets in quality, utilization, and member experience

• Collaborates with provider organization leaders to drive successful performance in APM arrangements

• Acts as subject matter expert on Medicare, value-based care models, and APM performance

• Supports senior leadership on special projects advancing Cambia's value-based and innovative provider relationships

The expected hiring range for a Senior Provider Engagement Consultant is $111,400 - $120,000 depending on skills, experience, educati