Asst. Director Risk Adjustment Member Engagement & Planning

Assistant Director Risk Adjustment Member Engagement & Planning

Work from home within Oregon, Washington, Idaho or Utah 

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 Risk Adjustment Analytics professionals is living our mission to make health care easier and lives better. As a member of the Government Programs team, our Assistant Director of Risk Adjustment Analytics’ goal is to ensure the best care for Cambia’s members, and the most accurate risk scores, this role is responsible for planning, executing and/or overseeing performance, in collaboration with other areas, on various member engagement programs. This role is also responsible for leading long-range strategic planning for the RA department and managing implementation of various strategic projects – all in service of creating a person-focused health care experience.  

As a people leader, you are willing to learn and grow, understanding that leadership is a craft that is continuously honed as you support your team and the lives that depend upon us.] 

Do you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit. 

What You Bring to Cambia: 

Qualifications:  

Assistant Director Risk Adjustment Member Engagement & Planning would have a Bachelor’s degree in Healthcare, Business or related field and 7 years of experience in Healthcare or equivalent combination of education and experience. 

Skills and Attributes: 

• 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.

• Constant drive to improve results for our members and a proactive bias toward action and rapid problem-solving.

• Willingness to collaborate across multiple areas and champion transparency across the organization.

What You Will Do at Cambia:  

• Attract, develop and retain the best talent for Cambia; provide effective leadership and oversight to get the best long-term performance from the team and assist in making Cambia the employer of choice in our markets.

• Lead the development, planning, implementation and oversight of the performance of 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 any other tools needed to understand drivers of success or limitations and solve problems; effectively collaborate with Risk Adjustment analytics, Actuary and other areas to ensure the most effective outcomes. Work with other leaders in Risk Adjustment to do the same.

• Create a long-range planning function for risk adjustment to ensure appropriate strategic direction and assist the VP, Risk Adjustment in setting appropriate expectations for accurate risk coding throughout Cambia.

• Lead staff providing planning, implementation and KPI reporting support for new strategic initiatives and executive reporting throughout Cambia.

• Demonstrated experience working with third-party service providers, building collaborative working relationships and teams, leading a matrix structure, and have an executive presence.

As a member of our strong leadership community, you will provide direction to your team, engage them towards common goals and create a positive experience that helps people flourish. 

The expected hiring range for a AD Risk Adj Member Engagement and Planning is $132,600.00 - $179,400.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15%.  The current full salary range for this role is $124,000.00 to $203,000.00.                                                                 

#LI-remote

FTEs Supervised

5

Work Environment

Duties are performed primarily in an office environment. 

Travel may be required, locally or out of state.

May be required to work outside normal hours.

About Cambia

Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care.  Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.

Why Join the Cambia Team?

At Cambia, you can:  

• Work alongside diverse teams building cutting-edge solutions to transform health care.  
• Earn a competitive salary and enjoy generous benefits while doing work that changes lives.  
• Grow your career with a company committed to helping you succeed. 
• Give back to your community by participating in Cambia-supported outreach programs.  
• Connect with colleagues who share similar interests and backgrounds through our employee resource groups.  

We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.  

In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include: 

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits. 
• Annual employer contribution to a health savings account.  
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays. 
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period). 
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave). 
• Award-winning wellness programs that reward you for participation. 
• Employee Assistance Fund for those in need. 
• Commute and parking benefits. 

Learn more about our benefits. 

We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.