Assistant Director of Member and Provider Experience (MXPX) Operations and Enablement

Assistant Director Member & Provider Experience Operations & Enablement

Oregon Washington Idaho or Utah(Hybrid: in office 3x weekly)

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 Cambias dedicated team is living our mission to make health care easier and lives better. As a member of the Member & Provider Experience team our AD MXPX Operations and Enablement is responsible for leading vendor oversight provider operations product solutions escalations and quality improvement to enhance both member and provider experiences across the organization. all in service of making our members health journeys easier.

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.

Are you a pro at establishing best practices and driving performance excellence Are you passionate about member and provider experience Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

• Bachelors degree in business administration Healthcare Administration or related field; Masters preferred
• 5 years of operations management experience preferably in healthcare or call center environment and experience with success in improving customer experiences

Skills and Attributes:

• Demonstrated ability to interact with all levels of the organization in ways that enhance understanding respect ethics cooperation and innovation and problem solving.
• Ability to communicate effectively verbally and in writing with all levels of the workforce.
• Knowledge of health insurance industry trends and technology.
• Demonstrated ability to lead high performing teams and manage managers
• Experience in call center management call flows and reporting
• Ability to identify issues opportunities and effective solutions and collaborate with other departments to improve processes and/or results.
• Demonstrated judgement problem solving analytical and cognitive verbal and written communication and presentation skills.
• Strong analytical skills to translate data into actionable strategies
• Excellent communication and stakeholder influence skills
• Experience with process improvement methodologies (Lean Six Sigma)

What You Will Do at Cambia:

Operations and Enablement Leadership

• Lead the member and provider experience operations teams including vendor operations provider operations quality improvement escalations and product solutions
• Develop enablement solutions including provider portal optimization credentialing technologies and data solutions
• Establish customer escalation processes with focus on resolution and improvement
• Direct provider operations strategy for onboarding data management and technology
• Partner with service delivery teams to enhance integrated customer experience
• Engage with cross-functional stakeholders supporting Member and Provider Experience

Performance Improvement & Vendor Accountability

• Establish KPI frameworks and performance dashboards
• Implement vendor management processes with clear accountability and service level agreements
• Conduct business reviews focused on continuous improvement
• Lead strategic improvements to customer experience using data analytics
• Optimize processes across customer journeys to enhance satisfaction

Operational Excellence

• Ensure budget compliance staffing plans service level performance and customer satisfaction
• Create strategic roadmaps with measurable outcomes
• Develop standardized processes balancing efficiency with experience quality
• Establish risk management protocols for operational continuity
• Lead continuous improvement initiatives for customer experience

Product & Solution Innovation

• Drive innovative solutions addressing experience pain points
• Implement user-centered design approaches for product development
• Leverage technology to automate processes and enhance service delivery
• Establish frameworks to evaluate solution effectiveness

Project Portfolio Leadership

• Prioritize initiatives based on strategic impact
• Implement project governance ensuring on-time on-budget delivery
• Manage resource allocation across multiple initiatives

The expected hiring range for an Assistant Director Member & Provider Experience Operations & Enablement is $00 depending on skills experience education and training; relevant licensure / certifications; and performance history. The bonus target for this position is 15%. The current full salary range for this role is $00.

FTEs Supervised

5-7 direct

100 indirect

Work Environment

No unusual working conditions

Work primarily performed in an office environment (hybrid)

Travel may be required between office locations

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 were 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.