Provider Relations Executive TriWest Programs
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Job Location:
Portland, TX - USA
Monthly Salary:
$ 79000 - 129000
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Provider Relations Executive - TriWest Programs
Hybrid opportunities in Portland OR; Medford OR; Vancouver WA; Burlington WA; Renton WA; Spokane WA; Salt Lake City UT; Lewiston ID; Boise ID
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 of Provider Relations Executives are living our mission to make health care easier and lives better. As a member of the TriWest Provider Relations and Contracting team our TriWest Provider Relations Executives oversee TRICARE and VA CCN contract management facilitating coordination between Cambia departments TriWest network leadership and providers to ensure seamless provider experiences resolve issues and build strong relationships all in service of making our members health journeys easier.
Do you have the ability to build and maintain strong relationships with providers as well as and internal and external stakeholders Do you have strong knowledge of healthcare industry trends regulations and best practices Do you value the betterment of member care Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
Provider Relations Executive would have a Bachelors degree in Healthcare Administration or related field and a minimum of 5 years of experience in the healthcare industry with specific focus in provider relations provider contracting customer service financial analysis: Provider/payer strategy development or implementation; Provider/payer contracting and reimbursement preferably managed care; delivery system administration or equivalent combination of education and experience. Valid drivers license is required.
Skills and Attributes:
Strong communication and facilitation skills to deliver challenging messages with diplomacy while maintaining strong relationships with provider partners.
Self-directed with creative problem-solving skills to identify problems develop solutions and implement a chosen course of action to resolve issues and build consensus among diverse stakeholders.
Professional presence leadership and knowledge of helping complex organizations affect change to improve their operations.
Strong critical thinking consulting and influencing skills to present complex information simply and succinctly at all levels of the organization.
Ability to effectively manage a variety of formal presentation settings prioritize work and meet timelines.
Knowledge of healthcare systems including provider coding reimbursement contract methodologies products and networks as well as the inputs to the total cost of care for a population.
Proficiency in using Microsoft Office tools with the ability to travel extensively within the state and work in a high-pressure environment while managing conflict and ambiguity.
What You Will Do at Cambia:
Act as the liaison between providers and TriWest for the purpose of building and maintaining TriWests provider networks.
Develops and fosters collaborative partnerships with key providers and internal stakeholders establishing credibility as a trusted advisor and resource to influence positive change.
Documents provider information tracks and reports performance metrics and ensures providers have access to reports and tools to drive performance.
Maintains knowledge of contract terms and performance targets educates providers and internal stakeholders and facilitates executive-level Joint Operating Committees to discuss performance and collaboration opportunities.
Facilitates internal and external workgroups to review performance reports identify opportunities and drive action plans to improve clinical quality cost containment member experience and provider experience.
Coaches providers to improve member health outcomes through engagement and enablement monitors progress and communicates performance expectations to drive change.
Identifies and leads new initiatives to assist providers in transitioning to innovative payment models and manages the implementation of cross-functional organizational strategies to improve provider and member experience.
Serves as a subject matter expert on competitive intelligence supports development of innovative programs and represents the health plans position on local and national provider programs.
The expected hiring range for a Provider Relations Executive is $84200 - $113900 depending on skills experience education and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 10%. The current full salary range for this role is $79000 - $129000. #LI-hybrid
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.
We are an Equal Opportunity employer dedicated to 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. A background check is required.
If you need accommodation for any part of the application process because of a medical condition or disability please email . Information about how Cambia Health Solutions collects uses and discloses information is available in our .
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About Company
Cambia Health Solutions is a family of companies headquartered in Portland, Oregon, working to create a person-focused and economically sustainable healthcare system. Discover how Cambia’s dedication to cutting-edge innovation and positive transformation is helping change the healthca ... View more
