Clinical Account Manager HCA
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Job Location:
Renton, WA - USA
Monthly Salary:
$ 101200 - 115000
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Clinical Account Manager - HCA
Hybrid opportunity within Renton WA; Vancouver WA; Burlington WA; Portland OR; Medford OR; Lewiston ID; Boise ID; Salt Lake City UT
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 Clinical Account Managers are living our mission to make health care easier and lives better. As a member of the HCA team our Clinical Account Manager serves as a strategic clinical liaison for one of our largest customer groups collaborating across internal teams to evaluate present and implement clinical programs and solutions that align with the customers multiyear business strategy. This role provides ongoing consultative support by leveraging clinical expertise and data insights to recommend care management solutions that improve member health outcomes and productivity while meeting customer objectives all in service of creating a person-focused health care experience.
Do you have a passion for translating clinical expertise into strategic solutions that improve member health outcomes Do you thrive in a collaborative environment where you partner across teams to deliver innovative care management programsThen this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
Clinical Account Manager would have a clinical license (licensed practical nurse or registered nurse) Bachelors degree in Healthcare Business or related field (MPH MHA or MBA preferred) and 8 years of case management utilization management or behavioral case management including program management sales or consulting experience or equivalent combination of education and experience.
Skills and Attributes:
Proven ability to develop and maintain strategic account relationships with customers and internal stakeholders serving as a proactive consultative partner who advances customer goals while aligning with health plan business strategies
Demonstrated experience leading collaborative strategic planning creating financial business cases and ensuring successful operational execution of clinical programs
Strong communication and presentation skills with the ability to influence advocate and unite colleagues to achieve customer objectives
Knowledge of health insurance industry trends clinical case management utilization management practices and regulatory requirements (CMS state HEDIS)
Ability to evaluate program effectiveness identify opportunities for improvement and manage multiple projects within time constraints
Strong data analysis skills with the ability to abstract interpret and translate complex data into actionable plans and solutions
Clinical license required (e.g. Licensed Practical Nurse or Registered Nurse)
Experience with AI tools and technologies to enhance productivity and decision-making highly desired
What You Will Do at Cambia:
Ensures clear understanding of client clinical needs and proactively recommends strategies programs and contingency plans to achieve business objectives while anticipating potential obstacles
Displays an enthusiastic self-directed approach while leveraging internal resources (Provider Network Management Healthcare Services Underwriting) and developing strong relationships with key stakeholders and vendors
Monitors business/industry conditions customer developments and competitive activities to stay ahead of market trends
Ensures alignment of systems and end-to-end processes to support new programs and optimize outcomes and member experience
Collaborates with internal and external partners on collection analysis and maintenance of clinical data partnering with Healthcare Informatics to meet market needs
Analyzes and effectively presents clinical data to customers providing consulting to improve health plan performance
Collaborates with internal program contacts external resources and customers to test develop and implement clinical programs while resolving design and implementation challenges
The expected hiring range for the Clinical Account Manager - HCA is $101200 - $115000 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 $95000 - $155000.#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 .
Required Experience:
Manager
Key Skills
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
