Provider Relations Executive

Provider Relations Executive

Hybrid role at our Fargo Bismarck Grand Forks Jamestown or Minot North Dakota offices. Candidates must reside within commutable distance of that location or be willing to relocate.

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 Provider Relations team our Provider Relations Executives serveastheprimarypointofcontactforassignedprovidersoverseeingeducationcommunicationvendorintegrationandperformancewithinAlternativePaymentModels(APMs).Driveshealthcaretransformationbyfosteringcross-functionalpartnershipsthatimprovequalitycostandexperiencewhileensuringnetworkstabilityandprovidersuccess all in service of creating an economically sustainable health care system.

Do you have a passion for driving healthcare transformation and building meaningful relationships with providers Are you energized by managing complex partnerships and helping others succeed in innovative payment models If so 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:

• DeepunderstandingoftheprovidercommunityhealthcaredeliverysystemscodingreimbursementandAlternativePaymentModels(APMs)

• Excellentcommunicationfacilitationandpresentationskillsacrossdiverseaudiencesandorganizationallevels

• Strongconsultinginfluencingandchangemanagementabilitieswithaprofessionalpresence

• Self-directedcriticalthinkerwithstronginitiativeprioritizationanddeadlinemanagementskills

• Abilitytonavigateconflictambiguityandtotalcostofcareconsiderationseffectively

• ProficiencywithMicrosoftOfficetoolswithexperienceinAItechnologiestoenhanceproductivityanddecision-makinghighlydesired

• Abilitytotravelextensivelywithinstate

What You Will Do at Cambia:

• Developsandmaintainscollaborativepartnershipswithprovidersandinternalstakeholdersasatrustedadvisordocumentingrelationshipsandtrackingperformancemetrics

• MaintainsdeepknowledgeofCambiaprogramsandservesasasubjectmatterexperteducatingstakeholdersontheproviderlandscapeandinnovativepaymentmodels

• FacilitatesJointOperatingCommitteesandworkgroupstodriveimprovedoutcomesandproviderengagementinstrategicprogramsincludingMedicareAdvantageactivities

• IdentifiesandsupportsinitiativestotransitionprovidersfromFee-for-Servicetovalue-basedandinnovativepaymentmodels

• Managesimplementationofcross-functionalstrategiestoenhanceproviderandmemberexperience

• Developsanddeliverseducationprogramstailoredtodiverseproviderandstakeholderaudiences

• Representsthehealthplanatexternalmeetingsandresolvesescalatedissuestomaintainnetworkstabilityandtrust

Pay ranges vary based on the candidates work location. The expected hiring range depends on skills experience education and training; relevant licensure / certifications; and performance history.

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.

As part of our security requirements new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees.