Job Information
Cambia Health Solutions Vice President of Contracting and Network Operations in Olympia, Washington
Vice President Contracting and Network Operations 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 leadership team is living our mission to make health care easier and lives better. As a member of the Network Management team, our Vice President Contracting and Network Operations will be an integral part of a high impact, Corporate Strategy and Innovation team that leads strategy development, planning, innovation efforts to advance Cambia's cause, 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 track record of demonstrated success in contract negotiations? Are you looking to make a positive impact on the lives of Cambia members? Then this role may be the perfect fit. What You Bring to Cambia: Qualifications: The VP of Contracting and Network Operations will have a Master's degree in healthcare, business, or a related field 15+ years' experience in one or more of the following areas: provider strategy development or implementation, provider contracting and reimbursement, delivery system administration, healthcare services and operations or equivalent combination of education and experience. Skills and Attributes: * Track record of demonstrated success in contract negotiations at a high level and managing complex relationships with hospitals, provider groups, and integrated delivery systems that include fee-for-service contracts, strategic value-based arrangement, and other provider partnership initiatives. * In-depth understanding of managed care and accountable health systems models and relationship to contracting strategy and reimbursement methodology. * In-depth knowledge of health insurance industry trends, reimbursement methods, and evolving accountable care and payment models. * Demonstrated ability in managing complex operational support functions to deliver support to provider-facing roles while also driving cost-efficient and effective operations. * Strong communications and presentation skills at the executive level. * Ability to manage complex relationships and to work under pressure. * Demonstrated track record of enabling and developing diverse teams of leaders across network contracting, provider relations, and operations, including hiring, goal setting, coaching, and development. * Ability to work across multiple geographies, multiple lines of business, and with all the various health plan functions to build the effective collaborations required to deliver on network excellence. What You Will Do at Cambia: * Oversees all Cambia provider contracting, contract negotiations, and contract execution to ensure that corporate objectives for affordability and competitive positioning are achieved. * Provides executive leadership, intervenes, and supports critical contract negotiations that materially affect Cambia's ability to deliver on its promise to transform health care and create a person-focused and economically sustainable health care system. * Partners closely with the engagement leader to ensure provider engagement efforts are aligned with Cambia's objectives relative to care delivery quality, care access, and member experience.. • Manages and oversees all of Cambia's communications with providers. * Works closely with market leadership across all Cambia's geographies and l To view the full job description,
click here