Consultant managing customer projects for Aareon, providing SaaS solutions for the real estate industry. Involves customer relationship management and implementation of technology - based solutions.
About the role
- Senior Provider Engagement Consultant managing key Medicare Advantage provider relationships in healthcare. Driving strategic partnerships, performance targets, and engagement strategies for Cambia's healthcare objectives.
Responsibilities
- Develops and drives strategic direction for assigned provider groups related to Medicare Advantage and commercial APM objectives.
- Serves as primary point of contact for key provider groups.
- Executes engagement strategies including Medicare Stars, risk adjustment, and clinical initiatives.
- Leads cross-functional Cambia teams to achieve provider performance targets in quality, utilization, and member experience.
- Collaborates with provider organization leaders to drive successful performance in APM arrangements.
- Acts as subject matter expert on Medicare, value-based care models, and APM performance.
- Supports senior leadership on special projects advancing Cambia's value-based and innovative provider relationships.
Requirements
- Bachelor's degree (Master's preferred) in Business Administration, Healthcare Administration or related field.
- 8 years relevant experience in a large healthcare delivery, health insurance or health care consulting organization.
- Specific experience building provider partnerships and/or value-based agreements.
- Deep knowledge of health insurance industry trends, integrated finance and delivery models, and evolving accountable care and payment models.
- Executive presence with proven ability to lead change, influence stakeholders, and navigate highly matrixed organizations.
- Strong business acumen including strategic planning, financial/budget management, market dynamics analysis, and data-driven decision making.
- Demonstrated success supporting complex business initiatives and driving results across internal teams and external partners.
- Excellent consulting, communication, and facilitation skills at all organizational levels.
- Proficiency in Microsoft Office tools.
- Experience with AI tools and technologies to enhance productivity and decision-making highly desired.
Benefits
- 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.
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