CR
credsystemIT Governance Specialist
Governance Specialist leading IT budget management and optimization projects at Credsystem. Overseeing compliance, risk management, and strategic decision - making with advanced dashboards.
CS
Hybrid Assistant Director – Risk Adjustment, Member Engagement and Planning
Posted last month
About the role
- Attract, develop and retain the best talent for Cambia; provide effective leadership and oversight to get the best long-term performance from the team.
- Lead the development, planning, implementation and oversight of the performance of member engagement programs, including in-home assessments, direct scheduling with PCPs, mail or digital campaigns.
- Collaborate with other member-facing functions to ensure a coordinated approach that engages the member and improves health outcomes and member satisfaction.
- Proactively develop KPIs, reporting and tools needed to understand drivers of success or limitations and solve problems; collaborate with Risk Adjustment analytics, Actuary and other areas.
- Create a long-range planning function for risk adjustment to ensure appropriate strategic direction and assist the VP, Risk Adjustment in setting expectations for accurate risk coding.
- Lead staff providing planning, implementation and KPI reporting support for new strategic initiatives and executive reporting throughout Cambia.
- Manage relationships with third-party service providers and lead within a matrix organization.
- Provide direction to your team, engage them towards common goals and create a positive experience that helps people flourish.
Requirements
- Bachelor’s degree in Healthcare, Business or related field and 7 years of experience in Healthcare or equivalent combination of education and experience.
- 5 years’ experience in risk adjustment leadership, including member engagement, program leadership and execution.
- 3-5 years strategic planning, including development of operational models, financial analysis and external benchmarking.
- Demonstrated experience working with third-party service providers and building collaborative working relationships and teams.
- Experience leading a matrix structure and having an executive presence.
- Experience developing KPIs, reporting and tools to understand drivers of success and solve problems.
- Experience collaborating with Risk Adjustment analytics and Actuary functions.
- Proven ability to attract, develop and retain talent and provide effective leadership and oversight.
- Willingness to collaborate across multiple areas and champion transparency.
- Ability to work in an office environment; travel may be required locally or out of state; may be required to work outside normal hours.
- Background check required.
- Remote work requires wired internet (not satellite/cellular) with minimum upload 5Mb and download 10 Mb.
Benefits
- The expected hiring range for a AD Risk Adj Member Engagement and Planning is $132,600.00 - $179,400.00.
- The bonus target for this position is 15%.
- Competitive base pay and bonus opportunities.
- Market-leading 401(k) with a significant company match and potential discretionary contribution (no vesting period).
- 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.
- 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.
- Work from home options for most of our roles (requires a wired internet connection that is not satellite or cellular and minimum upload speed of 5Mb and minimum download speed of 10 Mb).
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