Consultant SIRH/Paie managing deployment projects for clients at Primexis. Clarifying expectations, coaching, and conducting audits to improve performance.
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.
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Consultant Assurance managing financial transformation projects for clients in banking and insurance. Working on compliance, reporting, and process improvement in a flexible work environment.
Consultant Senior EPM involved in financial transformation and reporting at Primexis. Working with various financial tools and systems, assisting major corporations in their strategic transition.
Loss Control Consultant conducting field risk assessments and providing industrial hygiene services for the insurance industry. Seeking candidates with extensive experience in health & safety.
Value Consultant at Adobe quantifying and articulating business value for enterprise clients and driving digital transformation. Collaborating with sales and solution teams to communicate ROI and financial impact.
Quality Control Consultant ensuring luxury leather goods made by manufacturers in Italy meet company quality standards. Frequent visits to production facilities for inspections and assessments.
Customer Development Manager for Coca - Cola responsible for account management and sales initiatives. Leveraging customer relationships to drive revenue through proactive engagement and collaboration.
Driving customer relationships and sales initiatives for Coca - Cola's partnership hospitality client. Managing complex sales interactions and collaborations with account teams in the NAOU Sales Organization.
Lead Health & Benefits Consultant for large market employers overseeing their medical, dental, life, and disability benefits. Conduct complex client engagements and develop innovative solutions for healthcare challenges.
Senior Consultant leading corporate sustainability analytics and project management at Guidehouse. Engaging with clients to deliver data - driven recommendations in sustainability.