Provider Performance Director

4 days ago

🇺🇸 United States – Remote

🥔 Idaho – Remote

Although this job is listed in Idaho, this company may be open to hiring remote in other states.

🌲 Oregon – Remote

Although this job is listed in Oregon, this company may be open to hiring remote in other states.

+2 more states

🥔 Idaho – Remote 🌲 Oregon – Remote ⛷️ Utah – Remote ☕ Washington – Remote

💵 $132.6k - $150k / year

⏰ Full Time

🔴 Lead

👔 Director

🦅 H1B Visa Sponsor

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Cambia Health Solutions

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2003

⚕️ Healthcare Insurance

🧘 Wellness

Description

• Develops and implements provider engagement strategies to drive performance improvements. • Analyzes data, sets targets, and identifies innovative solutions for practice transformation. • Initiates and leads network efforts focused on industry best practices. • Contributes to the development and execution of cohesive network business strategies. • Improves provider organization performance through data analysis and best practices. • Develops and deploys best-practice network incentives and recognition. • Leverages Quality Incentive Program to promote provider-focused use of resources. • Sets and tracks provider engagement KPIs and communicates project status to leadership.

Requirements

• Bachelor’s Degree (Master’s Degree preferred) in healthcare, science, business or related field. • 12+ years’ experience in provider performance, quality improvement, population health management, or equivalent. • Demonstrated knowledge of medical group/IPA operations, integrated delivery systems, and health plans. • Understanding of provider coding, documentation practices, reimbursement, and contract methodologies. • Proven ability to identify problems, develop solutions, and build consensus among diverse stakeholders. • Excellent communication and facilitation skills, with strong presentation and public speaking abilities. • Demonstrated analytical and problem-solving skills, with the ability to interpret and present complex data to various stakeholders. • Proficient in using collaboration tools, presentation software, CRM, reporting, and spreadsheet software.

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.