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 line-of-business leadership to achieve market-specific and LOB-specific objectives regarding affordability, care quality, access, network diversity and breadth.
Oversees and directs back-office support for both network contracting and provider engagement to ensure those functions and roles have the necessary analytic and operational support to ensure effective execution of their responsibilities.
Works to continuously improve the efficiency and effectiveness of back-office network operational support and provider communications.
Collaborates with the VP of Innovation and Alternative Payment Models (APM) to ensure the robust development and implementation of alternative payment contracts.
Collaborates with leadership from strategic finance and actuary to ensure their support for all contracting and provider engagement activities.
Collaborates with leadership from strategy and corporate development on the expansion of the care delivery network, including contracting and engagement support for new entrants, new sites of care, and new platforms for care delivery.
Provides leadership and support to the Head of Network Management on special project, strategy development, and coordination and collaboration on provider strategy across all of Cambia
The expected hiring range for the VP of Contracting and Network Operations is $257,600-$348,450 depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 30%. The current full salary range for this role is $242,000 - $394,000.
About Cambia
Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.
Why Join the Cambia Team?
At Cambia, you can:
Work alongside diverse teams building cutting-edge solutions to transform health care.
Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
Grow your career with a company committed to helping you succeed.
Give back to your community by participating in Cambia-supported outreach programs.
Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
We believe a career at Cambia is more than just a paycheck - and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.
In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:
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 (eligible day one of employment if within first 12 months following birth or adoption).
Award-winning wellness programs that reward you for participation.
Employee Assistance Fund for those in need.
Commute and parking benefits.
Learn more about our benefits.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.
If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.
