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 team of Provider Relations Executives are living our mission to make health care easier and lives better. As a member of the Provider Relations team, our Provider Relations Executives manage the overall experience of assigned healthcare providers, focusing on education, communication, and relationship-building to foster strong, long-term partnerships. Collaborates across departments to ensure effective provider partnerships, network stability, and adequacy - all in service of making our members' health journeys easier.
Do you have a passion for collaborating and partnership building? Are you a strategic problem solver? Do you have a passion for building collaborative relationships and driving positive change to improve the healthcare experience for our members? Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
Provider Relations Executive would have a Bachelors degree in Healthcare Administration or related field and a minimum of 5 years of experience in the healthcare industry with specific focus in provider relations, provider contracting, customer service, financial analysis: Provider/payer strategy development or implementation; Provider/payer contracting and reimbursement, preferably managed care; delivery system administration, or equivalent combination of education and experience. Valid driver's license is required.
Skills and Attributes:
Effective Communication and Facilitation: Strong written and verbal communication skills, with the ability to deliver challenging messages with diplomacy while maintaining strong relationships with provider partners.
Problem-Solving and Leadership: Self-directed with creative problem-solving skills, including the ability to identify problems, develop solutions, and implement a chosen course of action to resolve issues and build consensus among diverse stakeholders.
Strategic Thinking and Influence: Strong critical thinking, consulting, and influencing skills at all levels of the organization, both internally and externally, with the ability to present complex information simply and succinctly.
Operational Knowledge and Expertise: Knowledge of provider coding, reimbursement, contract methodologies, products, and networks, including value-based arrangements, with proficiency in using Microsoft Office tools and familiarity with healthcare systems and infrastructure.
Adaptability and Initiative: Ability to work in a high-pressure environment, effectively manage conflict and ambiguity, prioritize work, meet timelines, and be available for occasional travel within the state.
What You Will Do at Cambia:
Develops and Fosters External Partnerships: Develops and fosters collaborative, productive, and professional external partnerships with key providers and internal stakeholders to bring value and establish credibility as a trusted advisor and resource.
Cultivates and Maintains Provider Relationships: Cultivates and maintains relationships with assigned providers to support the successful execution of short, medium, and long-term Cambia business objectives.
Resolves Provider Issues: Coordinates to resolve escalated provider claims and/or operations issues that may involve internal and external meetings to ensure timely and effective resolution.
Tracks and Reports Performance: Documents information key to the provider relationship, tracks and reports performance on provider engagement and other metrics, and works with internal stakeholders to ensure providers have access to reports and tools.
Facilitates Joint Operating Committees: Facilitates Joint Operating Committees with providers to discuss business and operational success, roadblocks, roadmaps for relationship improvement, and new collaboration opportunities.
Implements Organizational Strategies: Manages the implementation of cross-functional organizational strategies, including utilization management, provider data improvements, and contracting, to improve the provider experience and member experience.
Develops Education and Training Programs: Develops and facilitates education and training programs for providers, acts as an external point of reference on policies, and represents the health plan's position on local and national provider programs.
The expected hiring range for a Provider Relations Executive is $82,000 - $90,000 depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 10%. The current full salary range for this role is $77,000 - $127,000.
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.
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 (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.
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.
