Quality Consultant Sr – Health Outcomes Accreditation

Quality Consultant Senior – Health Outcomes Accreditation

Hybrid within Oregon, Washington, Idaho or Utah

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Every day, Cambia’s dedicated team of Quality Consultant Seniors are living our mission to make health care easier and lives better. As a member of the Quality Management team, our Quality Consultant Senior – Health Outcomes Accreditation (HOA) develops, implements and maintains documentation, reporting and interventions in support of HOA. Establishes tracking mechanisms to monitor progress against accreditation standards, facilitates stakeholder engagement across the organization and provides subject matter expertise on evolving HOA requirements.

Ensures activities meet regulatory requirements and ensures all submission materials effectively demonstrate Cambia's commitment to accreditation standards – all in service of creating an economically sustainable health care system.

Are you someone whose accreditation not as a hurdle, but as an opportunity to demonstrate organizational excellence? Are you someone who thrives on translating complex regulatory requirements into actionable strategies that engage stakeholders at every level? Then this role may be the perfect fit.

• Bachelor's degree in business administration or related field
• 8 years of progressive experience in health care administration, quality, project leader or project support or equivalent combination of education and experience
• Certified Professional in Healthcare Quality (CPHQ) preferred

• Proficiency in HOA and Health Plan Accreditation requirements, documentation standards, evaluation processes, and reporting (Population Health Management specialization strongly preferred)
• Knowledge of quality improvement processes, performance measurement, population health frameworks, and cultural competence; ability to develop clinical quality measurement and program evaluation activities
• Strong quantitative, qualitative, and analytical skills with experience in report writing incorporating graphic and statistical elements
• Understanding of health plan operations and managed care environment
• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired
• Demonstrated competencies in organizing, planning, prioritizing, and delivering multiple projects within time constraints
• Strong ability to guide discussions and engage stakeholders effectively
• Excellent verbal and written communication skills with ability to engage effectively across multiple areas and organizational levels

• Develops and maintains comprehensive HOA documentation (work plans, reporting, surveys, policies and procedures) and tracking systems to ensure compliance with regulatory, accreditation, and performance measurement requirements
• Serves as subject matter expert and primary point of contact for HOA standards, coordinating and collaborating with accreditation entities and business partners
• Prepares enterprise for accreditation submissions and reviews; monitors exposure to accreditation risks and identifies mitigation opportunities
• Compiles information for internal monitoring and external audits; produces written reports and program evaluations with complex data aligned to HOA requirements
• Manages and coordinates community engagement activities including scheduling, meeting minutes, reporting, and processes
• Engages stakeholders and employs cross-functional collaboration across departments and leadership levels
• Keeps leaders informed through regular written and verbal project status communications

#LI-Hybrid

The expected hiring range for a Quality Consultant Sr is $92, depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 15%. The current full salary range for this role is $87,000 - $142,000.

Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and…