Risk Adjustment Provider Educator

Provider Educator Work a Hybrid schedule 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 Provider Educators is living our mission to make health care easier and lives better. As a member of the Risk Adjustment team, our Provider Educators are responsible for developing communications, content and engaging network providers in support of provider education objectives. – all in service of creating a person-focused health care experience.

Do you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit.

• Provider Education Coordinator would have a Bachelor’s degree in a related field and at least 5 years of Medicare Advantage or Commercial risk adjustment experience including at least 4 years of experience in a HCC Coding Audit or Network Management role or equivalent combination of education and experience.
• CPC and/or CRC credentials preferred

• Strong consulting, communication (written and verbal), influencing, and facilitation skills
• Proficiency in using Microsoft Office tools and proven ability to display analytical data and research findings for effective presentations and improved decision making.
• Knowledge of health care industry trends, provider relations, and risk adjustment HCC coding, ICD
  10 diagnosis coding.
• Knowledge of health insurance preferred, including medical and dental terminology, procedural and diagnosis coding, reimbursement methodologies and various provider network arrangements.

• Develops, coordinates, and drives risk adjustment education initiatives with network providers and acts as primary point of contact for assigned key provider engagements across Commercial and Medicare lines of business
• Coordinate outreach, communication, training, and education for providers that have been identified through various operational reporting channels as a candidate for provider education engagement
• Works with key leaders within the provider organization to engage with and drive successful performance of the provider engagement.
• Assists senior leadership with special projects related to advancing Cambia’s value based and innovative provider relationships.
• Participates in definition of project deliverables, providing consultation, recommendations, and solutions, reviewing project mandates and directives to determine overall provider engagement approach
• Leads, under the direction of management, in design and implementation of initiative related administrative policies and procedures and provides guidance and direction to the work team

• No unusual working conditions.
• Work primarily performed in an office environment.
• Some travel may be required

The expected hiring range for a Provider Educator is $83,300.00 - $ depending on skills, experience, education, and training; relevant licensure / certifications; performance history, and work location. The bonus target for this position is 10%. The current full salary range for this role is $78,000.00 to $.

#LI-hybrid

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.

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…