VP Network Management - Washington & Oregon

Vice President Contracting, Oregon/Washington Hybrid role (3 days/week in office) at our Portland, Vancouver, or Renton offices. Candidates should reside within a commutable distance from our Portland, Vancouver, or Renton offices or be willing to relocate. 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 is living our mission to make health care easier and lives better. As a member of the Market Growth Leadership Team, our VP of Contracting for Oregon and Washington drives innovative provider partnerships, network strategy, and value-based contracting across all states and lines of business – all in service of creating an economically sustainable health care system.

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 proven track record of transforming provider relationships and driving value-based care models? Are you an innovative thinker who thrives leading high-performing teams through complex, large-scale change?

Then this role may be the perfect fit.

• Master's degree in Business, Health Care Administration, Public Health or a related field and 15 years of broad health care and medical management leadership experience, with at least 7 years of healthcare payer experience, or an equivalent combination of education and experience
• Experience converting providers from fee-for-service to value-based contracts for commercial, Medicare, and Medicaid required

• Demonstrated development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
• Deep expertise in health insurance industry trends, reimbursement methods, and evolving accountable care and payment models
• Broad end-to-end experience with medical care management including product design, provider contracting, utilization management, care management, quality, and go-to-market strategies
• Demonstrated success in contract negotiation and managing relationships with hospitals, provider groups, and integrated delivery systems
• Demonstrated ability to leverage AI tools and resources to drive efficiency and innovation within area of expertise
• Deep business acumen including understanding of market dynamics, financial/budget management, data analysis, and decision-making
• Demonstrated competency in creating and executing business strategies and driving results within a large, complex organization and/or with external partners
• Innovative thinker with the ability to articulate a vision, manage complexity, and lead change
• Strong communication and facilitation skills across all levels of the organization and with executive-level external partners, including the ability to resolve issues and build consensus among diverse stakeholders
• Demonstrated ability to lead high-performing teams and develop leaders

• Direct the provider network and contracting activities.
• Lead all aspects of provider network strategy including, access analysis, network operations and support decision makers with analysis related to reimbursement and unit cost management.
• Oversee the coordination and negotiation for the contracting department.
• Provide executive leadership for Provider negotiation strategy and oversee operational execution in partnership with internal and external stakeholders to achieve stated objectives.
• Provide leadership in evaluating opportunities to expand or change the network to meet Company goals.
• Partner with company-wide and market-based…