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.

Who We Are Looking For:

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.

What You Bring to Cambia:

Qualifications:

* 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

Skills and Attributes:

* 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.

What You Will Do at Cambia:

* 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

Work Environment

* 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

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…