VP of Business Optimization

## VP of Business Optimization Apply locations:
Portland, OR:
Salt Lake City, UT:
Renton, WA:
Utah:
Boise, IDtime type:
Full time posted on:
Posted Yesterday job requisition :
R-6623
** Vice President, Business Optimization
**** Oregon, Washington, Idaho, Utah or North Dakota
**** 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 is living our mission to make health care easier and lives better. As a member of the Health Services Organization (HSO) leadership team, our VP of Business Optimization leads enterprise-level transformation — defining strategic roadmaps, optimizing clinical and operational performance, and driving affordability outcomes — 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 passion for translating complex strategy into measurable, real-world results? Do you thrive at the intersection of clinical operations, technology, and business performance — leading cross-functional teams toward bold, lasting change? Then this role may be the perfect fit.
** What You Bring to Cambia
***
* Qualifications:

*** 12–15+ years of progressive leadership experience in healthcare operations, strategy, consulting, or transformation roles
* Demonstrated success leading large-scale operational transformation and performance improvement initiatives
* Deep understanding of healthcare payer operations, including Utilization Management, Care Management, Pharmacy, Payment Integrity, and Appeals
* Experience driving cost and affordability programs and managing financial outcomes
* Strong executive communication and stakeholder management skills
** Preferred:
*** Experience leading AI, automation, or digital transformation initiatives
* Background in healthcare consulting or enterprise transformation roles
* Advanced degree (MBA, MPH, MHA, or similar)
** Skills and Attributes:
*** Strategic visionary with the ability to define and operationalize multi-year transformation roadmaps
* Skilled at building alignment across clinical, operational, digital, and financial priorities
* Proficient in continuous improvement methodologies such as Lean Agile, Six Sigma, and AI-enabled workflows
* Strong analytical and data-driven decision-making capabilities
* Effective change leader who can engage and align diverse stakeholders at all levels
* Ability to translate complex strategies into clear, compelling executive narratives
** What You Will Do at Cambia**
* ** Lead strategic transformation
** by developing, organizing, and prioritizing a 3-year roadmap aligned to enterprise and HSO objectives — establishing governance, milestones, and value metrics to ensure execution and accountability
* ** Drive business process optimization
** across HSO functions (UM, Care Management, Appeals, Pharmacy, Payment Integrity), delivering measurable improvements in operational efficiency, clinical quality, and member/provider experience
* ** Shape technology strategy
** by defining business requirements for HSO technology initiatives and partnering with Digital, Technology, and Data teams to accelerate adoption of AI, automation, and digital capabilities
* ** Lead Cost Stewardship and affordability programs**, identifying medical cost drivers, developing targeted initiatives with clinical and finance partners, and ensuring alignment to enterprise affordability targets
* ** Deliver executive communications and change leadership**, including briefings, dashboards, and structured insights that support senior decision-making and drive alignment across the organization
* ** Build and develop high-performing teams
** with a focus on accountability, innovation, continuous improvement, and data-driven outcomes

You bring unique value to our community of 200 leaders running our company. By actively engaging with your peers and inspiring your teams, you play an essential role in making health care easier and lives better.

Oregon,…