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Cambia Health Solutions · 6 hours ago

Provider Relations Executive

Portland, OR

Full-time

Hybrid

Mid, Senior Level

$82K/yr - $90K/yr

5+ years exp

Cambia Health Solutions is dedicated to improving healthcare experiences, and they are seeking a Provider Relations Executive to oversee contract management and facilitate coordination between departments and providers. The role involves building strong relationships, resolving issues, and ensuring seamless provider experiences to enhance member health journeys.

BiotechnologyHealth CareInformation Technology

H1B Sponsor Likely

Responsibilities

Develops and fosters collaborative partnerships with key providers and internal stakeholders, establishing credibility as a trusted advisor and resource to influence positive change

Documents provider information, tracks and reports performance metrics, and ensures providers have access to reports and tools to drive performance

Maintains knowledge of contract terms and performance targets, educates providers and internal stakeholders, and facilitates executive-level Joint Operating Committees to discuss performance and collaboration opportunities

Facilitates internal and external workgroups to review performance reports, identify opportunities, and drive action plans to improve clinical quality, cost containment, member experience, and provider experience

Coache providers to improve member health outcomes through engagement and enablement, monitors progress and communicates performance expectations to drive change

Identifies and leads new initiatives to assist providers in transitioning to innovative payment models and manages the implementation of cross-functional organizational strategies to improve provider and member experience

Serves as a subject matter expert on competitive intelligence, supports development of innovative

Qualification

Provider relationsHealthcare industry knowledgeContract managementFinancial analysisCustomer serviceProblem-solvingLeadership presenceMicrosoft Office proficiencyCommunication skillsCritical thinkingPresentation skills

Required

Bachelors degree in Healthcare Administration or related field

Minimum of 5 years of experience in the healthcare industry with specific focus in provider relations, provider contracting, customer service, financial analysis: Provider/payer strategy development or implementation; Provider/payer contracting and reimbursement, preferably managed care; delivery system administration, or equivalent combination of education and experience

Valid driver's license is required

Strong communication and facilitation skills to deliver challenging messages with diplomacy while maintaining strong relationships with provider partners

Self-directed with creative problem-solving skills to identify problems, develop solutions, and implement a chosen course of action to resolve issues and build consensus among diverse stakeholders

Professional presence, leadership, and knowledge of helping complex organizations affect change to improve their operations

Strong critical thinking, consulting, and influencing skills to present complex information simply and succinctly at all levels of the organization

Ability to effectively manage a variety of formal presentation settings, prioritize work, and meet timelines

Knowledge of healthcare systems, including provider coding, reimbursement, contract methodologies, products, and networks, as well as the inputs to the total cost of care for a population

Proficiency in using Microsoft Office tools, with the ability to travel extensively within the state and work in a high-pressure environment while managing conflict and ambiguity

Benefits

Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.

Annual employer contribution to a health savings account.

Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.

Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).

Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).

Award-winning wellness programs that reward you for participation.

Employee Assistance Fund for those in need.

Commute and parking benefits.

Company

Cambia Health Solutions

Glassdoor3.4

Cambia Health Solutions is a nonprofit total health solutions company based in the Pacific Northwest/Intermountain region, serving

Founded in 1996

Portland, Oregon, USA

5001-10000 employees

http://www.cambiahealth.com

H1B Sponsorship

Cambia Health Solutions has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (12)

2024 (11)

2023 (7)

2022 (12)

2021 (23)

2020 (24)