Job Information
Cambia Health Solutions Provider Educator - Risk Adjustment in Olympia, Washington
Provider Educator Work from home 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, ICD10 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. * Some travel may be required The expected hiring range for a Provider Educator is $83,300.00 - $92,000.00 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 $128,000.00. #LI-remote 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 com To view the full job description,