Assistant Director Risk Adjustment Operations

About the role

Cambia is seeking an Assistant Director Risk Adjustment Operations to join our team. This role is hybrid, requiring candidates to reside within commutable distance of one of our Portland, Medford, Fargo, Burlington, Spokane, Vancouver, Renton, Boise, Lewiston, or Salt Lake City offices.

Responsibilities

• Leading teams and vendors in Quality Assurance and Compliance
• Managing and overseeing Coding processes
• Overseeing Process and Analytics
• Managing Campaign and Service Provider Management

Qualifications

• Bachelor's degree in business administration, health administration, finance or related field
• 8-10 years of experience in healthcare insurance, Medicare, or related programs, management consulting, or equivalent combination of education and experience

Skills and Attributes

• Experience managing and leading healthcare operations functions and associated teams
• Knowledge of Medicare Advantage and/or Affordable Care Act rules and regulations
• Effective verbal and written communication skills
• Ability to analyze complex situations and develop solutions
• Collaborative and team-oriented approach
• Experience with third-party service providers and building working relationships
• Executive presence and ability to handle management-level responsibilities
• Experience with AI tools and technologies

Pay

The expected hiring range for this position is $121,600.00 – $164,500.00, with a full salary range of $114,000.00 – $186,000.00. The bonus target is 15%.

Schedule

This role is hybrid, requiring candidates to work 3 days per week in the office and the remaining 2 days remotely.