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 (3 days/week in office) and candidates must 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 collaborative working relationships
• Executive presence and ability to handle management level responsibilities
• Experience with AI tools and technologies

Pay

The expected hiring range is $121,600.00 – $164,500.00, the full salary range is $114,000.00 – $186,000.00, and the bonus target is 15%.

Schedule

This role is hybrid (3 days/week in office).