Program Director, ACA Risk Adjustment

Program Director, ACA Adjustment 

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 Program Director, ACA Risk Adjustment is living our mission to make health care easier and lives better. As a member of the Government Programs Risk Adjustment team, our Program Director’s goal is to ensure the best performance for Cambia’s ACA line of business through accurate risk scores, this role is the primary champion of ACA risk adjustment outcomes and activities across Cambia and with the Risk Adjustment team – all in service of creating an economically sustainable health care system.  

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:  

Program Director, ACA Risk Adjustment would have a Bachelors degree in healthcare administration, business administration or related field and 10 years of experience in Healthcare or equivalent combination of education and experience.  List any required licenses or certifications here.

Skills and Attributes: 

• Deep subject matter expertise in risk adjustment, with emphasis on ACA.

• 5+ years experience in risk adjustment leadership, ideally in the ACA line of business.

• Constant drive to improve results for our members and a proactive bias toward action and rapid problem-solving.

• Strong ability to collaborate across multiple areas and champion transparency across the organization.

• Ability to present and communicate with a broad array of internal and external customers, partners and stakeholders including leadership at all levels.

What You Will Do at Cambia:  

• Accountable for development, implementation and execution of Affordable Care Act (ACA) risk adjustment programs and overall, end-to-end ACA risk adjustment outcomes.

• Responsible for ACA risk adjustment opportunity analyses, KPI development, reporting and management.

• Responsible for working cross-functionally within and without Risk Adjustment to ensure effective and appropriate outcomes for ACA risk adjustment.

• Demonstrate effectiveness in working with third-party service providers, building collaborative working relationships and teams, leading within a matrix structure, and have an executive presence.

The expected hiring range for a Risk Adjustment Program Director - ACA is $119,900.00 - $162,200.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15%.  The current full salary range for this role is $112,000.00 to $184,000.00.

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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 compassion, empathy and team spirit always shine through.

Why Join the Cambia Team?

At Cambia, you can:  

• Work alongside diverse teams building cutting-edge solutions to transform health care.  
• Earn a competitive salary and enjoy generous benefits while doing work that changes lives.  
• Grow your career with a company committed to helping you succeed. 
• Give back to your community by participating in Cambia-supported outreach programs.  
• Connect with colleagues who share similar interests and backgrounds through our employee resource groups.  

We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.  

In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include: 

• 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. 

Learn more about our benefits. 

We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.