Associate Medical Director

Cambia Health Solutions; Lewiston (ID); À distance; USD 207 000 - 337 000; Temps partiel

Avantages offerts par ce poste

Work from home

Résumé du poste

Cambia Health Solutions is seeking an Associate Medical Director (Part Time) to apply medical expertise in ensuring quality and cost-effective care across our four-state area. This role emphasizes clinical policy development, peer-to-peer consultations, and collaboration with clinical staff, with a remote work option from home in allowed states.

Ideal candidates hold an MD or DO with an unrestricted license and at least 3 years of clinical experience, and board certification.

Qualifications

• Licensed Physician with an MD or DO degree.
• Active, unrestricted license to practice medicine in one or more states or territories of the United States, with one of these licenses in OR, WA, ID or UT.
• Board Certification required.
• Minimum 3 years clinical experience or equivalent combination of education and experience.

Responsabilités

• Provide clinical consulting to staff on specific member cases to ensure quality, cost-effective care.
• Conduct high-quality member case reviews and peer-to-peer consultations with providers.
• Promote understanding of care management, utilization management and quality programs to internal/external stakeholders.
• Participate on clinical project teams focused on medical policy reviews and program development.
• Collaborate with clinical staff on case management reviews and peer consultations.

Connaissances

Clinical consulting

Peer-to-peer consultations

Stakeholder communication

AI tools experience

Formation

MD or DO

Outils

AI tools

Description du poste

Associate Medical Director - Part Time Work from home within Oregon, Washington, Idaho or Utah. Preference will be given to current employees and candidates who reside in Idaho and 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 physicians are living our mission to make health care easier and lives better. As a member of the Physician Review team, our Associate Medical Director applies medical expertise to help ensure our members receive quality, cost effective clinical care. Supports development and communication of medical policies and clinical programs. May work with clinical staff on case management reviews and provide peer-to-peer consultations with providers. May participate on clinical project teams – all in service of creating a person-focused health care experience.

Qualifications:

Licensed Physician with an MD or DO degree. Minimum 3 years clinical experience, or equivalent combination of education and experience. Active, unrestricted license to practice medicine in one or more states or territories of the United States, with one of these licenses in our four-state area (OR, WA, ID, UT). Applicant must also live in four state area. Board Certification required. Qualification by training and experience to render clinical opinions about medical conditions, procedures and treatments under review.

Skills and Attributes:

Provides clinical consulting to staff on specific member cases, to ensure members receive quality, cost effective care, or on broader clinical trends. May conducts high-quality member case reviews and peer-to-peer consultations with providers. Communicates with a variety of internal or external stakeholders to promote understanding of care management, utilization management and quality programs. Participates on various teams to provide clinical input on medical policy reviews and development and may participate on committees that develop programs impacting clinical interventions, utilization management and case management. Stays abreast of industry, medical and technology trends. Identifies and communicates new opportunities that would enhance outcomes and the reputation of the organization. Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired.

What You Will Do at Cambia:

Demonstrated competency working with hospitals, provider groups, or integrated delivery systems to effectively manage patient care to improve outcomes. Passion for population health and healthcare transformation. Strong communication, influencing and facilitation skills with internal staff and external stakeholders, including the ability to resolve issues and seek optimal outcomes. General knowledge of the health insurance industry, state and federal regulations, provider reimbursement methods and evolving accountable care and payment models. Detail-oriented with orientation to the application of data in managing health and quality outcomes. Ability to effectively utilize systems and technology. Demonstrated ability to effectively build relationships, demonstrate empathy and work as part of a team.

Pay ranges vary based on the candidate's work location. The expected hiring range depends on skills, experience, education, and training; relevant licensure / certifications; and performance history. Associate Medical Director National pay structure — applies to the Boise and Lewiston, ID; Salt Lake City, UT, Oregon and Washington. The full salary range is $105.80 - $143.20. and the bonus target is 18%. The expected salary range is $99.60 - $161.90. Medical Director National pay structure — applies to the Boise and Lewiston, ID; Salt Lake City, UT, Oregon and Washington. The full salary range is $109.20 - $177.50 and the bonus target is 18%. The expected salary range is $116.00 - $157.00.

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?

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. As part of our security requirements, new hires will need access to a personal mobile device to set up Multi‑Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees.

We are an Equal Opportunity employer dedicated to a drug and tobacco‑free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required. If you need accommodation for any part of the application process because of a medical condition or disability, please email [e-mail].

Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

Cambia Health Solutions is a family of companies headquartered in Portland, Oregon, working to make healthcare simpler, more affordable and more person‑focused.

Through our regional health insurance plans, innovative technologies and strategic investments, we are delivering consumer‑centric solutions that:

• Help people achieve better health and well‑being
• Make healthcare more available, affordable, and personalized
• Are easily understood by everyone

Our company reaches more than 70 million Americans nationwide, including more than 6 million people enrolled in our regional health plans. We put people at the heart of everything we do.

Interested in driving accessibility, affordability and quality health care for real people? Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.