Clinical Transformation Advisor

Cambia Health Solutions; Idaho City (ID); Remote; USD 75,000 - 103,000; Full time

Job summary

A health solutions company is seeking a Clinical Transformation Advisor to drive healthcare transformation and improve quality and consumer experience. The role involves developing partnerships, maintaining knowledge of clinical performance levers, and leading educational initiatives for providers. The ideal candidate will have a Bachelor's degree in Nursing, relevant experience, and a current nursing license. This position offers competitive pay and benefits, with work-from-home options available.

Benefits

Medical, dental and vision coverage

Generous paid time off

Market-leading retirement plan

Paid parental time off

Wellness programs

Qualifications

• 4+ years’ experience in population health, care management, program management, relationship management or clinical leadership.
• Current LPN or RN license in a state or territory of the United States.

Responsibilities

• Develops partnerships with key providers and internal stakeholders.
• Maintains knowledge of clinical performance levers and value-based arrangements.
• Researches, develops and conducts provider education and training.
• Identifies clinical improvement opportunities for value-based arrangements.
• Provides leadership to provider-aligned nurses.

Skills

Relationship Building & Communication

Problem-Solving & Project Leadership

Data Analytics & Technical Proficiency

Healthcare Industry Expertise

Work Style & Flexibility

Education

Bachelor's Degree in Nursing or related field

Masters degree preferred

Job description

Overview

Clinical Transformation Advisor

Work from home within Oregon (preferred), 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 Clinical Transformation Advisor s are living our mission to make health care easier and lives better. As a member of the Care Management team, our Clinical Transformation Advisors drive healthcare transformation in quality, cost and consumer experience by working with key strategic provider partners to enable their success in Cambia’s value-based arrangements and transformation initiatives. Meets regularly with providers to facilitate practice transformation efforts through hands-on expertise in quality management and clinical process improvement. Works in close partnership with the Provider Partnership Manager and other team members to develop and implement transformation initiatives with providers and to support accountable care products and membership growth – all in service of creating a person-focused health care experience.

Are you comfortable working in ambiguous situations where transformation initiatives may evolve rapidly? Are you motivated by the opportunity to directly impact healthcare accessibility and patient outcomes on a systemic level? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

• Bachelor’s Degree in Nursing or related field (Masters preferred)

• 4+ years’ experience or equivalent combination of education and experience in one of the following areas: population health, care management, program management, relationship management or clinical leadership.

• Strong preference for experience within a medical practice or facility

• Current LPN or RN license, in a state or territory of the United States

Skills and Attributes:

• Relationship Building & Communication: Customer-focused mindset with proven ability to build positive relationships, gain trust and respect, and influence stakeholders at all organizational levels. Strong communication and facilitation skills for discussions, presentations, and consensus-building among diverse groups, including provider management on clinical value-based arrangements.

• Problem-Solving & Project Leadership: Demonstrated ability to identify problems, develop solutions, and implement action plans to resolve complex issues. Proven experience managing and leading complex projects with strong analytical and problem-solving capabilities.

• Data Analytics & Technical Proficiency: Experience interpreting and utilizing clinical data analytics and outcomes measures to drive change, with skills to analyze and present complex data. Proficient in word processing and spreadsheet software for creating and maintaining databases, reports, and documents.

• Healthcare Industry Expertise: Knowledge of industry trends, products, and solutions related to healthcare transformation and value-based arrangements, including understanding of provider billing practices and healthcare reimbursement methodologies.

• Work Style & Flexibility: Ability to work independently and collaboratively within teams, with willingness to travel to provider locations as needed.

What You Will Do at Cambia:

• Partnership Development & Stakeholder Engagement: Develops collaborative, productive partnerships with key providers and internal stakeholders; participates in executive-level Joint Operating Committees and internal/external work groups; attends external meetings to represent Cambia's position on local and national provider programs

• Clinical Performance & Value-Based Care Expertise: Maintains detailed knowledge of clinical performance levers (care gaps, Medicare STARS, HCC coding) and value-based arrangements including contract terms and performance targets; provides input on quality metrics for new arrangements and future PPI strategies; serves as subject matter expert on competitive intelligence regarding clinical interventions in accountable care

• Provider Education & Clinical Guidance: Researches, develops, and conducts provider education, training, and presentations to communicate vision for change; applies clinical practice understanding to provide guidance on infrastructure, systems, and processes; teaches providers to use quality and utilization tools for performance management

• Clinical Improvement & Care Coordination: Identifies clinical improvement opportunities for value-based arrangements; leads initiatives to help providers design and implement processes for higher quality outcomes, better care management, and improved member experience; leverages Cambia's clinical resources to enhance provider care coordination capabilities

• Leadership & Strategic Integration: Provides leadership to provider-aligned nurses and care advocates supporting value-based programs; supports Provider Partnership Engagement Manager and Provider Partnership Manager by integrating clinical interventions with overall value-based strategy; partners with Clinical Services and Medical Directors to implement key deliverables; promotes peer-to-peer physician collaboration with Executive Medical Directors

#LI-Remote

The expected hiring range for a Clinical Transformation Advisor is $75,700 ($78k WA) - $102,400 depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 10%. The current full salary range for this role is $71,000 ($78k WA) - $116,000.

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.

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.