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Asst. Director Risk Adjustment Member Engagement & Planning

  2025-10-28     Cambia Health Solutions     all cities,WA  
Description:

**Build a career with purpose. Join our** **to create a person-focused and economically sustainable health care system.**Every day, Cambias dedicated team of Risk Adjustment professionals is living our mission to make health care easier and lives better. As a member of the Government Programs team, our Assistant Director of Risk Adjustment Member Engagement and Plannings goal is to ensure the best care for Cambias members, and the most accurate risk scores, this role is responsible for planning, executing and/or overseeing performance, in collaboration with other areas, on various member engagement programs. This role is also responsible for leading long-range strategic planning for the RA department and managing implementation of various strategic projects all in service of creating a person-focused health care experience.* 5 years experience in risk adjustment leadership, including member engagement, program leadership and execution.* 3-5 years strategic planning, including development of operational models, financial analysis and external benchmarking.* Constant drive to improve results for our members and a proactive bias toward action and rapid problem-solving.* Willingness to collaborate across multiple areas and champion transparency across the organization.* Attract, develop and retain the best talent for Cambia; provide effective leadership and oversight to get the best long-term performance from the team and assist in making Cambia the employer of choice in our markets.* Lead the development, planning, implementation and oversight of the performance of member engagement programs, including in-home assessments, direct scheduling with PCPs, mail or digital campaigns.* Collaborate with other member-facing functions to ensure a coordinated approach that engages the member and improves health outcomes and member satisfaction.* Proactively develop KPIs, reporting and any other tools needed to understand drivers of success or limitations and solve problems; effectively collaborate with Risk Adjustment analytics, Actuary and other areas to ensure the most effective outcomes. Work with other leaders in Risk Adjustment to do the same.* Create a long-range planning function for risk adjustment to ensure appropriate strategic direction and assist the VP, Risk Adjustment in setting appropriate expectations for accurate risk coding throughout Cambia.* Lead staff providing planning, implementation and KPI reporting support for new strategic initiatives and executive reporting throughout Cambia.* Demonstrated experience working with third-party service providers, building collaborative working relationships and teams, leading a matrix structure, and have an executive presence.* 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.* 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.Everyone is a health care consumer deserving of a simpler, more personalized experience. is transforming the health care system to revolve around people. For over 100 years weve designed people-first health solutions rooted in the nations first health plan, a loggers wage pool established in the Pacific Northwest. Today that pioneering spirit aligns our family of over 20 companies, including 4 not-for-profit serving over 3 million Americans.Cambia blends data science with a compassionate human perspective to anticipate peoples needs, and empower them to make smarter health care choices..### *Information about how Cambia Health Solutions collects, uses, and discloses information is available in our .*

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