Quality Consultant Sr - Health Outcomes Accreditation
Cambia Health Solutions
Newcastle, WA
JOB DETAILS
JOB TYPE
Full-time, Employee
SKILLS
Accreditation Standards, Analysis Skills, Artificial Intelligence (AI), Business Administration, Calendar Management, Communication Skills, Consulting, Cross-Functional, Documentation, Documentation Plan, Documentation Standards, Establish Priorities, External Audit, Health Economics, Health Plan, Healthcare, Healthcare Administration, Healthcare Quality, Internal Audit, Leadership, Maintain Compliance, Managed Care, Meeting Minutes, Multitasking, Operations Planning, Performance Metrics, Presentation/Verbal Skills, Program Evaluation, Project Planning, Project Tracking, Qualitative Analysis, Quality Management, Regulatory Compliance, Regulatory Requirements, Reporting Skills, Risk Analysis, Risk Management, Systems Maintenance, Time Management, Writing Skills
LOCATION
Newcastle, WA
POSTED
30+ days ago
Hybrid 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 Quality Consultant Seniors are living our mission to make health care easier and lives better. As a member of the Quality Management team, our Quality Consultant Senior - Health Outcomes Accreditation (HOA) develops, implements and maintains documentation, reporting and interventions in support of HOA. Establishes tracking mechanisms to monitor progress against accreditation standards, facilitates stakeholder engagement across the organization and provides subject matter expertise on evolving HOA requirements. Ensures activities meet regulatory requirements and ensures all submission materials effectively demonstrate Cambia's commitment to accreditation standards - all in service of creating an economically sustainable health care system.
Are you someone who sees accreditation not as a hurdle, but as an opportunity to demonstrate organizational excellence? Are you someone who thrives on translating complex regulatory requirements into actionable strategies that engage stakeholders at every level? Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
* Bachelor's degree in business administration or related field
* 8 years of progressive experience in health care administration, quality, project leader or project support or equivalent combination of education and experience
* Certified Professional in Healthcare Quality (CPHQ) preferred
Skills and Attributes:
* Proficiency in HOA and Health Plan Accreditation requirements, documentation standards, evaluation processes, and reporting (Population Health Management specialization strongly preferred)
* Knowledge of quality improvement processes, performance measurement, population health frameworks, and cultural competence; ability to develop clinical quality measurement and program evaluation activities
* Strong quantitative, qualitative, and analytical skills with experience in report writing incorporating graphic and statistical elements
* Understanding of health plan operations and managed care environment
* Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired
* Demonstrated competencies in organizing, planning, prioritizing, and delivering multiple projects within time constraints
* Strong ability to guide discussions and engage stakeholders effectively
* Excellent verbal and written communication skills with ability to engage effectively across multiple areas and organizational levels
What You Will Do at Cambia:
* Develops and maintains comprehensive HOA documentation (work plans, reporting, surveys, policies and procedures) and tracking systems to ensure compliance with regulatory, accreditation, and performance measurement requirements
* Serves as subject matter expert and primary point of contact for HOA standards, coordinating and collaborating with accreditation entities and business partners
* Prepares enterprise for accreditation submissions and reviews; monitors exposure to accreditation risks and identifies mitigation opportunities
* Compiles information for internal monitoring and external audits; produces written reports and program evaluations with complex data aligned to HOA requirements
* Manages and coordinates community engagement activities including scheduling, meeting minutes, reporting, and processes
* Engages stakeholders and employs cross-functional collaboration across departments and leadership l
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About the Company
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Cambia Health Solutions
Cambia Health Solutions is a family of companies headquartered in Portland, Oregon, working to create a person-focused and economically sustainable health care system.
Through our health plans, innovative technology and strategic investments, we are delivering consumer-centric solutions that:
• help people achieve better health and well-being
• make health care more available, affordable and accessible
• are easily understood by everyone
We put people at the heart of everything we do. Our company reaches more than 70 million Americans nationwide, including more than two million people in the Pacific Northwest who are enrolled in our regional health plans.
COMPANY SIZE
5,000 to 9,999 employeesINDUSTRY
Healthcare Services
FOUNDED
1940
WEBSITE
https://www.cambiahealth.com/careers