Vice President, Business Optimization
Oregon, Washington, Idaho, Utah or North Dakota
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 is living our mission to make health care easier and lives better. As a member of the Health Services Organization (HSO) leadership team, our VP of Business Optimization leads enterprise-level transformation - defining strategic roadmaps, optimizing clinical and operational performance, and driving affordability outcomes - all in service of creating an economically sustainable health care system.
As a people leader, you are willing to learn and grow, understanding that leadership is a craft that is continuously honed as you support your team and the lives that depend upon us.
Do you have a passion for translating complex strategy into measurable, real-world results? Do you thrive at the intersection of clinical operations, technology, and business performance - leading cross-functional teams toward bold, lasting change? Then this role may be the perfect fit.
What You Bring to Cambia
Qualifications:
* 12-15+ years of progressive leadership experience in healthcare operations, strategy, consulting, or transformation roles
* Demonstrated success leading large-scale operational transformation and performance improvement initiatives
* Deep understanding of healthcare payer operations, including Utilization Management, Care Management, Pharmacy, Payment Integrity, and Appeals
* Experience driving cost and affordability programs and managing financial outcomes
* Strong executive communication and stakeholder management skills
Preferred:
* Experience leading AI, automation, or digital transformation initiatives
* Background in healthcare consulting or enterprise transformation roles
* Advanced degree (MBA, MPH, MHA, or similar)
Skills and Attributes:
* Strategic visionary with the ability to define and operationalize multi-year transformation roadmaps
* Skilled at building alignment across clinical, operational, digital, and financial priorities
* Proficient in continuous improvement methodologies such as Lean Agile, Six Sigma, and AI-enabled workflows
* Strong analytical and data-driven decision-making capabilities
* Effective change leader who can engage and align diverse stakeholders at all levels
* Ability to translate complex strategies into clear, compelling executive narratives
What You Will Do at Cambia
* Lead strategic transformation by developing, organizing, and prioritizing a 3-year roadmap aligned to enterprise and HSO objectives - establishing governance, milestones, and value metrics to ensure execution and accountability
* Drive business process optimization across HSO functions (UM, Care Management, Appeals, Pharmacy, Payment Integrity), delivering measurable improvements in operational efficiency, clinical quality, and member/provider experience
* Shape technology strategy by defining business requirements for HSO technology initiatives and partnering with Digital, Technology, and Data teams to accelerate adoption of AI, automation, and digital capabilities
* Lead Cost Stewardship and affordability programs, identifying medical cost drivers, developing targeted initiatives with clinical and finance partners, and ensuring alignment to enterprise affordability targets
* Deliver executive communications and change leadership, including briefings, dashboards, and structured insights that support senior decision-making and drive alignment across the organization
* Build and develop high-performing teams with a focus on accountability, innovation, continuous improvement, and data-driven outcomes
You bring unique value to our communi
To view the full job description, click here