Vice President Customer Experience and Operations
Cambia Health Solutions

Seattle, Washington

Posted in Health and Safety

This job has expired.

Job Info

Vice President Customer Experience and Operations

Oregon, Washington, Idaho, Utah

The Vice President Customer Experience and Operations leads the change management process for improving transactional operations into a competitive advantage in the market. Oversees and directs the improvement processes for Membership, Claims, Office Services, Quality, Business Configuration, Provider Operations and Claims Cost Stewardship. Responsible for overall divisional success in improving quality, cost, productivity, and engagement of health insurance operational strategies.

In this role, you will:

  • Provide leadership for the Health Plan in the areas of Claims, Membership, Billing, Quality, Benefits Configuration, and Provider Operations.
  • Oversee health plan operations, including claims processing, membership accounting and customer service, to meet the needs of purchasers and members, during and after the transition to the FACETS system as the common claims and membership platform.
  • Streamline processes and implement improvements enabled by the Regence membership and claims (REMAC) project in the Claims, Membership and Billing, and Customer Service functions.
  • Determine and implement optimal organization structure across the four plans to leverage specialized skill sets and a common systems platform, with objectives being to increase customer satisfaction, decrease administrative costs and move towards standardized policies/processes.
  • Ensure development of required personnel skill sets and capabilities to support health plan administration.
  • Work with Plan executives to develop externally-focused performance metrics. Monitor performance and implement improvements as necessary to ensure appropriate service levels.

Minimum Requirements
  • Strong intellectual skills, combined with a high degree of sensitivity, social responsibility, and excellent interpersonal skills to interact at all levels of the organization.
  • Strong influential and problem solving skills along with the ability to collaborate within and outside the organization. Creative, innovative problem-solving with a commitment to high quality and low-cost operations.
  • Ability to operate in a complex environment, and must generate enthusiasm and shared vision while serving as a leader of the Health Plan Administrative functions.
  • Advanced knowledge of health plan operations with a strong understanding of managing suppliers to achieve business results.
  • Proven ability to determine key business issues, collaborate with leadership teams, and make things happen across organizational boundaries.
  • Strong ability to lead data analysis in developing solutions.

The Vice President Customer Experience and Operations would have a bachelor's degree in business administration or related field and 10 years of experience in general management and leadership of large complex organizations and a broad general knowledge of health plan and insurance operations or equivalent combination of education and experience. Master's preferred.

Candidates for this role must reside in or be willing to relocate to Oregon, Washington, Idaho or Utah.

The base pay annual salary range for this job is $261,000-$424,500.

In addition, this role has an incentive plan based on organizational goal achievement.

Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:

  • medical, dental, and vision coverage for employees and their eligible family members
  • annual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)
  • paid time off varying by role and tenure in addition to 10 company holidays
  • up to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)
  • up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)
  • one-time furniture and equipment allowance for employees working from home
  • up to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.

We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and 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 Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.

This job has expired.

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