Vice President ACA Markets

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 is living our mission to make health care easier and lives better. As a member of the Market Growth team, our Vice President ACA Markets is responsible for the P&L performance of the ACA Individual and Small Group markets across Cambia’s footprint – all in service of creating an economically sustainable health care system.

The VP for ACA Markets is responsible for developing and executing short/long term strategies; line of business management for products purchased on and off the exchange marketplaces; broker and alternate retail channel distribution models for individual consumer health insurance products; seeking to ensure Risk Adjustment results reflect the risk of the population served; key stakeholder engagement and management (Regulators, State Exchange leaders, CMS Account Manager, etc.) and working closely with the Commercial Sales Leaders in each state especially for the Small Group market segment. This position partners with the product management team to define and build the ACA products in support of profitable growth; works closely with Network Management; Government Affairs; Actuary; key members of the Health Services Organization (HSO); Risk Adjustment team and Strategic Communications. 

Are you a proven leader with experience leading teams to deliver exceptional results? Do you have experience developing and executing multi-channel retail exchange strategies?  If so, this role may be the perfect fit.  

What You Bring to Cambia: 

Qualifications:  

Bachelor's Degree in Business Administration or equivalent education and experience.

10+ years of experience in the health insurance market, with a preference for experience in risk-adjusted lines of business.

10+ years of experience leading teams to deliver exceptional results

Preference for experience leading sales teams to execute on sales plans and drive growth for a line of business or product.

Skills and Attributes: 

Exceptional business aptitude, including an understanding of the organizational aspects of providing and financing health care coverage in risk-adjusted business.

Strong understanding of local and regional individual market financing and pricing trends.

Strong business analytic skills and the ability to coach others to think and measure business effectiveness using business tools and methodologies.

Excellent interpersonal and leadership skills and ability to build effective working relationships with internal and external stakeholders including with C-suite leaders.

Ability to work and influence in a matrix environment

Have an eye towards innovation and emerging trends to support long term objectives

What You Will Do at Cambia:  

Develop and execute a multi-channel retail exchange strategy consistent with individual consumer health insurance product branding and sales strategy

Collaborate with product management to define, build, and file ACA products that meet market needs and regulatory requirements

Develop strategies in conjunction with Product and the local markets in support of the Small Group segment

Provide strategic guidance and oversight to ensure alignment with organizational goals and objectives

Develop strategic approach and priorities in collaboration with other senior leaders and key stakeholders and aligning with Cambia's overall strategic direction

Oversee the operational and financial performance of the ACA line of business, including P&L management and budgeting

Ensure compliance with administrative and legal requirements concerning risk adjustment data and submissions

Proactively monitor existing divisional/organizational systems, proposed changes thereto, and ongoing projects/implementations to ensure continued compliance within risk adjustment data/processes

Develop and track key performance indicators (KPIs) to measure the success of the ACA line of business

Analyze market trends, competitor activity, network developments; fraud and customer feedback to inform strategic decisions

Identify areas for improvement and develop plans to address them

Foster a culture of innovation, collaboration, and continuous improvement, encouraging experimentation and calculated risk-taking

Develop and implement talent development plans to ensure the team has the skills and expertise needed to achieve business objectives

Lead by example, demonstrating a commitment to Cambia's values and a passion for delivering exceptional results.

Work collaboratively across the matrix organization

Oversee development and execution of strategic sales plans, including setting sales targets, identifying sales channels and sales resource allocation

Monitor and analyze sales performance, identifying areas for improvement and developing plans to address them

Develop sales commissions plans that align with business objectives and regulatory requirements

Partner with cross-functional teams, including product management, sales, network, actuary, Commercial Sales leadership, Government Affairs and marketing, to ensure alignment and effective execution of the ACA strategy for both the Individual and Small Group markets

Collaborate with other senior leaders to drive business outcomes and advance company strategies and objectives

The expected hiring range for the Vice President ACA Markets is $215,050-290,950 depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 30%. The current full salary range for this role is $202,000-329,000.

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 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 CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.