Provider Reimbursement Systems Analyst or Sr DOE

Provider Reimbursement Systems Analyst or Sr DOE

Provider Reimbursement Systems Analyst:

Hybrid role (3 days/week in office) at our Salt Lake City, Boise, Portland, Vancouver, Renton, Medford, Burlington, and Lewiston offices. Preference will be given to current employees and candidates who reside within a commutable distance from our Salt Lake City, Boise, and Lewiston offices or who are willing to relocate.

Provider Reimbursement Systems Analyst Sr:

Hybrid role (3 days/week in office) at our Salt Lake City, Boise, Fargo, Portland, Vancouver, Renton, Medford, Burlington, and Lewiston offices. Preference will be given to current employees and candidates who reside within a commutable distance from our Salt Lake City, Boise, Fargo and Lewiston offices or who are willing to relocate.

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 Provider Reimbursement Systems Analyst s is living our mission to make health care easier and lives better. As a member of the Tech Services team, our Provider Reimbursement Systems Analyst s support, maintain, and enhance existing systems while developing, configuring, and delivering new solutions in direct alignment with Cambia Core Strategies and Key Initiatives – all in service of creating an economically sustainable health care system .

Do you have a knack for solving complex problems and translating technical concepts into clear, actionable solutions? Do you thrive in a fast-paced environment where analytical thinking and cross-functional collaboration drive meaningful results? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

Provider Reimbursement Systems Analyst

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College degree in Computer Sciences, Mathematics, Business Administration, or a related field; may be substituted by sufficient years of healthcare industry experience

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Minimum 1 year of experience in business requirements definition, process modeling, functional systems design, configuration, and/or acceptance testing

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Experience in a supported business area required (e.g., Provider Network and Contract Management, Digital Solutions, Pricing, Membership, Claims)

Provider Reimbursement Systems Analyst Sr

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College degree in Computer Sciences, Mathematics, Business Administration, or a related field; may be substituted by sufficient years of healthcare industry experience

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Minimum 3 years of experience in business requirements definition, process modeling, functional systems design, configuration, and/or acceptance testing

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Experience in a supported business area required

Skills and Attributes:

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Demonstrated ability to develop functional requirements, facilitate system configuration decisions, and perform system testing with clear reporting of results

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Strong analytical and problem-solving skills with a proven ability to manage and tolerate ambiguity

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Ability to facilitate effective communication between technical and business staff to identify optimal solutions for project requirements

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Proven written and verbal communication skills; clear, concise, and adaptable across audiences

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Ability to work both collaboratively in a team environment and independently with self-motivation

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Experience with AI tools and technologies to enhance productivity and decision-making is highly desired

Additional Qualifications for Senior Level

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Ability to work independently or with minimal supervision, including providing guidance and answering questions from Level I team members

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Demonstrated competency in one or more supported business areas (e.g., claims processing, membership, product configuration, enrollment, eligibility)

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Ability to develop detailed functional requirements, perform system testing, facilitate configuration decisions, and report progress for project management purposes within established deadlines

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Advanced SQL knowledge and report-writing capabilities with a solid understanding of the software development lifecycle from conception to delivery

What You Will Do at Cambia:

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Accountable for functional system design, configuration, and the review and approval of data flows, technical specifications, and functional system requirements

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Write and execute ad-hoc reports, queries, and scripts that move or update data to replicate online functionality

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Conduct unit, user acceptance, end-to-end, and regression testing for fixes, enhancements, and system upgrades

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Perform post-implementation quality assurance, troubleshooting, issue resolution, and sustainment support for systems and processes

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Respond to customer inquiries regarding system functionality, modifications, and issue resolution status

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Assist in training and communicating system changes to end-users and other impacted staff

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Schedule, organize, and prioritize work while serving as a liaison between business areas and DTS counterparts

Additional Responsibilities for Senior Level

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Assist in the development of Business Analysts

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Back up Lead BSA as required

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Perform in a project leadership role

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Assist with project or production support duties as directed by leadership or a Project Manager

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Proficient in writing SQL and understanding software lifecycles; makes recommendations on process and technology changes to support business team efficiencies

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Supports new technology to improve business processes (e.g., Talend, Tableau, APIs)

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Accountable for communicating software changes to front-line staff, management, and consumers of those systems

Provider Reimbursement Systems Analyst:

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Oregon, Utah, and Idaho: The expected hiring range is $66,500 - $85,500, the full salary range is $59,000 - $97,000, and the bonus target is 10%.

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Washington: The expected hiring range is $31.60 - $40.95 an hour, the full hourly range is $27.60 - $46.30 an hour, and the bonus target is 10%.

Provider Reimbursement Systems Analyst Sr:

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Oregon, Washington, Utah, and Idaho: The expected hiring range is $89,000 - $114,000, the full salary range is $79,000 - $129,000, and the bonus target is 10%.

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North Dakota: The full salary range is $72,523 - $119,663.

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 poten