Product Manager I or II, DOE (AI) Cambia Health SolutionsProduct Manager I or II, DOE (AI)Alger, WAFull timeThis role sits at the intersection of business needs and AI technology, where you'll help translate business challenges into innovative AI solutions that deliver measurable impact- all in service of making our members' health journeys easier. * Execute on the AI Product Roadmap: Translate roadmap priorities into sprint-ready requirements and manage delivery timelines for assigned products, ensuring features align with our AI strategy.
Clinical Pharmacist Consultant Cambia Health SolutionsClinical Pharmacist ConsultantBurlington, WAFull timeAs a member of the Pharmacy Services team, our Clinical Pharmacist Consultant provides professional and clinical pharmacy expertise in making or guiding clinical decisions based on best practices by applying evidence-based medicine evaluations to determine the best quality medication choices that represent the best value in efficacy, safety and affordability. Advanced responsibilities may include analyzing health care cost information, development of position papers, medication coverage policies, formulary monographs and class reviews, cross-functional projects, and/or initiatives related to the provision of pharmacy benefits that impact safety, quality and affordability - all in service of making our members' health journeys easier.
Clinical Pharmacist Consultant Cambia Health SolutionsClinical Pharmacist ConsultantYakima, WAFull timeAs a member of the Pharmacy Services team, our Clinical Pharmacist Consultant provides professional and clinical pharmacy expertise in making or guiding clinical decisions based on best practices by applying evidence-based medicine evaluations to determine the best quality medication choices that represent the best value in efficacy, safety and affordability. Advanced responsibilities may include analyzing health care cost information, development of position papers, medication coverage policies, formulary monographs and class reviews, cross-functional projects, and/or initiatives related to the provision of pharmacy benefits that impact safety, quality and affordability - all in service of making our members' health journeys easier.
Software Development Engineer II or III (DOE) Cambia Health SolutionsSoftware Development Engineer II or III (DOE)Burlington, WAFull timeThe Software Development Engineer III would have a Bachelor's degree in Computer Science, Mathematics, Business Administration, Engineering, or a related field and at least 5 years relevant experience in a multi-platform environment. The Software Development Engineer II would have a Bachelor's degree in Computer Science, Mathematics, Business Administration, Engineering, or a related field and at least 3 years relevant experience in a multi-platform environment.
Supervisor, Marketing Technology Cambia Health SolutionsSupervisor, Marketing TechnologyNewcastle, WAFull timeAs a member of the Marketing team, the Supervisor Marketing Technology Implementation is responsible for the administration and continuous improvement of the Marketing Department's core technology platforms, including tools for workflow management, digital asset management, and sales enablement. Success in this role requires the ability to develop team members through delegation and coaching, drive accountability through clear expectations and consistent follow-through, and maintain a forward-looking perspective on how technology and training can drive results.
Policy & Implementation Analyst or Sr. DOE Cambia Health SolutionsPolicy & Implementation Analyst or Sr. DOETumwater, WAFull timeServes as primary support for CPT/HCPCS procedure and ICD-9/ICD-10 diagnosis coding questions across Cambia, ensuring decision-making related to coding is consistent, clinically appropriate and thoroughly documented. * Facilitates development, understanding and documentation of business requirements related to policy implementation, clinical editing, and reimbursement policy development including issue identification, research, approval, implementation, documentation and education.
Project Implementation Manager I or II, DOE Cambia Health SolutionsProject Implementation Manager I or II, DOENewcastle, WAFull timeResponsible for the appropriateness, quality, and timeliness of all aspects of the project, manages the production of project business cases, develops project plan and schedule, establishes measures and milestones, and tracks ongoing progress, while proactively managing risks, issues, scope and human resources through the Implementation phase. The Project Implementation Manager leads teams of people to ensure project(s) are delivered on schedule and within budget, while satisfying agreed-upon customer outcomes within the scope of the project.
Regence Senior Account Executive - Washington Cambia Health SolutionsRegence Senior Account Executive - WashingtonRenton, WAFull timeSenior Account Executive would have a Bachelor's degree in Marketing, business, or a related field with six years of sales or account management experience with preferably four years of experience in employee benefits or an equivalent combination of relevant education and experience. As a Regence Senior Account Executive, you play a critical role in managing and retaining Regence's largest and most complex groups in the ASO and Fully Insured Large Group line of business.
Project Implementation Manager I or II, DOE Cambia Health SolutionsProject Implementation Manager I or II, DOETacoma, WAFull timeResponsible for the appropriateness, quality, and timeliness of all aspects of the project, manages the production of project business cases, develops project plan and schedule, establishes measures and milestones, and tracks ongoing progress, while proactively managing risks, issues, scope and human resources through the Implementation phase. The Project Implementation Manager leads teams of people to ensure project(s) are delivered on schedule and within budget, while satisfying agreed-upon customer outcomes within the scope of the project.
Supervisor, Marketing Technology Cambia Health SolutionsSupervisor, Marketing TechnologyBellevue, WAFull timeAs a member of the Marketing team, the Supervisor Marketing Technology Implementation is responsible for the administration and continuous improvement of the Marketing Department's core technology platforms, including tools for workflow management, digital asset management, and sales enablement. Success in this role requires the ability to develop team members through delegation and coaching, drive accountability through clear expectations and consistent follow-through, and maintain a forward-looking perspective on how technology and training can drive results.
Senior Account Executive - Washington Cambia Health SolutionsSenior Account Executive - WashingtonRenton, WAFull timeSenior Account Executive would have a Bachelor's degree in Marketing, business, or a related field with six years of sales or account management experience with preferably four years of experience in employee benefits or an equivalent combination of relevant education and experience. As a Regence Senior Account Executive, you play a critical role in managing and retaining Regence's largest and most complex groups in the ASO and Fully Insured Large Group line of business.
Data Product Manager - Provider & Quality Cambia Health SolutionsData Product Manager - Provider & QualityAlger, WAFull timeThe Product Manager job family roles are inherently cross-functional - and require close work and collaboration with counterparts in product development, data science and data engineering, user experience, operations, program, and strategy to ensure all teams are delivering high-quality products that solve real market needs - all in service of making our members' health journeys easier. These roles are responsible for all phases of new product development and management activities including defining business requirements, leading product development, implementing and sustaining the strategic product roadmap, pricing and budget models, competitive positioning and product design for both existing and next-generation product offerings.
Clinical Account Manager - HCA Cambia Health SolutionsClinical Account Manager - HCARenton, WAFull timeClinical Account Manager would have a clinical license (licensed practical nurse or registered nurse), Bachelor's degree in Healthcare, Business or related field (MPH, MHA or MBA preferred) and 8 years of case management, utilization management, or behavioral case management, including program management, sales or consulting experience, or equivalent combination of education and experience. As a member of the HCA team, our Clinical Account Manager serves as a strategic clinical liaison for one of our largest customer groups, collaborating across internal teams to evaluate, present, and implement clinical programs and solutions that align with the customer's multiyear business strategy.
Project Implementation Manager I or II, DOE Cambia Health SolutionsProject Implementation Manager I or II, DOEAlger, WAFull timeResponsible for the appropriateness, quality, and timeliness of all aspects of the project, manages the production of project business cases, develops project plan and schedule, establishes measures and milestones, and tracks ongoing progress, while proactively managing risks, issues, scope and human resources through the Implementation phase. The Project Implementation Manager leads teams of people to ensure project(s) are delivered on schedule and within budget, while satisfying agreed-upon customer outcomes within the scope of the project.
Platform Infrastructure Engineer II Cambia Health SolutionsPlatform Infrastructure Engineer IIBellevue, WAFull timeAs a member of the Server Engineering team, the role of a Platform Infrastructure Engineer II is to build, test, mature, operate, and maintain a highly secure hybrid platform infrastructure supporting RHEL and Windows server environments. This role will collaborate closely with infrastructure, security, and application architects to design and implement automated solutions that ensure high-quality, reliable, and secure business operations - all in service of making our members' health journeys easier.
Software Development Engineer II or III (DOE) Cambia Health SolutionsSoftware Development Engineer II or III (DOE)Bellevue, WAFull timeThe Software Development Engineer III would have a Bachelor's degree in Computer Science, Mathematics, Business Administration, Engineering, or a related field and at least 5 years relevant experience in a multi-platform environment. The Software Development Engineer II would have a Bachelor's degree in Computer Science, Mathematics, Business Administration, Engineering, or a related field and at least 3 years relevant experience in a multi-platform environment.
Solutions Architect I or II, DOE - Customer Acquisition Digital Engineering Cambia Health SolutionsSolutions Architect I or II, DOE - Customer Acquisition Digital EngineeringBurlington, WAFull timeThe Architect II would have a Bachelor's degree in computer science, engineering or related/relevant field with an advanced degree preferred plus seven years in IT with a minimum of two years of technical leadership and architecture experience and at minimum of five years' experience evaluating business requirements and designing complete systems solutions in complex environments plus strong business understanding including health insurance technologies and regulations. The Architect I would have a Bachelor's degree in computer science, engineering or related/relevant field plus seven years in IT with a minimum of two years of technical leadership and architecture experience and a minimum of three years' experience evaluating business requirements and then designing complete systems solutions in in complex environments plus strong business understanding including health insurance technologies and regulations.
Strategic Sourcing Manager (Indirect) Cambia Health SolutionsStrategic Sourcing Manager (Indirect)Newcastle, WAFull timeThe Strategic Sourcing Manager II would have a Bachelor's degree in business, supply chain management, or related field and 7 years sourcing and contracting experience or related field. * Prior experience in all elements of sourcing and category management for indirect services, including professional services and business process outsourcing.
Project Implementation Manager I or II, DOE Cambia Health SolutionsProject Implementation Manager I or II, DOEBellevue, WAFull timeResponsible for the appropriateness, quality, and timeliness of all aspects of the project, manages the production of project business cases, develops project plan and schedule, establishes measures and milestones, and tracks ongoing progress, while proactively managing risks, issues, scope and human resources through the Implementation phase. The Project Implementation Manager leads teams of people to ensure project(s) are delivered on schedule and within budget, while satisfying agreed-upon customer outcomes within the scope of the project.
VP of Stop-Loss Underwriting Cambia Health SolutionsVP of Stop-Loss UnderwritingAlger, WAFull timeVice President, Stop Loss Underwriting would have a Bachelor's degree in business, math, statistics or related discipline and 12+ years underwriting experience in the health insurance profession with specific responsibilities in stop loss or equivalent combination of education and experience. As a leader of the Stop-Loss Underwriting team, our VP of Stop-Loss Underwriting manages stop loss book of business risk selection and risk classification activities to meet top line growth and bottom-line profitability objectives.