IAM Security Architect Cambia Health SolutionsIAM Security ArchitectNewcastle, WAFull timeThe Security Architect would have a Bachelor's degree in computer science, engineering or a related/relevant field with an advanced degree preferred plus ten years in IT with a minimum of two years in Information Security, two years of technical leadership and architecture experience and at minimum five years of experience evaluating business requirements and designing complete systems solutions in complex environments plus strong business understanding including health insurance technologies and regulations. As a member of the IT Security team, this strategic role will lead the evolution of our identity solutions across the enterprise-covering both workforce IAM (employees and contractors) and customer IAM (members, employers, providers, and producers).
VP of Stop-Loss Underwriting Cambia Health SolutionsVP of Stop-Loss UnderwritingSpokane, 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.
Vice President Payment Integrity Cambia Health SolutionsVice President Payment IntegritySpokane, WAFull timeMinimum of 8-10 years of experience in business process design, improvement, and transformation within healthcare payment environments and a minimum of 12-15 years of progressive leadership experience in Healthcare Payment Integrity, Health Plan Claims, Health Plan Operations or related Healthcare management or an equivalent combination of education and experience. This position drives enterprise-wide strategic vision and execution across post-pay and pre-pay audit functions, provider-facing operations and advance analytics capabilities - all in service of creating an economically sustainable health care system.
Assistant Director, Broker Strategy & Performance Management Cambia Health SolutionsAssistant Director, Broker Strategy & Performance ManagementRenton, WAFull timeThe position sits within the Commercial Market Excellence organization, collaborating closely with Line of Business leaders, market sales teams, and key organizational partners - all in service of making our members' health journeys easier. * Assistant Director of Broker Engagement & Performance Management would have a bachelor's degree in Business, Marketing, Finance or related field and 7+ years of experience in broker management, distribution strategy or related field, plus 3+ years of people management experience.
Pharmacy Services (Digital Support) Technician Cambia Health SolutionsPharmacy Services (Digital Support) TechnicianTumwater, WAFull timeThis function assists the Clinical Pharmacy Consultants and Pharmacy Services staff with formulary-related operations and other operational processes which require knowledge and experience with pharmaceuticals, all-in service of creating a person-focused health care experience. * Additional requirements for Pharmacy Services Technician II, requires a high school diploma or related certificate along with 4 years of pharmacy technician experience in a retail, hospital, or licensed pharmacy setting.
Spv Business Support Services Cambia Health SolutionsSpv Business Support ServicesTumwater, WAFull timeThis includes support of global configuration, incident resolution, conversion activities, enhancement design, developing general and detailed functional and business requirements, testing, project work, and support in the production environments. This includes scoping and resources planning for any projects related to configuration and support of any Facets system, any associated extension or interface that interacts with Facets, along with all legacy membership systems.
Part-Time Temporary Payables Lead Cambia Health SolutionsPart-Time Temporary Payables LeadTumwater, WAFull timeStrong interpersonal skills, self-motivation, excellent communication, a customer service orientation, tolerance for ambiguity, demonstrated sound decision making, exercise good judgment in confidential matters and demonstrated analytical skills. * Works closely with Manager and Financial Accounting and Reporting (FAR) during monthly and annual closing process ensuring online system has closed, vouchers have posted, interface edit rejects are corrected, and general ledger interface is posted correctly.
Business Systems Analyst Support Services Lead Cambia Health SolutionsBusiness Systems Analyst Support Services LeadOlympia, WAFull timeAs a member of the Customer Experience and Operations team, our Business Systems Analyst Support Services Lead participates in the daily support, maintenance, and enhancement of existing systems, as well as the development, configuration, and delivery of new systems to directly support Cambia Core Strategies and Key Initiatives - all in service of economically sustainable health care system. * Demonstrated ability to develop project plans and schedules to ensure all tasks are identified and completed, and assigns tasks and workflow as necessary for completion, including the ability to support and answer questions from Level I team members.
Data Product Manager - Provider & Quality Cambia Health SolutionsData Product Manager - Provider & QualityBellevue, 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.
Pharmacy Program Manager Cambia Health SolutionsPharmacy Program ManagerAlger, WAFull timeDeep knowledge of pharmacy benefit management, benefit design, pharmacy products and services, competitive offerings, and client needs, including advanced understanding of healthcare operations, cost containment strategies, provider contracting methodologies, and benefit design alternatives. As a member of the Pharmacy Services team, our Pharmacy Program Managers are responsible for partnering with clinical stakeholders to develop, execute, evaluate and maintain clinical programs and strategies to support cost containment and clinical quality improvements related to pharmacy.
Clinical RFP Coordinator Cambia Health SolutionsClinical RFP CoordinatorTumwater, WAFull timeAs a member of the Clinical Program Management team, the Clinical RFP Coordinator & Communications Specialist partners with the Marketing and Sales teams by representing clinical areas of the company in business acquisition and retention opportunities. * Facilitates responses to RFPs, RFIs, and surveys for clinical areas in collaboration with sales bid response teams and other divisions to ensure timely delivery of high-quality responses.
Support Services Business Systems Analyst or SR Cambia Health SolutionsSupport Services Business Systems Analyst or SROlympia, WAFull timeAs a member of the Business System Analyst Support Services team, our The Business Systems Analysts participates in the daily support, maintenance, and enhancement of existing systems, as well as the development, configuration, and delivery of new systems to directly support Cambia Core Strategies and Key Initiatives- all in service of creating a person-focused health care experience. • Demonstrated ability to facilitate communication between technical and business staff by providing functional requirements and/or working with software developers to find the best solutions to meet the business requirements of various projects wit.
Regence Account Executive -WA Cambia Health SolutionsRegence Account Executive -WARenton, WAFull timeAs a Regence Account Executive, you will focus on strategic account management and business retention for assigned groups and territories, while building and maintaining key agent relationships and cross-selling various product lines. * The Account Executive would have a Bachelor's degree in Marketing, business or a related field with four years of sales or account management experience with two years preferable in employee benefits or an equivalent combination of relevant education and experience.
Account Executive Cambia Health SolutionsAccount ExecutiveRenton, WAFull timeAs a Regence Account Executive, you will focus on strategic account management and business retention for assigned groups and territories, while building and maintaining key agent relationships and cross-selling various product lines. * The Account Executive would have a Bachelor's degree in Marketing, business or a related field with four years of sales or account management experience with two years preferable in employee benefits or an equivalent combination of relevant education and experience.
Remote Care Management Nurse Cambia Health SolutionsRemote Care Management NurseOlympia, WARemoteFull timeAs a member of the Clinical Services team, our Care Management RN's provide clinical care management (such as case management, disease management, and/or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. Oversees a collaborative process with the member and those involved in the member's care to assess, plan, implement, coordinate, monitor and evaluate care as needed - all in service of creating a person-focused health care experience.
Software Development Engineer II or III (DOE) Cambia Health SolutionsSoftware Development Engineer II or III (DOE)Spokane, 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.
Temporary Senior Accountant Cambia Health SolutionsTemporary Senior AccountantOlympia, WARemoteFull timeo Financial Reporting and General Accounting: Generally Accepted Accounting Principles (GAAP), Statutory Accounting Principles (SAP) for Health Care Service Contractors and Health Maintenance Organizations as promulgated by the NAIC. Assumes a lead role in the external audit as well as the maintenance and operation of complex financial systems to insure their integrity- all in service of creating a person-focused health care experience.
Clinical RFP Coordinator Cambia Health SolutionsClinical RFP CoordinatorBurlington, WAFull timeFacilitates responses to RFPs, RFIs, and surveys for clinical areas in collaboration with sales bid response teams and other divisions to ensure timely delivery of high-quality responses. As a member of the Clinical Program Management team, the Clinical RFP Coordinator & Communications Specialist partners with the Marketing and Sales teams by representing clinical areas of the company in business acquisition and retention opportunities.
Remote Care Management Nurse Cambia Health SolutionsRemote Care Management NurseBurlington, WARemoteFull timeAs a member of the Clinical Services team, our Care Management RN's provide clinical care management (such as case management, disease management, and/or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. Oversees a collaborative process with the member and those involved in the member's care to assess, plan, implement, coordinate, monitor and evaluate care as needed - all in service of creating a person-focused health care experience.
Temporary Customer Service Professional I Cambia Health SolutionsTemporary Customer Service Professional IAlger, WARemoteFull time6 months of customer service call center experience; or 6 months of customer service experience in insurance, retail, banking, hospital, medical office or similar industry with extensive customer contact; or equivalent combination of education and experience. As the face of Cambia, our CSPs play multiple roles - listener, problem-solver, investigator and advocate - all in service of making our members' health journeys easier and days brighter.