Cambia Health SolutionsTemporary Customer Service Professional I Cambia Health SolutionsTemporary Customer Service Professional IAhtanum, 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.
Cambia Health SolutionsSupervisor of Appeal Operations Cambia Health SolutionsSupervisor of Appeal OperationsYakima, WARemoteFull timeOverseas and coordinates team activities to achieve business objectives and ensure the timely processing of member and provider claims and are in alignment with contract provisions, proper coding, policy or regulatory compliance across multiple lines of business, all in service of creating a person-focused health care experience. Develops and maintains desk reference guides on work procedures, ensures new hires complete necessary training, and assesses training needs while playing an active role in staff development.
Cambia Health SolutionsRemote Care Management Nurse Cambia Health SolutionsRemote Care Management NurseAhtanum, 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.
Cambia Health SolutionsStop Loss Claims Analyst Cambia Health SolutionsStop Loss Claims AnalystYakima, WARemoteFull timeAs a member of the Stop Loss team, this position adjudicates all stop loss claims by developing policies and procedures to ensure consistent claim practices and adherence to policy and contract terms, appropriate laws and regulations - all in service of creating a person-focused health care experience. The expected hiring range for a Stop Loss Claims Analyst is $68,900.00 - $93,150.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location.