Policy & Implementation Analyst

Policy & Implementation Analyst (Healthcare)

Hybrid within Oregon, 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 Policy & Implementation team is living our mission to make health care easier and lives better. As a member of the Policy & Implementation team, the Policy & Implementation Analyst uses Medical coding knowledge and experience and evaluates, recommends and implements clinical editing solutions to assure accurate outcomes consistent with medical and reimbursement policy and financial targets. This role develops and executes implementation plans to include system updates, business process changes and timely communication. The position develops, maintains and publishes reimbursement policy all in service of making our members' health journeys easier.

If you're a motivated and detail-oriented clinician looking to make a difference in payment integrity, apply for this exciting opportunity today!

What You Bring to Cambia :

Preferred Key Experience :

• Clinical knowledge (Understands clinical reviews)
• Understanding of claims, billing and coding
• Facets / claims systems in appeals, SIU
• Claims processing, claims configuration roles
• Understanding of Medical and reimbursement policies
• CPC Certified or willing to get CPC Certified as condition to position.

Qualifications :

Skills and Attributes :

What You Will Do at Cambia :

The expected target hiring range for this position is $64,000 $81,000 / year depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 10%. The current full salary range for this position is $64,000 - $106,000 / year.

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?

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 :

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 employer dedicated to 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.