Jobs at Cambia Health Solutions

Leads the Payment Integrity product strategy, roadmap, capabilities, and delivery. Manages Product Owners, partners cross-functionally across Claims, Operations, Technology, Analytics, Finance, and vendors, and oversees payment integrity workflows, implementations, performance measurement, risk management, and vendor relationships. Drives claims accuracy, medical expense reduction, regulatory alignment, and measurable operational outcomes while supervising 3–5 employees.

Leads Pharmacy product strategy, roadmaps, capabilities, integrations, and delivery while managing Product Owners. Partners with pharmacy, clinical, technology, analytics, finance, PBM, and vendor teams to improve member outcomes, affordability, regulatory readiness, operational performance, and financial results. Oversees testing, implementation, stabilization, vendor relationships, and strategic prioritization. Supervises 3–5 employees.

Performs daily bank activity reviews, transaction posting and reconciliation, journal entries, balance sheet account reconciliations, payment research, and accounting data analysis. The role also develops procedures, validates financial data, coordinates accounts receivable postings, and monitors payment activity. Candidates need accounting, finance, or business education, strong Microsoft Office skills, accurate data entry, analytical ability, attention to detail, communication skills, and teamwork.

Leads Operations Technical Services strategy and manages 4–6 analysts and programmer analysts. Oversees reporting, dashboards, data marts, extracts, applications, ETL controls, data architecture, stewardship, data quality, and BI solutions. Partners with health plan operations stakeholders and IT to define requirements, automate analysis, ensure privacy compliance, resolve information-access issues, and deliver actionable insights across customer service, claims, membership, and provider operations.

Supports, maintains, enhances, configures, and delivers business systems. Translates business needs into functional requirements and system designs, develops reports and data scripts, performs unit, acceptance, end-to-end, regression, and post-implementation testing, and resolves system issues. Serves as a liaison between business and technical teams, communicates system changes, assists with end-user training, and prioritizes multiple assignments.

Manages onboarding, renewals, quoting, benefits configuration, eligibility files, plan documents, and operational support for 101+ employer health plans. Coordinates Sales, Account Executives, Underwriting, Claims, Membership, and other teams to ensure accurate and timely implementation. Higher levels handle more complex accounts, lead RFP and proposal preparation, mentor colleagues, facilitate stakeholder discussions, and serve as subject-matter resources.

Leads enterprise data access provisioning and governance technology operations on Snowflake. Manages RBAC frameworks, access policies, security controls, catalogs, lineage tools, automation, compliance, and process improvements. Directly manages employees and contractors while coordinating with IT, Security, Compliance, Privacy, and business stakeholders. Provides hands-on technical leadership, develops operational strategies, tracks KPIs, and improves access management maturity across the organization.

Leads enterprise data governance operations and Cambia’s data platform governance, including stewardship, metadata, data quality, classification, lineage, and semantic-layer governance. Develops policies and standards, ensures regulatory compliance, improves processes, tracks KPIs, and builds AI-ready data foundations. Manages employees and contractors, partners with IT, Security, Compliance, Privacy, and business stakeholders, and executes strategic governance plans while contributing hands-on to technical deliverables.

Design, build, and optimize scalable Snowflake-based data and analytics platform frameworks. Develop CI/CD pipelines, orchestration libraries, data masking and access-control solutions, database management capabilities, and automation. Partner with data modeling, analytics, product, engineering, and business teams to deliver performant platform solutions. Lead technical projects, mentor junior engineers, optimize queries and compute, and ensure quality through testing, documentation, governance, security, and observability.

Manages employer and producer marketing projects from planning through completion, coordinating budgets, timelines, production, collateral dissemination, stakeholder reviews, vendors, and reporting. Supports integrated marketing and sales communications, training, education programs, and sales-material production across digital and print channels. Partners with marketing and sales teams to develop strategies, resolve issues, and ensure projects meet business goals and deadlines.

Supports procurement applications, products, and data integrations through requirements gathering, systems analysis, SQL querying, documentation, testing, validation, release support, and application monitoring. Acts as a liaison between business users and development teams, manages small to moderate work efforts, facilitates requirements sessions, estimates tasks, and provides on-call support. Develops healthcare and insurance domain knowledge while contributing to software development and QA activities.

Own the strategy, roadmap, backlog, operational readiness, and adoption of MedInsight and actuarial analytics data products. Translate healthcare payer, actuarial, data quality, and analytics needs into product requirements and delivery priorities. Partner with engineering, analytics, actuarial, governance, architecture, operations, and vendors to deliver reliable data products, semantic capabilities, AI-enabled workflows, self-service analytics, and measurable business impact.

Twelve-week actuarial internship supporting financial and risk analysis, reporting, and strategic goals. The intern will perform technical, analytical, and support functions while working with large datasets and statistical tools. Candidates must be pursuing a relevant degree, progressing toward an actuarial exam, maintaining at least a 3.0 GPA, and demonstrating strong analytical, communication, and computer skills.

Develop and maintain secure, scalable applications and databases using Java, Python, microservices, APIs, cloud technologies, and modern DevOps tools. Lead cross-functional engineering efforts, design and test complex systems, resolve technical issues, conduct code and design reviews, prepare documentation, mentor junior developers, and provide technical direction. The role requires healthcare technology expertise, AWS experience, on-call availability, and work within approved development lifecycles.

Leads enterprise technology architecture for healthcare transformation initiatives. Partners with executives, business leaders, product teams, and engineers to design scalable solutions, define technology roadmaps, evaluate emerging technologies, and resolve complex integration challenges. Provides technical leadership across multiple product teams, governs architecture quality, documents solutions, mentors developers, supports implementation strategy, and aligns technology direction with business needs, healthcare industry trends, security, interoperability, and digital experience goals.

The Software Quality Engineer participates in agile scrum and defect triage teams; reviews requirements, designs, code, and tests; develops and executes manual and automated unit, component, system, integration, and regression tests; reports defects and verifies fixes; monitors quality metrics and test coverage; improves test stability and processes; and collaborates with development teams to ensure software testability, reliability, scalability, and maintainability.

Analyzes business, data, and application requirements for Facets health insurance systems. Creates specifications, use cases, SQL queries, technical documentation, and validation deliverables; supports testing, quality assurance, integrations, monitoring, and issue routing. Level III responsibilities include advanced SQL, automated validation, API and data-model work, complex estimates, cross-functional leadership, vendor evaluation, and coaching junior analysts.

Administer and support Microsoft 365 collaboration services, including Exchange Online, Teams, SharePoint Online, OneDrive, and tenant migrations. Automate administration, reporting, migrations, patching, and operational tasks with PowerShell. Monitor service health, troubleshoot tickets, document processes, support upgrades, and communicate status to customers and stakeholders while maintaining platform stability and availability.

Analyzes healthcare enrollment systems and EDI integrations, gathers and documents requirements, writes SQL queries, validates and reconciles data, supports testing and defect management, and provides application monitoring and issue triage. Level III responsibilities include advanced SQL, automated validation, API and data model analysis, complex specifications, cross-functional leadership, vendor evaluation, and coaching junior analysts.

Own the strategy, roadmap, requirements, delivery, adoption, and measurable outcomes for Cambia’s Snowflake-native HEDIS data platform. Lead development of AI-powered analytics and agentic features using Snowflake Cortex, translate healthcare business needs into product requirements, guide cross-functional engineering and analytics teams, partner with stakeholders, monitor product performance, and advance responsible AI practices.