Jobs at Cambia Health Solutions

Develop, test, deploy, maintain, and support software applications, data pipelines, integrations, and HEDIS healthcare quality measurement solutions. Responsibilities include database design, data modeling, troubleshooting, root-cause analysis, production support, testing, documentation, security practices, and continuous reliability improvements. The role requires strong SQL and Python skills, modern data warehouse and ETL/ELT experience, collaboration across technical and business teams, and occasional on-call support.

Leads enterprise data and analytics engineering teams responsible for clinical data foundations, data ingress and egress, legacy modernization, operational data systems, and AI pipelines. Oversees healthcare data operations supporting HEDIS/Stars and Risk Adjustment, builds interoperability capabilities, and develops reliable compliant data applications. Establishes modern architectures, embeds AI development tools, and grows a high-performing engineering organization while influencing executives and cross-functional stakeholders.

Serves as a finance business partner by developing budgets, forecasts, financial models, variance analyses, and business reports. Evaluates cost-benefit, ROI, capital resources, proposals, contracts, and product opportunities. Supports cost savings, process improvement, financial governance, workflow improvements, and cross-functional decision-making. Provides presentations, training, consulting, and informal leadership to business teams and stakeholders.

Leads multiple concurrent product implementation projects from planning through completion. Develops project estimates, plans, milestones, budgets, and status reports; manages scope, risks, resources, timelines, and stakeholder communications; resolves issues and delays; coordinates multidisciplinary teams; ensures adherence to enterprise project management standards; and presents progress to leadership, clients, and project teams. The role also mentors project managers and supports the delivery of new insurance products and enhancements.

Develop and maintain Facets application systems across development and production environments. Responsibilities include programming, debugging, deployment, testing, database design, documentation, system design, incident support, technical problem-solving, and collaboration with business and engineering partners. The role also contributes to process improvement, software development lifecycle deliverables, test planning, security practices, communities of practice, and technical learning initiatives.

Develop and maintain complex software applications supporting healthcare business processes. Responsibilities include programming, debugging, system design, testing, deployment, documentation, database and data pipeline work, and resolving technical issues. The role contributes to software development lifecycle deliverables, process improvements, Communities of Practice, and technical leadership while collaborating with business partners and external technology vendors. Work includes secure API development, CI/CD, test automation, and EDI-related enrollment systems.

Supports Data and Technology Solutions leadership through risk and audit tracking, capacity planning, operational dashboards, governance routines, leadership meetings, goal tracking, communications, change initiatives, talent programs, and community engagement. The role provides structure, coordination, facilitation, and follow-through across strategic, operational, and tactical priorities while maintaining SharePoint content and management tools.

Develop, test, debug, deploy, document, and maintain application systems across development and production environments. Design databases and APIs, solve programming and system issues, apply secure coding practices, and contribute to CI/CD, containerization, data pipelines, and AI integrations. Senior-level engineers provide technical direction, mentor teammates, coordinate multidisciplinary work, and lead delivery efforts in a distributed engineering environment.

Develop and maintain application code across development and production environments. Design, test, debug, deploy, document, and improve complex software systems supporting business objectives. Collaborate with engineering and business teams, participate in software design and estimation, contribute to communities of practice, follow secure coding standards, and support CI/CD, containerization, API development, data pipelines, and AI-enabled solutions.

Analyzes healthcare, claims, customer service, clinical, and operational data to deliver routine and ad hoc reports, dashboards, KPIs, and actionable insights. Designs analytics projects from conception through reporting, develops statistical and data-mining methods, automates reporting processes, and partners cross-functionally with stakeholders to support health plan operations, strategic decisions, and process improvement.

Analyzes pharmacy and healthcare data involving utilization, costs, trends, enrollment, incentives, revenue, providers, members, and networks. Develops complex SQL reports, dashboards, data models, validation routines, and reporting systems. Ensures data integrity, automates reporting and validation, communicates insights and recommendations, trains analysts, and supports high-impact pharmacy management decisions. Senior-level incumbents may serve as technical experts, mentors, and project leads.

Leads multiple large-scale, complex projects from initiation through closure, managing scope, schedules, budgets, resources, risks, metrics, and stakeholder communications. Assembles and guides project teams, presents recommendations to leadership, coordinates cross-functional initiatives, and manages organizational change to ensure sustainable outcomes. The role also supports Network Innovations team updates and initiatives, with preferred experience in alternative payment models.

Leads the design and development of semantic data models, governed metrics, and agentic AI solutions for healthcare use cases. Builds LLM applications using RAG, vector search, prompt engineering, and Snowflake Cortex. Establishes AI evaluation, guardrails, observability, and cost optimization practices while mentoring engineers, shaping platform strategy, and partnering across analytics, product, governance, QA, and business teams.

Executes product strategy and roadmaps for commercial health insurance lines of business. Manages benefit design, rate execution, product configuration, market intelligence, competitive analysis, product performance, and customer feedback. Partners with actuarial, underwriting, sales, operations, compliance, and vendors to implement product changes, resolve issues, and deliver business results. Serves as the product expert, leads cross-functional alignment, and provides data-driven recommendations to senior leadership.

Twelve-week full-time accounting internship supporting journal entries, account reconciliations, financial reporting, asset reviews, regulatory reporting, audits, and financial examinations. The intern will also assist with ad hoc analysis, process improvements, and internal control policies and procedures. This remote role is intended to identify candidates for future full-time positions.

Leads business user acceptance testing across complex healthcare projects and Agile teams. Defines UAT strategies, test cases, data, schedules, and quality goals; executes tests, manages defect triage, verifies fixes, and reports metrics, risks, and progress. Coordinates go-live and post-implementation testing, mentors test teams and analysts, serves as a functional-area expert, and drives process, tooling, and quality improvements.

Manage delinquent accounts and accounts receivable processes, handle high-volume customer calls, negotiate payment arrangements, document account activity, coordinate premium delinquency actions, support reporting, and communicate with customers, members, brokers, vendors, and internal teams. Senior-level responsibilities include overseeing credit and collection duties, completing department reporting, mentoring others, and implementing process improvements.

Designs, operates, and improves enterprise endpoint management services using Microsoft Intune, Entra ID, Windows 365, and Azure Virtual Desktop. Responsibilities include device policies, application deployment, patching, automation, compliance, identity, Cloud PC administration, monitoring, Tier 3 support, incident leadership, roadmap development, technical documentation, mentoring, and cross-functional initiative leadership. The role participates in on-call rotations and occasional travel as needed.

Administers and engineers Microsoft Intune, Entra-integrated endpoint management, and Windows 365 services at enterprise scale. Responsibilities include Windows enrollment, Autopilot, configuration and compliance policies, endpoint security, application deployment, patching, automation with Ansible and PowerShell, Cloud PC operations, troubleshooting, platform upgrades, documentation, disaster recovery, and technical leadership.

Administer and support enterprise Citrix Virtual Apps and Desktops and Citrix DaaS environments across on-premises and cloud platforms. Install, configure, patch, upgrade, monitor, and troubleshoot Citrix components, Windows Server hosts, applications, profiles, authentication, networking, and user sessions. Manage catalogs, delivery groups, images, policies, and access components. Automate administration with PowerShell, execute changes and disaster recovery activities, maintain documentation, and provide advanced escalation support, mentoring, and technical leadership.