Teams at Cambia Health Solutions

Lead and mentor an IT operations team, provide direction for technical delivery, consult with business partners, resolve complex technical issues, participate in agile lifecycles, and ensure timely, high-quality solutions. Serve as management backup, support on-call rotation, and occasionally travel.

Audits claims, enrollment, and customer service activities for accuracy, timeliness, and compliance with policies and mandated guidelines. Investigates issues, identifies process inconsistencies, monitors performance trends, compiles statistics, generates reports, recommends quality improvements, updates standards, and participates in system-change testing. The role supports Federal Employee Program operations and requires knowledge of healthcare claims, membership, customer service, coding, pricing, and provider contract processes.

Provides administrative and technical support for internal sales and renewal processes without independently soliciting sales or making quote decisions. Responsibilities include responding to inquiries, explaining benefits and eligibility rules, documenting customer interactions, reviewing and requesting information, entering data, managing correspondence and work queues, researching complex issues, resolving problems, and maintaining customer records.