Provider Reimbursement Systems Analyst or Sr DOE

Provider Reimbursement Systems Analyst:

Hybrid role (3 days/week in office) at our Salt Lake City, Boise, Portland, Vancouver, Renton, Medford, Burlington, and Lewiston offices. Preference will be given to current employees and candidates who reside within a commutable distance from our Salt Lake City, Boise, and Lewiston offices or who are willing to relocate.

Provider Reimbursement Systems Analyst Sr:

Hybrid role (3 days/week in office) at our Salt Lake City, Boise, Fargo, Portland, Vancouver, Renton, Medford, Burlington, and Lewiston offices. Preference will be given to current employees and candidates who reside within a commutable distance from our Salt Lake City, Boise, Fargo and Lewiston offices or who are willing to relocate.

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 team of Provider Reimbursement Systems Analysts is living our mission to make health care easier and lives better. As a member of the Tech Services team, our Provider Reimbursement Systems Analysts support, maintain, and enhance existing systems while developing, configuring, and delivering new solutions in direct alignment with Cambia Core Strategies and Key Initiatives – all in service of creating an economically sustainable health care system.  

Do you have a knack for solving complex problems and translating technical concepts into clear, actionable solutions? Do you thrive in a fast-paced environment where analytical thinking and cross-functional collaboration drive meaningful results? Then this role may be the perfect fit. 

What You Bring to Cambia: 

Qualifications:  

Provider Reimbursement Systems Analyst:

• College degree in Computer Sciences, Mathematics, Business Administration, or a related field; may be substituted by sufficient years of healthcare industry experience

• Minimum 1 year of experience in business requirements definition, process modeling, functional systems design, configuration, and/or acceptance testing

• Experience in a supported business area required (e.g., Provider Network and Contract Management, Digital Solutions, Pricing, Membership, Claims)

Provider Reimbursement Systems Analyst Sr:

• College degree in Computer Sciences, Mathematics, Business Administration, or a related field; may be substituted by sufficient years of healthcare industry experience

• Minimum 3 years of experience in business requirements definition, process modeling, functional systems design, configuration, and/or acceptance testing

• Experience in a supported business area required

Skills and Attributes: 

• Demonstrated ability to develop functional requirements, facilitate system configuration decisions, and perform system testing with clear reporting of results

• Strong analytical and problem-solving skills with a proven ability to manage and tolerate ambiguity

• Ability to facilitate effective communication between technical and business staff to identify optimal solutions for project requirements

• Proven written and verbal communication skills; clear, concise, and adaptable across audiences

• Ability to work both collaboratively in a team environment and independently with self-motivation

• Experience with AI tools and technologies to enhance productivity and decision-making is highly desired 

Additional Qualifications for Senior Level:

• Ability to work independently or with minimal supervision, including providing guidance and answering questions from Level I team members

• Demonstrated competency in one or more supported business areas (e.g., claims processing, membership, product configuration, enrollment, eligibility)

• Ability to develop detailed functional requirements, perform system testing, facilitate configuration decisions, and report progress for project management purposes within established deadlines

• Advanced SQL knowledge and report-writing capabilities with a solid understanding of the software development lifecycle from conception to delivery

What You Will Do at Cambia:  

• Accountable for functional system design, configuration, and the review and approval of data flows, technical specifications, and functional system requirements

• Write and execute ad-hoc reports, queries, and scripts that move or update data to replicate online functionality

• Conduct unit, user acceptance, end-to-end, and regression testing for fixes, enhancements, and system upgrades

• Perform post-implementation quality assurance, troubleshooting, issue resolution, and sustainment support for systems and processes

• Respond to customer inquiries regarding system functionality, modifications, and issue resolution status

• Assist in training and communicating system changes to end-users and other impacted staff

• Schedule, organize, and prioritize work while serving as a liaison between business areas and DTS counterparts

Additional Responsibilities for Senior Level:

• Assist in the development of Business Analysts

• Back up Lead BSA as required

• Perform in a project leadership role

• Assist with project or production support duties as directed by leadership or a Project Manager

• Proficient in writing SQL and understanding software lifecycles; makes recommendations on process and technology changes to support business team efficiencies

• Supports new technology to improve business processes (e.g., Talend, Tableau, APIs)

• Accountable for communicating software changes to front-line staff, management, and consumers of those systems

Provider Reimbursement Systems Analyst:

• Oregon, Utah, and Idaho: The expected hiring range is $66,500 - $85,500, the full salary range is $59,000 - $97,000, and the bonus target is 10%.

• Washington: The expected hiring range is $31.60 - $40.95 an hour, the full hourly range is $27.60 - $46.30 an hour, and the bonus target is 10%.

Provider Reimbursement Systems Analyst Sr:

• Oregon, Washington, Utah, and Idaho: The expected hiring range is $89,000 - $114,000, the full salary range is $79,000 - $129,000, and the bonus target is 10%.

• North Dakota: The full salary range is $72,523 - $119,663.

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?

At Cambia, you can:  

• Work alongside diverse teams building cutting-edge solutions to transform health care.  
• Earn a competitive salary and enjoy generous benefits while doing work that changes lives.  
• Grow your career with a company committed to helping you succeed. 
• Give back to your community by participating in Cambia-supported outreach programs.  
• Connect with colleagues who share similar interests and backgrounds through our employee resource groups.  

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: 

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits. 
• Annual employer contribution to a health savings account.  
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays. 
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period). 
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave). 
• Award-winning wellness programs that reward you for participation. 
• Employee Assistance Fund for those in need. 
• Commute and parking benefits. 

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.

As part of our security requirements, new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees.