Mgr Risk Management Business Team
for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections if posting has real specific content. We need to parse the posting. Job title: Manager – Risk Adjustment Business Team Hybrid role (3 days/week in office) at our Salt Lake City, Boise, Fargo, Portland, Vancouver, Renton, Medford, Burlington, 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. We should not repeat job title as heading. We can include location info maybe in a short
under About the role? The instruction: "Do NOT repeat the job title as a heading (the page already shows it) and do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short
or drop it." So we can include location and hybrid info in a paragraph. Now sections: - About the role: we have description: "Every day, Cambia’s dedicated Risk Management Business Team Manager is living our mission to make health care easier and lives better. As a member of the Risk Adjustment team, our Risk Management Business Team Manager is responsible for complying with CMS mandates to submit Enrollment, Medical Claim and Pharmacy Claim data for Reinsurance and Risk Adjustment programs. Leads a team dedicated to extracting required information from the source systems into a staging area, performing validation checks based on CMS Edge Server Business Rules, and submitting correct data to the Edge Server via a translation process. – all in service of creating a person-focused health care experience. Do you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit." That's prose; we can put in
. - Responsibilities: The "What You Will Do At Cambia" bullet list. We need to extract list items. The text: "Corroborates closely with the IT, compliance, legal, revenue management, claims, enrollment, product teams and other departments to maximize and maintain submission measurementsHelps oversee RADV audits, submits data in a timely manner and prepares executive reports.Develops medical underwriting rules for the Risk Management business system which accurately reflect the rating strategy and drive achievement of company revenue targets.Directs business projects and is responsible for the development and delivery of project performance criteria and objectives.Ensures day-to-day operations are appropriately supported by the Risk Management business team, identifying issues and recommending solutions. Develops and reviews business policies, processes and practices to ensure seamless coordination with the Risk Management business team. Develops, implements and monitors audit processes to ensure accurate utilization of the Edge Server system by assigned users. Responsible for training materials and delivery.Regularly interacts with the IT team, identifying issues and partnering on resolutions to ensure the data submission system is functioning accurately.Responsible for staff development, performance conversations, performance coaching and retention activities. Regularly communicates departmental and organizational goals and objectives to staff.Develops and maintains departmental policies and procedures and assures adherence to departmental standards and practices.Oversees the data submission system and ensures it is functioning accurately." These are sentences concatenated without punctuation. We need to split into list items. Likely each sentence is a responsibility. We'll separate by periods. Let's parse: 1. Corroborates closely with the IT, compliance, legal, revenue management, claims, enrollment, product teams and other departments to maximize and maintain submission measurements 2. Helps oversee RADV audits, submits data in a timely manner and prepares executive reports 3. Develops medical underwriting rules for the Risk Management business system which accurately reflect the rating strategy and drive achievement of company revenue targets 4. Directs business projects and is responsible for the development and delivery of project performance criteria and objectives 5. Ensures day-to-day operations are appropriately supported by the Risk Management business team, identifying issues and recommending solutions 6. Develops and reviews business policies, processes and practices to ensure seamless coordination with the Risk Management business team 7. Develops, implements and monitors audit processes to ensure accurate utilization of the Edge Server system by assigned users 8. Responsible for training materials and delivery 9. Regularly interacts with the IT team, identifying issues and partnering on resolutions to ensure the data submission system is functioning accurately 10. Responsible for staff development, performance conversations, performance coaching and retention activities 11. Regularly communicates departmental and organizational goals and objectives to staff 12. Develops and maintains departmental policies and procedures and assures adherence to departmental standards and practices 13. Oversees the data submission system and ensures it is functioning accurately We'll output
- for each.
- Qualifications: The "Qualifications What You Bring to Cambia:" includes Bachelor’s degree in Business, Data Analysis or other related field and 10 years’ experience with data analysis, process modeling or equivalent combination of education and experience.
We can put as
or list? It's a qualification. Could be a
. The instruction: Use
- for any list of duties/requirements/benefits. Qualifications could be considered requirements; but we have a separate Requirements section maybe. We have Qualifications and Skills sections. The posting has "Qualifications What You Bring to Cambia:" then "Skills And Attributes". So we can treat Qualifications as a section with
containing the degree and experience. Or we could make a list but it's just one sentence. Use
. - Skills And Attributes: list of skills. We need to extract each skill as list item. The text: "Strong analytical skills including the ability to analyze complex data and situations, learn quickly and synthesize corresponding solutions, options and action plans.Ability to understand, translate and communicate complex ideas and situations to a wide variety of audiences.Excellent research and problem solving skills including the ability to determine action steps and remediation actions to resolve issues.Strong knowledge of risk adjustment systems and processes. Demonstrated experience in business areas, working with business requirements, documentation and data systems.Strong knowledge of project management processes and practices including experience leading large, complex initiatives.Knowledge of medical terminology and procedure coding.Ability to communicate effectively verbally and in writing with all levels of staff.Ability to develop and lead a team including: hiring, goal setting, motivating, coaching and staff development.Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired" We need to split by periods. Let's parse: 1. Strong analytical skills including the ability to analyze complex data and situations, learn quickly and synthesize corresponding solutions, options and action plans 2. Ability to understand, translate and communicate complex ideas and situations to a wide variety of audiences 3. Excellent research and problem solving skills including the ability to determine action steps and remediation actions to resolve issues 4. Strong knowledge of risk adjustment systems and processes 5. Demonstrated experience in business areas, working with business requirements, documentation and data systems 6. Strong knowledge of project management processes and practices including experience leading large, complex initiatives 7. Knowledge of medical terminology and procedure coding 8. Ability to communicate effectively verbally and in writing with all levels of staff 9. Ability to develop and lead a team including: hiring, goal setting, motivating, coaching and staff development 10. Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired We'll output
- . - Benefits: The posting includes a Benefits section with bullet points: "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." We need to list each as
- . Also there is a line: "Learn More About Our Benefits." That's likely a link; we can ignore as boilerplate? It's not substantive? Might be considered navigation; but it's part of benefits description. Probably we can ignore as it's just a call to action. We'll keep the substantive bullet points.
Also there is mention: "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." This is more about remote work requirements; could be considered part of Work Environment or Benefits? Not exactly benefits. Might be considered part of Work Environment. But we have no specific Work Environment heading requirement; we could include a section "Work Environment" if we want, but instruction says use headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. It didn't list Work Environment. So we should not create extra headings. We could fold that info into About the role or maybe into a paragraph under About the role. However, the instruction: "Prefer a few substantive sections over many thin ones." So we might omit that detail if not fitting into allowed headings. But we must preserve ALL substantive information; we cannot drop info. However we can incorporate into existing sections like About the role (which already has prose). We can add a sentence about remote work requirements. That seems acceptable.
Also there is Pay info: "Oregon, Washington, Utah, and Idaho: The expected hiring range is $111,400.00 – $150,700.00, the full salary range is $104,000.00 – $171,000.00 and the bonus target is 17% North Dakota: The full salary range is 101,444 – 167,383 and the bonus target is 15%." This is Pay info. So we need a Pay section with
Pay
and include that info inor maybe list. We'll put in
. Schedule: The posting mentions hybrid role (3 days/week in office). That's schedule info. So we need a Schedule section with
Schedule
and include that info. Also there is location info: "Manager – Risk Adjustment Business Team Hybrid role (3 days/week in office) at our Salt Lake City, Boise, Fargo, Portland, Vancouver, Renton, Medford, Burlington, 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." This is location/preference. Could be part of About the role or maybe a separate section? Not in allowed headings. We'll fold into About the role paragraph. Now we need to remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. At the end there is EEO statement, background check, accommodation, privacy policy. We'll drop those. Now construct HTML: We'll start with afor location/hybrid info maybe as part of About the role? Actually About the role heading will have prose that includes the mission etc. We can add location/hybrid info as a separate
before About the role? But instruction: "Use
for section headings ... Use
- for any list of duties/requirements/benefits. Qualifications could be considered requirements; but we have a separate Requirements section maybe. We have Qualifications and Skills sections. The posting has "Qualifications What You Bring to Cambia:" then "Skills And Attributes". So we can treat Qualifications as a section with