Performance Integrity Analyst I, II, or III DOE

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?

• 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.

Responsibilities

• Audit claims, enrollment, or customer service activities for accuracy and timeliness according to audit policies, procedures, and mandated guidelines.
• Encourage team and individual contributions toward the company's quality initiatives in improvement efforts.
• Participate in team efforts to develop or update department standards.
• Provide feedback on the department's performance in reaching service and performance level goals.
• Remain continuously current on changes and/or additions to all other applicable departments' policies, procedures, and guidelines.
• Thoroughly investigate problems.
• Identify and report inconsistencies or ambiguities in manuals, policies, and guidelines.
• Compile performance statistics and identify potential trends.
• Generate reports.
• Participate in testing implemented system changes.

Requirements

• Four years of experience in Claims, Membership, or Customer Service, depending on current business need, or an equivalent combination of education and job-related experience.
• Audit experience desirable.

Skills

• Ability to understand and apply mathematical concepts.
• Demonstrated proficient PC skills and familiarity with corporate software, such as Word, Excel, and Outlook.
• Knowledge of claims coding, BlueCard, membership and customer service processes, applicable systems including pricing, and provider contract language.
• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired.

Benefits

• 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 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.

Pay

Pay ranges vary based on the candidate's work location, skills, experience, education, training, relevant licensure/certifications, and performance history.

• Performance Integrity Analyst I
  • Oregon, Washington, Utah, and Idaho: The expected hiring range is $20.50 - $30.80 an hour, the full salary range is $19.20 - $34.90 an hour, and the bonus target is 5%.
  • North Dakota: The expected hiring range is $22.46 - $30.83 an hour, and the full salary range is $20.32 - $32.51 an hour.
• Performance Integrity Analyst II
  • Oregon, Washington, Utah, and Idaho: The expected hiring range is $23.00 - $33.90 an hour, the full salary range is $21.60 - $38.40 an hour, and the bonus target is 5%.
  • North Dakota: The expected hiring range is $24.30 - $32.88 an hour, and the full salary range is $22.00 - $35.19 an hour.
• Performance Integrity Analyst III
  • Oregon, Washington, Utah, and Idaho: The expected hiring range is $25.90 - $37.30 an hour, the full salary range is $24.40 - $42.20 an hour, and the bonus target is 5%.
  • North Dakota: The expected hiring range is $26.42 - $35.74 an hour, and the full salary range is $23.91 - $38.25 an hour.