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Cambia Health Solutions logo
Cambia Health Solutions

Cambia Health Solutions is a nonprofit organization dedicated to changing healthcare through a “person-focused and economically sustainable system.” As an e

Performance Integrity Analyst I

Location

Idaho + 3 moreAll locations: Idaho | Oregon | Utah | Washington

Posted

120 days ago

Salary

$20 - $30 / hour

Seniority

Mid Level

High School2 yrs expEnglish

Job Description

Performance Integrity Analyst I

Cambia Health Solutions

• Audit claims for accuracy according to audit policies, procedures, and guidelines while encouraging team and individual contributions toward the company's quality initiatives and improvement efforts. • Participate in team efforts to develop or update department standards and provide feedback on 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 and 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.

Job Requirements

  • Two years of experience as a Claim processor or an equivalent combination of education and job-related experience, depending on current business needs.
  • 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, and applicable systems including Facets, eVIPS, and Radar.
  • Audit experience desirable.
  • Ability to organize and prioritize work.
  • Must be detail-oriented and self-motivated.
  • Must be able to communicate effectively both orally and in writing.
  • 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.

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