Cambia Health Solutions

Provider Reimbursement Systems Analyst or Sr DOE

Cambia Health Solutions • $79K — $129K *
Portland, OR 97229In-Person
Healthcare
Less than 5 years of experience
Today
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Job Overview by Ladders

Qualifications

  • College degree in Computer Sciences, Mathematics, Business Administration, or related field (or equivalent healthcare industry experience)
  • 1+ years of relevant experience for Analyst role; 3+ years for Senior role
  • Experience in business requirements definition, process modeling, functional systems design, configuration, and/or testing
  • Understanding of supported business areas like Provider Network, Claims, or Membership
  • Strong analytical and problem-solving abilities; proficient in ambiguity management

Responsibilities

  • Develop functional system designs, configurations, and approve technical specifications
  • Write and execute ad-hoc reports, queries, and scripts
  • Conduct various testing types: unit, user acceptance, end-to-end, and regression
  • Perform quality assurance, troubleshooting, and system support post-implementation
  • Handle customer inquiries regarding system functionalities and resolutions
  • Assist in end-user training on system changes
  • Prioritize and organize work while liaising between business areas and IT counterparts

Benefits

  • Hybrid work model (3 days/week in the office)
  • Supportive environment for professional growth and development
  • Encouraged use of AI tools and technologies
  • Emphasis on collaboration and teamwork
  • Location preference given to nearby candidates
Full Job Description
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.

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 Health Solutions

Cambia Health Solutions is a nonprofit healthcare company that provides health insurance, healthcare services, and technology solutions to individuals and organizations. The company was founded in 1917 and is headquartered in Portland, Oregon. Cambia Health Solutions operates in several states, including Oregon, Washington, Idaho, and Utah. The company's subsidiaries include Regence BlueCross BlueShield, BridgeSpan Health, and Asuris Northwest Health. Cambia Health Solutions is committed to improving the health and well-being of its members, and has received numerous awards for its innovative solutions.
Learn more about Cambia Health Solutions
Size
5,000 employees
Industry
Healthcare
Founded
1996
* Ladders Estimates

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