Cambia Health Solutions
We are dedicated to making the health care experience simpler, better and more affordable for people and their families.
Performance Integrity Analyst I
Location
Idaho + 3 moreAll locations: Idaho, Oregon, Utah, Washington
Posted
19 days ago
Salary
$20 - $30 / hour
High School2 yrs expEnglish
Job Description
• 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.
