Salary in Coeur D'alene, ID

Discover an exceptional opportunity to join a team working at a locally owned and comprehensive optometric office. Actively seeking a dedicated full-time optometrist associate to join the team! Offering a wide range of optometric services, covering routine and medical examinations. Great work-life balance offered with 4.5 day work week and no weekends! Expect competitive compensation, a retirement plan, health insurance, and much more. Don't miss this opportunity to be part of our thriving practice! The city offers a delightful blend of scenic beauty and a strong sense of community. Located in the beautiful Pacific Northwest, residents enjoy stunning views and outdoor recreational opportunities. With its friendly atmosphere and convenient amenities, the city provides a welcoming and serene environment to call home. The Coeur d’Alene area is surrounded by dozens of lakes left behind by the glaciers from the ice age. There are more than 55 lakes within easy driving distance of Coeur d’Alene, including the scenic Lake Coeur d’Alene itself offering countless ways to enjoy.For more information on this or other opportunities nationwide, contact or visit us at theeyegroup.com. We exclusively recruit for optometry and ophthalmology practices at no cost to those seeking a job. All inquiries are strictly confidential.

Behavioral Health Care Management ClinicianRemote within OR, WA, UT, or ID. Candidates outside of these states will not be consideredAre you a Licensed Behavioral Health Professional that is passionate about making a difference? In this position, you would provide clinical care management to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. You would oversees a collaborative process with the member and those involved in the member's care to assess, plan, implement, coordinate, monitor and evaluate care as needed.Responsibilities Responsible for essential activities of case management including assessment, planning, implementation, coordination, monitoring and evaluation. Assessment: collection of in-depth information about a member's situation and functioning to identify individual needs. Planning: identification of specific objectives, goals, and actions designed to meet the member's needs as identified in the assessment.Implementation: execution of the specific case management activities that will lead to accomplishing the goals set forth in the plan.Coordination: organization, securing, integrating and modifying resources. Monitoring: gathering sufficient information to determine the plan's effectiveness and the evaluation phase should determine the effectiveness of reaching the desired outcomes. Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity guidelines, and accepted standards of care. Utilizes evidence-based criteria that incorporates current and validated clinical research findings. Practices within the scope of their license.Consults with physician advisors to ensure clinically appropriate determinations.Serves as a resource to internal and external customers.Collaborates with other departments to resolve claims, quality of care, member or provider issues. Identifies problems or needed changes, recommends resolution, and participates in quality improvement efforts.Responds in writing or by phone to members, providers and regulatory organizations in a professional manner while protecting confidentiality of sensitive documents and issues.Provides consistent and accurate documentation.Plans, organizes and prioritizes assignments to comply with performance standards, corporate goals, and established timelines.Minimum Requirements Knowledge of health insurance industry trends, technology and contractual arrangements.General computer skills (including use of Microsoft Office, Outlook, internet search). Familiarity with health care documentation systems.Strong oral, written and interpersonal communication and customer service skills.Ability to interpret policies and procedures, make decisions, and communicate complex topics effectively.Strong organization and time management skills with the ability to manage workload independently.Ability to think critically and make decision within individual role and responsibility.Normally to be proficient in the competencies listed aboveBehavioral Health Clinical Manager would have a Master's Degree in Behavioral Health Discipline and 3 years of case management, utilization management, disease management, or behavioral health case management experience or equivalent combination of education and experience. Required Licenses, Certifications, Registration, Etc.Must have 3 years direct behavioral Health clinical experience as an independently licensed Master's level Behavioral Health Clinician (no associate or interns) in one of the areas of Psychology, Counselling, Social Work, or Marriage and Family Therapy (LICSW, LCSW, LMHC, LPC and LMFT). Clinical License must be unrestricted and current in state of residence.#LI-RemoteThe expected hiring range for a Behavioral Health Care Management Clinician is $42.00 - $44.00 an hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 10%. The current full salary range for this role is $33.80 - $55.00 an hour. Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:medical, dental, and vision coverage for employees and their eligible family membersannual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)paid time off varying by role and tenure in addition to 10 company holidaysup to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)one-time furniture and equipment allowance for employees working from homeup to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.

Performance Integrity Analyst I - ClaimsRemote within WA, OR, ID and UTOnsite is available to those who reside near one of our office locations within our 4 state region.Facets knowledge is strongly encouraged.Primary Job Purpose:The Performance Integrity Analyst will examine and validate Plan and employee performance according to established policies, procedures and mandated audit guidelines. Monitor accuracy and timeliness of claims, membership and customer service to meet performance and service level goals. Provide reports, feedback and recommendations for quality improvement to management.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 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.Minimum Requirements:Four years experience in Claims, Membership or Customer Service, depending on current business need, or equivalent combination of education and job-related experience.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. 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.A written test may be administered. #LI-remoteWork Environment:Work overtime and on weekends due to fluctuating workload.Duties performed in a fast-paced office environment.Sitting and keying for extended periods of time.#LI-remoteThe starting base pay for the Performance Integrity Analyst is $20.00 - $28.00 an hour, depending on experience and candidates geographic location. The annual incentive payment target for this position is 5%.At Cambia, we take a variety of factors into account when creating a job offer, including your skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. While we offer competitive salaries, in general, we do not hire candidates at or near the top of the pay range. Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:medical, dental, and vision coverage for employees and their eligible family membersannual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)paid time off varying by role and tenure in addition to 10 company holidaysup to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)one-time furniture and equipment allowance for employees working from homeup to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.

Clinical Program CoordinatorRemote in ID, OR, WA, UTPrimary Job PurposeResponsible for partnering with clinical stakeholders to develop, execute, evaluate and maintain clinical programs and strategies to support cost containment and clinical quality improvements. Performs project management, team leadership, system analysis, research & design for purposes of project completion. Guides and assists in clinical program outreach, maintains policy/procedures, monitors and reports out on program outcomes, coordinates with other departments to achieve program goals, and assists in vendor management and oversight. General Functions and OutcomesProvides ownership of existing clinical programs, including but not limited to: acting subject matter expert for each assigned program, maintenance of program policies procedures, monitoring program processes and outcomes, program execution, and making data-driven decisions to grow and adapt programs to business needs.Helps provide support and intervention on a variety of clinical programs.Analyzes metrics to ensure programs are on target.Evaluates, documents and manages clinical product offerings on a regular basis to maintain a competitive product portfolio with strong ROI.Provides consultative expertise for strategic partners, plan leadership, purchasers, and other Health Plan stakeholders as needed.Performs team leadership as part of project management responsibilities. Makes task assignments to project team members and monitors compliance with all project due dates and facilitates communication about current clinical programs.Interacts, coordinates, and communicates with all levels of management, internal and external customers such as clients, business partners and outside consultants in order to ensure effective use of systems and processes, provide project updates, and ensure coordination of activities.Partners with clinical stakeholders and vendors to accomplish program goals.Minimum RequirementsKnowledge and understanding of health insurance, benefit design, clinical products and services.Knowledge of claims processing systems. Facets knowledge preferred.Ability to coordinate activities with all levels of staff and external business partners through clear and concise verbal and written communication skills.Demonstrated analytical ability to identify problems, develop solutions and implement a chosen course of action.Ability to organize, plan, prioritize and manage multiple projects within time constraints.Ability to work well under pressure.Demonstrated ability to use MS Office products and other corporate software as required.Normally to be proficient in the competencies listed aboveClinical Program Coordinator would have a bachelor's degree and 3-5 years of experience in the health care industry or equivalent combination of education and experience. Project management experience and clinical degree or certification preferred.#LI-RemoteThe expected hiring range for a Clinical Program Coordinator is $61,200 ($68k WA) - $82,800 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 10%. The current full salary range for this role is $57,000 ($68k WA) - $94,000. Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:medical, dental, and vision coverage for employees and their eligible family membersannual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)paid time off varying by role and tenure in addition to 10 company holidaysup to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)one-time furniture and equipment allowance for employees working from homeup to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.

AD SALES OPERATIONS (HEALTHCARE)Telecommute option - Must reside in ID, OR, UT or WAWHO WE NEEDOversees all activities pertaining to the development, implementation and management of Sales Operations support across all four Regence markets. This management position is responsible for work with all levels of staff and management throughout Cambia, to clearly define strategies, plans, tactics and timelines for multidimensional operations and projects affecting Sales. Preferred Key Experience:Strategic business acumen including understanding of market dynamics, financial/budget management, data analysis and decision makingExperienced communication, presentation and facilitation skills with employer groups, brokers preferredNormally to be proficient in the competencies listed belowAssistant Director Sales Operations candidate would have:Bachelor's degree in business administration, health administration or equivalent field10 years of management experience in member operations, business services role, strategic projects Management experienceOr equivalent combination of education and experience.FTE's Supervised:Up to 100 multi location. (Front line thru manager)YOUR ROLE:Knowledge of practices, procedures, regulations & techniques as they relate to sales, sales operations, group implementation for all group lines of business quoting, new group onboarding, renewal, and mid-year maintenance.Comprehensive knowledge of the health insurance field, including sales processes, terminology, strategic development, cost analysis, and financial reportingDemonstrated ability to perform in-depth analysis; manage complex, multifaceted projects; manage processes across multiple organizational layers while communicating ideas and directions clearly and achieving desired results. Demonstrated ability to organize and manage back-office sales and operational functions. Thorough knowledge of the interrelationships between departments and systems within Cambia.Knowledge of health insurance industry operations, trends, and technologyGeneral business acumen including understanding of market dynamics, financial/budget management, data analysis and decision making.Excellent writing, communication, and facilitation skills with all levels of the organization, including the ability to resolve issues and build consensus among groups of diverse stakeholders.Strong communication, presentation and facilitation skills with employer groups, brokers, and the ability to act as a sales advocate including the ability to resolve client and broker issues.Ability to identify issues, opportunities, and effective solutions and collaborate with other departments to improve processes and/or results.Ability to anticipate future trends accurately while maintaining broad knowledge and perspective on projects.Demonstrated expertise in strategic and tactical project planning and project management, including ability to develop and managed detailed project plans and timelines.Proven leadership skills with the ability to direct the activities of others on a direct or matrix team basis.WHAT YOU BRING:Provides oversight & direction to ensure timely and accurate delivery of group setup and enrollment transactional processing of small, mid, and large group onboarding and maintenance to include processing quotes, RFP's, implantation of all new groups, facilitation, tracking and processing of all renewing groups. This oversight includes end to end channel from quote to benefit documents and ID card generation.Ensures timely and accurate receipt of final paperwork for new and renewing groups, assignment of Group ID, member ID cards generation, facilitation of ordering and tracking of benefit document materials, SOC's, SBC's, SBS's, benefit booklets and group policy documents.Responsible for the activities performed by the Sales Operations department to assure onboarding performance goals are met including productivity, accuracy, timeliness and quality of service to our members and business partners.Provides direction, support and leadership for the Producer/Employer Service Center providing support to employer and brokers for small/mid-size groups. Strong technical skills in the production control, reporting development, requirements development for integration of seamless tools into health plan.Responsibility to direct and manage onboarding projects from visionary concept through final stages of development, implementation, and review.Facilitate the planning, development and implementation of key operational strategies and projects.Oversees project development and implementation activity including coordination with all internally affected departments and external partners, clients, or vendors.Ensure that all projects are in compliance with all applicable laws and regulations.Provides executive level onboarding reporting, monitors enrollment results, and analyzes the movement of membership to support corporate management decisions relating to product development, market strategy, broker incentives, and product- or segment-communications strategies.Provides direction for critical on-boarding functions which may include research, software training, enrollment forecasting, project management, analysis, systems, and budgeting.Provides performance reporting and training on Sales specific systems such as the proposal system or customer relationship management system. This includes sales & broker compensation programs.Coordinates with Strategic Communications, Product Development and outside vendors the testing, maintenance, and update functions of on-line applications for or all market communication tools and web sites.Works directly with Senior Executives to provide enrollment analysis or summary of project results which may include presentations in leadership meetings to present onboarding status reporting.The expected target hiring range for this position is $120k-$150k depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15%. The current full salary range for AD Sales Ops is $112k Low / $141k MRP/ $184k High .Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:medical, dental, and vision coverage for employees and their eligible family membersannual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)paid time off varying by role and tenure in addition to 10 company holidaysup to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)one-time furniture and equipment allowance for employees working from homeup to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.

Associate General Counsel I-IIWork Remotely from Oregon, Washington, Idaho or UtahPrimary Job PurposeThe Associate General Counsel is responsible for providing legal advice and counsel to all divisions within the corporation and its subsidiaries and affiliates to contribute effectively toward accomplishment of corporate objectives. There are two separate Associate General Counsel positions-one newly created position and one that is open. The primary focus of the first position includes supporting the drafting of agreements with employer group clients, along with handling legal inquiries related to commercial health plan products and services. A key responsibility of this position is interpreting federal laws/regulations that apply to health insurance issuers and health plans, such as the Affordable Care Act, COBRA, and ERISA. The primary focus of the second position includes supporting a busy and active strategic sourcing department and reviewing and drafting complex commercial contracts for multiple entities within a mature insurance holding system. Successful candidates will also bring a collaborative approach to solving legal, regulatory, and contractual challenges while striving toward health care innovation and corporate strategic goals.General Functions and OutcomesAdvises officers and employees on general corporate legal mattersResponds to requests from various divisions of the corporation and its subsidiaries and affiliates dealing with corporate legal matters.Ensures that legal documents and contracts are legally sufficient, complete, well written and understandable.Assures that the corporation and its subsidiaries and affiliates are adequately represented for legal issues including business policies, contracts and against actual and threatened litigation.Reviews and/or drafts new or modified policies, contracts, and other documents.Makes compromise settlement decisions within authority limits set by the General Counsel or Chief Legal Officer.Develops and maintains professional competence.Selects outside counsel to represent on various matters and may manage outside counsel as well as the legal issue.Performs other legal, administrative or management functions as directed by General Counsels or Chief Legal Officer.Minimum RequirementsDemonstrated knowledge of laws pertaining to health plans and health insurance.Demonstrated knowledge of state and federal corporate and insurance regulations and compliance standards.Ability to communicate effectively with all levels of employees, including management staff and officers.Demonstrated ability to provide thorough analysis on legal issues, meet deadlines and follow through on assignments.Demonstrated competency to manage large volumes of information and priorities.Normally to be proficient in the competencies listed aboveAssociate General Counsel must be a graduate of an accredited law school, licensed to practice law in the state where the position is based or ability to become licensed in a reasonable period of time.To be considered for an Associate General Counsel I position, successful candidates will have at least 2 years of experience as an attorney in corporate, government or law firm or equivalent experience which may be satisfied by excellent academic credentials and/or other experience/knowledge that demonstrated required skill set.To be considered for an Associate General Counsel II position, successful candidates will have at least 5 years of experience as an attorney in corporate, government or law firm or equivalent experience which may be satisfied by excellent academic credentials and/or other experience/knowledge that demonstrated required skill set.Required Licenses, Certifications, Registration, Etc.Law Degree and licensed to practice in a relevant jurisdiction or the ability to apply and obtain a full license to practice in the relevant jurisdiction soon after hire.The expected hiring range for a Associate General Counsel I is $109,700.00 - $148,400.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15%. The current full salary range for this role is $103,000.00 to $168,000.00. The expected hiring range for a Associate General Counsel II is $145,400.00 - $196,700.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15%. The current full salary range for this role is $136,000.00 to $223,000.00.#LI-remoteBase pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:medical, dental, and vision coverage for employees and their eligible family membersannual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)paid time off varying by role and tenure in addition to 10 company holidaysup to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)one-time furniture and equipment allowance for employees working from homeup to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.

Senior Data Analyst (Consulting Research Analyst Sr.)Work Remotely from Oregon, Washington, Idaho or UtahPrimary Job PurposeProvides consultation on the design, testing and enhancement of corporate programs. Achieves actionable insights and solutions using analytical and statistical methods, project management and business knowledge. Researches and evaluates programs and outcomes to determine performance against stated objectives. Documents and communicates recommendations and solutions to business partners.Minimum RequirementsCompetencies and Knowledge:For all levelsExperience with analytical / statistical programming tools for data extraction and summarization, statistics, visualization and analysis (Alteryx, SAS, SQL, R, Tableau, etc.). Ability to develop and modify queries to extract large amounts of data for standard and ad-hoc data requests.Experience with pre-processing of data, such as cleansing, aggregating, sorting, and combining data. Ability to combine multiple sources of data.Experience or coursework in advanced analytics such as analytic discovery, descriptive statistics, forecasting, experimental design, statistical inference, or predictive models.Ability to analyze and interpret complex quantitative and qualitative data, independently or as part of a team. Ability to synthesize analytic insights with business questions, literature, judgment, and policy knowledge to develop options, action plans, and solutions for internal business partners.Excellent oral, written, and presentation skills to effectively interface and communicate with customers.Demonstrated ability to facilitate or coordinate activities or projects, including the ability to identify business requirements, resolve issues, and build consensus among groups of diverse stakeholders.Additional Minimum Requirements for Consulting Research AnalystDeeper experience than Consulting Research Analyst Associate in analytical / statistical programming tools and in the ability to extract, summarize, and visualize data for requests. Demonstrated ability to thoroughly and accurately pre-process and combine multiple sources of data.Demonstrated application of advanced analytic skills in one or more areas including analytic discovery, descriptive statistics, forecasting, multivariate modeling, experimental design, statistical inference, or predictive models.Ability to provide analysis and data interpretation in support of strategy development, program implementation, and evaluation. Ability to develop and recommend innovative solutions by synthesizing literature, expert opinion, policy, and analytic insights.Ability to serve as a Cambia resource for current programs and new opportunities by combining business knowledge with program evaluation concepts and methodologies.Ability to present to and communicate with a broad array of internal and external customers, including leadership.Ability to coordinate across teams or functions to drive solutions and to resolve issues in a timely and effective manner. Assists with training and staff development activities.Applies knowledge of healthcare and interventions to improve member experience and achieve cost containment and other corporate objectives. Designs, develops or oversees acceptance testing of new reports, programs, and models. Reviews reports and other deliverables with end customer in mind to ensure outputs meet expectations prior to being put into production.Additional Minimum Requirements for Senior Consulting Research Analyst IExpert level in using analytical / statistical programming tools and querying complex data sources.Demonstrated application of advanced analytic skills to business problems in two or more areas including analytic discovery, descriptive statistics, forecasting, multivariate modeling, experimental design, statistical inference, or predictive models.Proven ability to use analysis and data interpretation to drive strategy development, program implementation, and evaluation. Demonstrated ability to develop and recommend innovative solutions by synthesizing literature, expert opinion, policy, and analytic insights.Demonstrated ability to combine business knowledge with strong knowledge and skills in program evaluation to drive program strategy and achieve business objectives.Proven ability to document business requirements and present complex analytical concepts to business stakeholders, thereby ensuring outcomes and methodologies are understood.Demonstrated strong facilitation skills, including the ability to resolve issues and build consensus among groups of diverse stakeholders.Strong business acumen and knowledge of business goals and objectives that enhance the likelihood of recommending solutions that align with expected outcomes.Applies advanced knowledge of healthcare and interventions to improve member experience and achieve cost containment and other corporate objectives.Leads projects and establishes objectives and timeliness to ensure initiatives are delivered on time and meet customer expectations. May lead company-wide programs and projects. Able to direct the work of other analysts or assist with staff training and development.Demonstrated ability to manage cross-functional team from project ideation, problem identification, analytics design, solution development, program implementation, and project evaluation.Normally to be proficient in the competencies listed above:Senior Consulting Research Analyst I would have a BA/BS degree in social science, public health, economics, statistics, actuarial science or equivalent related field and minimum of 8 years of related work experience or equivalent combination of education and experience. Master's degree or PhD preferred.Required Licenses, Certifications, Registration, Etc.NoneResponsibilitiesFor all levelsPerform complex analyses on programs and initiatives and creates visual representations and summary reports of findings. Develops meaningful dashboards and presentations that use information to inform and influence business activities and strategies.Applies knowledge of state and federal regulatory policies and procedures to program analysis and recommended actions.Extract, sort, cleanse, aggregate and process data from multiple sources, developing queries and reports based on business requirements.Work both independently and as part of a larger team supporting various internal customer groups on identifying business challenges and evaluating solutions to achieve objectives.Collaborate with cross-functional teams to develop business cases, identify business problems and understand desired business outcomes.Completes analysis and applies judgment to derive recommendations for complex challenges and initiatives.Ensures the appropriate identification of root causes through effective use of data analysis tools and techniques.Prepares and presents standard and ad-hoc analysis to business partners that help guide decisions and support results. Additional General Functions & Outcomes for Consulting Research Analyst Perform responsibilities above with an increased degree of independence and self-direction.Provide higher level consultation on findings and recommendations.Works and interacts across the organization with a variety of business units.Additional General Functions & Outcomes for Senior Consulting Research Analyst IPerform responsibilities above with an increased degree of independence and self-direction. Works on projects and analyses that have a broad company impact. Provides higher level analysis, data interpretation, and consultation to drives strategy development, program implementation and analysis.Develops meaningful dashboards and presentations that use information to inform and influence business activities and strategies, including senior leaders.Acts as an analytics, evaluation, or statistics subject matter expert on teams brought working toward the development and execution of strategic initiatives.Serve as mentor for junior members of the team.Work EnvironmentWork primarily performed in corporate and home office environment. Travel may be required, locally or out of state. May be required to work outside of normal hours.The expected hiring range for a Consulting Res Analyst Sr I is $109,700.00 - $148,400.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15%. The current full salary range for this role is $103,000.00 to $168,000.00.#LI-remote Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:medical, dental, and vision coverage for employees and their eligible family membersannual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)paid time off varying by role and tenure in addition to 10 company holidaysup to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)one-time furniture and equipment allowance for employees working from homeup to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.

Clinical Pharmacist ConsultantRemote in ID, OR, WA, UTPrimary Job PurposeProvides clinical pharmacy expertise and applies evidence-based medicine to determine medication coverage. This may include providing coverage recommendations for medications subject to prior authorization, appeals, retrospective claim reviews, and audits based on applicable medication coverage policies, member benefit contracts, and provider contracts. In addition, the pharmacist will serve as a resource regarding clinical, policy, and benefit questions and interventions for other staff, such as medical directors or case managers. May also provide direct outreach to members and providers.This role may also assist in developing and implementing clinical strategies with respect to formulary management, drug utilization management, peer-to-peer conversations, drug education, and/or case management strategies. Advanced responsibilities may include analyzing health care cost information, development of position papers, medication coverage policies, formulary monographs, and cross-functional projects.General Functions and OutcomesResponsible for delivering high quality pharmacy clinical services for Medication Benefit Management.May be responsible for conducting prior authorization reviews and peer-to-peer conversations with external providers.Provide coverage recommendations for medications subject to prior authorization, appeals, retrospective claim reviews, and audits based on applicable medication coverage policies, member benefit contracts, and provider contracts.Provides sound clinical decision-making based on best practice in applying evidence-based medicine process in determining medications that have best value for efficacy and safety.Develops and provides informational materials and correspondences to providers and members to communicate medication coverage choices, comparative effectiveness, and coverage determinations. Provides creative thinking and leadership in accomplishing goals of quality improvement and cost-effective prescription drug programs.Collects, analyzes, interprets, and forecasts health care cost information based on current prescribing patterns based on medication utilization reports.May develop position papers, medication coverage policies, formulary monographs, and formulary coverage recommendations based on critical appraisal of the scientific literature and input from practicing providers.Presents and/or communicates clinical positions on medication analysis in a clear, concise manner. May present formulary and medication coverage considerations to internal and external decision-making bodies such as the Pharmacy and Therapeutics Committee and Medication Policy Group.May identify, develop, implement, and track complex cross-functional programs, projects, and initiatives related to the provision of pharmacy benefits that impact safety, quality, and affordability.May support the execution, development, and maintenance of clinical programs.May empower Case Management to provide comprehensive member support.Minimum RequirementsStrong clinical pharmacy background with ability to demonstrate clinical skills and knowledge in a clinical care setting.Demonstrated success in managing professional relationships in a managed care system, medical group, hospital, pharmacy, or related organizations.Excellent verbal and written communication skills, strong business analytical abilities, and strong project management and coordination abilities. Ability to work independently on long term projects.Strong knowledge of medications, state and federal laws and regulations regarding the practice of pharmacy, and regulation of health care industry practices.Strong knowledge of health care economics, health care/pharmaceutical industry dynamics, and pharmacy/provider service medication reimbursement.Knowledge of health plan and benefit design structures and application, Medicare/CMS regulations and applicability in administering the Medicare Product, and health care coding and payment systems (such as ICD-9, CPT, HCPCS, NDC).Knowledge of compliance related activities, legislative and regulatory activities, health insurance operations, and legal issues.Ability to collaborate as part of cross functional teams, improve clinical programs, enhance processes, and share clinical information.Ability to work independently, prioritize work, meet deadlines, and achieve operational goals.Normally to be proficient in the competencies listed above:Clinical Pharmacist Consultant would have a Bachelor's degree in Pharmacy or Doctor of Pharmacy (PharmD) or related field and 3-5 years of experience in clinical acute care/hospital setting or equivalent combination of education and experience.Required Licenses, Certifications, Registration, Etc.Pharmacy license. Successful completion of a pharmacy residency or advanced degree in health-related field preferred. Must be an active and unrestricted licensed pharmacist in state of practice.#LI-RemoteThe expected hiring range for a Clinical Pharmacist Consultant is $119,900 - $162,200 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15%. The current full salary range for this role is $112,000 - $184,000.Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:medical, dental, and vision coverage for employees and their eligible family membersannual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)paid time off varying by role and tenure in addition to 10 company holidaysup to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)one-time furniture and equipment allowance for employees working from homeup to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.

DATA REPORTING ANALYST - HEDIS (HEALTHCARE)Telecommute Option - Must reside in ID, OR, UT or WAWHO WE NEEDAre you a data-driven decision maker? Do you have a passion for numbers and trends? We're looking for a talented Data Reporting Analyst to join our team!As a Data Reporting Analyst, you'll serve as a data and analytics consultant for our functional business areas. You'll collect and analyze operational and financial data, identify trends, and present findings to business leaders.But that's not all! You'll also assist with forecasting and support evidence-based decision making. Your insights will help us make informed decisions that drive our business forward.If you're a detail-oriented, analytical thinker with a passion for data, we want to hear from you! Apply now and join our team as a Data Reporting Analyst! #DataAnalyst #DataScience #BusinessIntelligence #DecisionMakingPreferred Key Experience:Strong SQL SkillsSSISAlteryxPowerBISmartsheetsNormally to be proficient in the competencies listed belowData Reporting Analyst would have:Bachelor's degree in mathematics, actuarial science, statistics, computer science or related field3 years of related experienceEquivalent combination of education and experience.YOUR ROLE:Provides analytical support to any or all divisions of the organization by mining data, conducting analysis, and interpreting results related to business needs.Develops methodologies and approaches to new tasks and projects through design and development of analytical models and reports.Proactively identify issues and concerns to management.Develops knowledge of health plan operations, health plan data sources and structures, and cost containment strategies.Identifies problems or needed changes, recommends resolution, and participates in quality improvement efforts.WHAT YOU BRING:Keen analytical and problem solving skills.Proven ability to document business requirements.Solid oral and written communication skills.Advanced knowledge of health plan operations, data sources, data structures within business area.Knowledge of data mining tools and methods including server reporting services.Knowledge of analytic programming tools and methods. Proven ability to design and develop reporting tools and dashboards.The expected target hiring range for this position is $68k - $92k depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 10%. The current full salary range for the Data Reporting Analyst is $64k (68k WA) Low Range / $80k MRP / $104k High Range,. Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:medical, dental, and vision coverage for employees and their eligible family membersannual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)paid time off varying by role and tenure in addition to 10 company holidaysup to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)one-time furniture and equipment allowance for employees working from homeup to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.

Administrative Assistant IVPrimary Job PurposeWork Remotely from Oregon, Washington, Idaho or UtahThe Administrative Assistant IV generally provides administrative assistance and secretarial support to directors and above.General Functions and OutcomesMay perform any or all of the following duties:Provides administrative assistance/secretarial support (most of which will be complex and/or of a confidential nature) including typing, transcribing, proofreading and editing of routine and non-routine correspondence, reports and memoranda; screening telephone calls and visitors and providing assistance or resolving inquiries where possible; follow-up; filing; scheduling appointments; opening, sorting, prioritizing and responding to mail; ordering supplies.Records and distributes minutes of meetings.Maintains records of expenses and compiles expense reports.Assists in preparation of or prepares budget and related records.Schedules and maintains calendar of appointments, meetings and travel itineraries and coordinates related arrangements.Composes and/or initiates correspondence, memoranda and reports.Works on special projects, including meetings or conferences, activities, events, mailings, presentations, reports -- some requiring research and compilation of data. May coordinate work and completion of some projects..Provides backup to other administrative assistants or staff as needed.Minimum RequirementsSecretarial certificate or equivalent5 plus years increasingly responsible administrative assistant/secretarial experience (preferably includes 2 years to executive level management) or an equivalent combination of education and experience.Proficiency in Microsoft software applications: Word, Excel, PowerPointStrong interpersonal skillsExcellent business English and grammar skillsBasic mathAbility to make sound independent decisions and use own initiativeUnderstanding of corporate organization and structureWork EnvironmentDuties are performed primarily in an office environment. Some travel may be required.The expected hiring hourly range for a Administrative Assistant IV is $25.33 - $34.27 per hour depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 5%. The current full hourly range for this role is $23.80 to $41.30 per hour. #LI-remoteBase pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:medical, dental, and vision coverage for employees and their eligible family membersannual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)paid time off varying by role and tenure in addition to 10 company holidaysup to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)one-time furniture and equipment allowance for employees working from homeup to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.