Computer/Internet Salary in Tacoma, WA

Job Summary Serves as TriWest's primary representative to the Military and Veterans' Services Administration (VA) healthcare facilities within a specified geographic area relating to TriWest contracted services for the VA Community Care Network (CCN) and the Department of Defense (DoD) TRICARE West Region managed care support contract. The incumbent will perform account management services and be responsible for building collaborative relationships with, resolving issues for, and identifying optimization opportunities to improve the experience of the supported healthcare facilities and respective staffs, network providers, and VA and DoD healthcare beneficiaries within their assigned service area of responsibility. The incumbent serves as the primary point-of-contact (POC) for bringing the collective TriWest corporate functions together in support of the facilities, contracted provider network, and beneficiary community support needs. The position reports to the assigned Vice President in the Military and Veteran's Services organization.Education & Experience Required: • Bachelor's degree in Health Care Administration, Business, or related field • 7 years of middle to senior management experience, with increasing responsibility • 3+ years of recent healthcare experience • Strong customer service orientation Preferred: • Master's degree in Health Care Administration, Business, or related field • Knowledge of the business relationships between health plans and network providers, health plan beneficiaries/members, and managing contract performance matters • Prior experience and management-level work in VA healthcare, MTFs, and TRICARE • Managed Care experience and working with contract performance requirementsKey Responsibilities• Develops and maintains a clear understanding of TriWest's contracted responsibilities and performance requirements of the VA's Community Care Network and the DoD's TRICARE West Region managed care support contract. Maintains ongoing communications and functions as the primary TriWest POC for the assigned medical facility leadership and their staffs regarding services and support provided by TriWest departments. Meets with medical facility leadership on a monthly basis to gauge ongoing support, adjust to capabilities and capacity changes, prepare for contingencies, identify issues and challenges, and assess other ongoing needs. • Educates medical facility staff regarding TriWest processes and systems and provides direct support and assistance to them regarding business plan development and updates. • Develops proposals for improved healthcare delivery and care coordination between the medical facilities healthcare system, and community healthcare. • Supports the integration of referral management, medical management, provider services, and claims with the provider network.• Develops, monitors compliance, initiates changes as needed, and annually reviews the Memorandum of Understanding (MOU) and Statement of Responsibility, if required, with each DoD medical facility in their assigned regional area of responsibility. • Oversees beneficiary education activities and supervises and supports the Beneficiary Education and Services Representative(s) within their assigned regional area of responsibility. • Plans and facilitates TriWest participation and response to MTF contingency exercises. Prepares reports as needed to provide description, assessment, and lessons learned per contract requirements. • Maintains liaison with State Adjutants General, National Guard and Reserve Commanders and their organizational and medical staff within the assigned regional area of responsibility as well as the National Oceanic Atmospheric Administration (NOAA) Public Health Service regarding the provision of TRICARE education and services support. • Maintains liaison with Special Operations Commands, their Command Surgeons and key medical staff within each command to gain early awareness of upcoming deployments or redeployments to identify any wounded, ill, or injured service members who need expedited facilitation of their healthcare needs, and to identify any special family medical support requirements. • The incumbent will alert relevant TriWest staff regarding any immediate or ongoing specific medical needs of Special Operations commands and any specific administrative support needs (behavioral health issues, authorizations, claims, or other specialized referrals). The incumbent will also establish and maintain liaison with key representative of Special Operations family support groups and other organizations/foundations dedicated to support Special Operations. • Performs other duties as assigned. • Regular and reliable attendance is required.• Monitors, evaluates, and advises leadership regarding TriWest's performance of customer service, contract requirements and the quality and effectiveness of integrated operations between the direct care system and provider network. • Serves as a member of the TRICARE Readiness, Integration, and Delivery (TRIAD) team and as TriWest's primary representative to medical facility leadership and their staffs and the TRICARE beneficiary communities within a specified geographic Service Area. • Functions as an advisor to medical facility leadership regarding updates for network adequacy, to the MTF Capability and Capacity Tool, and how TriWest may assist in supporting the medical facility staff Knowledge Skills and Abilities (KSAs) and optimization objectives and to identify any upcoming changes that may require adjustments to the network, as appropriate. If changes are required, the incumbent will work with medical facility leadership and TW staff to update KSAs in the TriWest MTF Optimization Toolset's Capability and Capacity table. • Collaborates with medical facility leadership, and applicable Coast Guard, Special Operations Forces, and/or National Guard leadership to establish communication channels that facilitate improved treatment planning or escalation of care when needed.CompetenciesCommunication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate. Computer Literacy: Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications. Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach is required. Creativity / Innovation: Ability to develop unique and novel solutions to problems; view change as necessary. Empathy / Customer Service: Customer-focused behavior; helping approach, including listening skills, patience, respect, and empathy for another's position. Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Information Management: Ability to manage large amounts of complex information easily, communicate clearly, and draw sound conclusions. High Intensity Environment: Ability to function in a fast-paced environment with multiple activities occurring simultaneously while maintaining focus and control of workflow. Leadership: Successfully manage different styles of employees; provide clear direction and effective coaching. Problem Solving / Analysis: Ability to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues. Team-Building / Team Player: Influence the actions and opinions of others in a positive direction and build group commitment. Working ConditionsWorking Conditions: • Availability to work non-regular hours as necessary • Remote work with frequent travel required • Department of Defense security clearance requiredCompany Overview Taking Care of Our Nation's Heroes. It's Who We Are. It's What We Do. Do you have a passion for serving those who served? Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve! Our job is to make sure that America's heroes get connected to health care in the community. At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996.BenefitsWe're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes: Medical, Dental and Vision Coverage Generous paid time off 401(k) Retirement Savings Plan (with matching) Short-term and long-term disability, basic life, and accidental death and dismemberment insurance Tuition reimbursement Paid volunteer time *Annual base salary for Colorado and Washington State residents: $143,000 - $159,000 depending on experience*Equal Employment OpportunityTriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that cultivates and supports diversity at every organizational level, including hiring and retaining a diverse workforce, and we highly encourages candidates from all backgrounds to apply. Applicants are considered for positions without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.

What you'll do atYou play a major role in how our customers feel when they leave the store. You might be the first, last, and sometimes only associate a customer interacts with. That's why it's so important to smile, greet, and thank every customer. You are an ambassador of Walmart.The pace can be intense, especially in the evenings, weekends, and holiday seasons. There are times when you must juggle several tasks in a short amount of time while helping customers: scan items, explain a price, bag items properly, count cash back, and keep your area clean--you get the idea! It takes a special person who is positive, can multi-task and has a passion for customer service and helping others.At Walmart, we offer competitive pay as well as performance-based incentive awards and other great benefits for a happier mind, body, and wallet. Health benefits include medical, vision and dental coverage. Financial benefits include 401(k), stock purchase and company-paid life insurance. Paid time off benefits include parental leave, family care leave, bereavement, jury duty, and voting. Other benefits include short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more.You will also receive PTO and/or PPTO that can be used for vacation, sick leave, holidays, or other purposes. The amount you receive depends on your job classification and length of employment. It will meet or exceed the requirements of paid sick leave laws, where applicable. For information about PTO, see https://one.walmart.com/notices.Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high school completion to bachelor's degrees, including English Language Learning and short-form certificates. Tuition, books, and fees are completely paid for by Walmart.Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to a specific plan or program terms. For information about benefits and eligibility, see One.Walmart.com.The hourly wage range for this position is $17.00 to $26.00.*The actual hourly rate will equal or exceed the required minimum wage applicable to the job location.Additional compensation includes annual or quarterly performance incentives.Additional compensation in the form of premiums may be paid in amounts ranging from $0.35 per hour to $3.00 per hour in specific circumstances. Premiums may be based on schedule, facility, season, or specific work performed. Multiple premiums may apply if applicable criteria are met. Duties and Responsibilities CashierSmile, greet, and thank customers with a positive attitudeStand for long periods of time while checking out customers quickly and accuratelyKeep your area clean and presentableAnswer customer questions and help them with their needsBe available to assist associates across the store as neededCart and JanitorialEnsure customers have a great first and last impressionGather carts from the parking lotOperate equipment to move carts from the parking lot to inside the storeClean restrooms, salesfloor, and parking lot as neededHave a positive attitude in all weather conditions#storejobs About WalmartAt Walmart, we help people save money so they can live better. This mission serves as the foundation for every decision we make, from responsible sourcing to sustainability-and everything in between. As a Walmart associate, you will play an integral role in shaping the future of retail, tech, merchandising, finance and hundreds of other industries-all while affecting the lives of millions of customers all over the world. Here, your work makes an impact every day. What are you waiting for?Walmart, Inc. is an Equal Opportunity Employer- By Choice. We believe we are best equipped to help our associates, customers, and the communities we serve live better when we really know them. That means understanding, respecting, and valuing diversity- unique styles, experiences, identities, abilities, ideas and opinions- while being inclusive of all people.All the benefits you need for you and your family Multiple health plan options, including vision & dental plans for you & dependents Financial benefits including 401(k), stock purchase plans, life insurance and more Associate discounts in-store and online Education assistance for Associate and dependents Parental Leave Pay during military service Paid Time off - to include vacation, sick, parental Short-term and long-term disability for when you can't work because of injury, illness, or childbirth Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific plan or program terms. For information about benefits and eligibility, see One.Walmart.com/Benefits.Frequently asked questions On average, how long does it take to fill out an application?On average, it takes 45-60 minutes to complete your application for the first time. Subsequent applications will take less time to apply as our system saves some of your application information. Please note that some positions require the completion of assessments in order to receive consideration for that role. Those would take additional time. Can I change my application after submitting?No, you cannot change your application after submitting, so please make sure that everything is finalized before you hit the submit button. How do you protect my personal information?Processing of information on paper is minimal, and Walmart processes application information using an applicant tracking system (ATS). Access to the data within the ATS is restricted to authorized personnel, and the system itself is held to high security standards by Walmart. What are the recommended Internet Browsers for applying for open roles?Internet Explorer 8.0+Firefox 4.0+Safari 4.0+Chrome 12+

Ipsen USA is the industry leader for versatile heat treatment systems and advanced process technology. Our advanced equipment is developed for Aerospace, Automotive, Energy, Medical, Tool & Die, and other various industries across the globe.Ipsen International IncDescription: Ipsen is a drug free workplaceWe Offer:Day 1 BenefitsGenerous 401k MatchPaid Time OffBonus OpportunitySummary:Plans and coordinates assignments as directed by the Regional Service Manager, this shall include installation and startup of new Customer equipment, upgrading existing equipment, troubleshooting technical problems, preforming scheduled maintenance and calibration services. Must be able to establish good working relationships with customers through positive results and to promote other service and part offerings on existing equipment including our ability to work on Brand X equipment eliminating future operational or service difficulties.Essential Duties and Responsibilities include the following. Other duties may be Assigned at Managements discretion.Installs and starts up new equipment, or modifies existing equipment at customer's facility to ensure proper operational functionality according to the equipment specification, and scope of work outlined in the Sales Order or Field Service work instruction.Provides on-site technical assistance to help repair equipment, reviews equipment reports and documentation from the customer and other field representative's to aid in trouble-shooting equipment faults. Then tests and inspects equipment to determine root cause of the malfunction.Analyzes results and makes a recommendation for repair or replacement of faulty components, or other corrective actions.Coordinates problem solving activities through central support structure including, Tech Support, AMS Parts group, engineering, or customer service managers, to expedite required repairs.Maintains records of customer site visits, and detail service reports of work performed on equipment. Reports are directed to the RSM and service administrator on a weekly basis.Analyzes reports of technical problems to determine trends of faulty designs, (design, production, service, maintenance processes) and makes recommends for modifications to eliminate reoccurring problems.Provides a communication link between the Customer and the RSM to ensure that expedient and quality service is provided to the customer.Upon assignment of new projects, the FSE will reviews project scope of supply and the budget allowance and work within the allocated parameters. If an issue arises they must be reported to the RSM immediately.During slow or open time, the FSE engineer will schedule courtesy customer visits to inspect equipment and advise customers to any potential service needs.Develops and conducts customer training on the equipment in a safe manor covering both the equipment and related components.Demonstrates advanced concepts while promoting an environment that encourages questions and involvement for trainees, team members and customers.Works with FSE to train on required skillsets by: utilizing training handouts or bulletins based on field investigations, engineering changes, and overall knowledge of products and company offerings. When possible, shadowing to accomplish on the job execution of training activities.Utilizes any open or indirect time to prioritize any potential training with the FSE.Works with RSM and FSE to schedule any open time for continuous training via shadow on job training.Competencies:To perform the job successfully, an individual should demonstrate the following competencies:Design - Generates creative solutions; Translates concepts and information into images; Uses feedback to modify designs; Applies design principles; Demonstrates attention to detail.Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.Project Management - Develops project plans; Communicates changes and progress; Completes projects on time and budget.Technical Skills - Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills;Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions.Judgment - Supports and explains reasoning for decisions; Makes timely decisions.Planning/Organizing - Uses time efficiently; Organizes or schedules other people and their tasks.Professionalism - Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Follows through on commitments.Quality - Demonstrates accuracy and thoroughness; Applies feedback to improve performance.Safety and Security - Observes safety and security procedures; Determines appropriate action beyond guidelines; Reports potentially unsafe conditions; Uses equipment and materials properly.Attendance/Punctuality - Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals.; Completes tasks on time or notifies appropriate person with an alternate plan.Mentor Training- Demonstrates Strong technical and training knowledge as it relates to guiding new hires through the various SOW they will be expected to support, conducts training of FSE with respect and patience.Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.Education and/or Experience: High School Diploma or GED equivalent required. Two year college or Tech School; or two to four years related experience and/or training; or equivalent combination of education and experience.Language Skills Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public. Mathematical Skills Ability to calculate figures and amounts, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry, service area, volume and pressures. Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situationswhere only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Computer Skills To perform this job successfully, an individual should have basic knowledge of Database software; Internet software; and Spreadsheet software, and Enhanced knowledge of PLC programs, RS Logics and Wonderware. Electrical Skills Ability to install troubleshoot and repair simple and complex electrical circuits. Ability to document changes to an electrical circuits and ability to read Electrical drawings. Mechanical Skills Has skills required to oversee and conduct installation of complex equipment as well as troubleshoot and repair using the correct tools necessary to prevent damage to personnel or equipment. Ability to perform PM work on pumps, motors and valves.Other Qualifications Must have a current, valid driver's license and service automobile insurance coverage as stated in the Ipsen Travel Policy. Position required travel up to 90% of time, mostly domestic with occasional international.Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel and talk or hear. The employee is frequently required to reach with hands and arms. The employee is occasionally required to sit; climb or balance; stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds, frequently lift and/or move up to 50 pounds and occasionally lift and/or move up to 100 pounds. Work Environment Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.Requirements:PI239224802

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.

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.

Data Analyst (Employer Consulting Associate or Analyst)The position can be located within our four Cambia states - OR, WA, ID or UTThe Employer Consulting Associate or Analyst is responsible for using knowledge of healthcare interventions and data to deliver actionable information to our employer groups. In partnership with Regence, employer groups use the data to improve health care outcomes for Regence members. Performs data-mining, prepares analytic presentations and provides consulting services to implement innovative solutions.Responsibilities: Perform 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. Minimum Requirements:Experience with analytical / statistical programming tools for data extraction and summarization, statistics, and analysis (SAS, SQL, SPSS, R, STATA, MatLab, 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.Normally to be proficient in the competencies listed above Employer Consulting Associate would have a BA/BS degree (or equivalent experience) in social science, public health, economics, statistics, actuarial science or mathematics and 2 years of related work experience or equivalent combination of education and experience. Master's degree preferred.Employer Consulting Analyst would have a BA/BS degree (or equivalent experience) in social science, public health, economics, statistics, actuarial science or mathematics and 4 years of related work experience or equivalent combination of education and experience. Master's degree or PhD preferred.The position is multiple level and will depend on experience.The expected hiring range for a Consulting Research Associate II is $74,800.00 - $101,200.00 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 $70,000.00 to $115,000.00.#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.

Care Management Nurse (Future Opportunities) Remote within WA, OR, ID, UT. Candidates outside of these states will not be considered.Primary Job Purpose The Care Management Nurse provides clinical care management (such as case management, disease management, and/or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. 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. **Please note this role is a candidate pool, and we are always looking for top talent. We do not always have open positions but we encourage you to submit your resume so you will be considered for all open roles as they become available.**General Functions and Outcomes 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 above Care Management Nurse would have a/an Associate or Bachelor's Degree in Nursing or related field 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 licensure or certification, in a state or territory of the United States, in a health or human services discipline that allows the professional to conduct an assessment independently as permitted within the scope of practice for the discipline (e.g. medical vs. behavioral health) and at least 3 years (or full time equivalent) of direct clinical careMust have at least one of the following: Certification as a case manager from the URAC-approved list of certifications; or Bachelor's degree (or higher) in a health or human services-related field (psychiatric RN or Master's degree in Behavioral Health preferred for behavioral health care management); or Registered nurse (RN) license (must have a current unrestricted RN license for medical care management)#LI-RemoteThe expected hiring range for a Care Management Nurse is $38.00 - $41.50 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.

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.

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.