Temporary Risk Adjustment Campaign Associate

Job not on LinkedIn

🔥 7 minutes ago

🥔 Idaho, Oregon, +2 more states – Remote

🥔 Idaho – Remote 🌲 Oregon – Remote ⛷️ Utah – Remote ☕ Washington – Remote

💵 $42 - $51 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🎲 Risk

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Cambia Health Solutions

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • Healthcare Insurance • Non-profit

Cambia Health Solutions is a nonprofit, mission-driven healthcare company based in Portland, Oregon, that operates consumer-focused health care and health insurance businesses and invests in health innovation. It serves as the parent organization for the Regence family of health plans and runs initiatives and subsidiaries focused on improving care delivery, providing insurance products, and developing digital health tools and services.

📋 Description

• Work with the Risk Adjustment operations team on ongoing activities related to Medicare Advantage and Commercial risk adjustment campaigns • Perform day-to-day operations and performance management of risk adjustment campaigns under the direction of the Manager of Campaign Execution • Conduct internal EMR medical record retrieval for all Risk Adjustment campaigns • Monitor daily vendor performance against project schedule • Support preparation of project reports and presentation of information to management, project teams, and client/customer groups • Monitor project documentation for compliance with standards • Develop and maintain the overall project documentation library, ensuring documentation is established, maintained, and retained in project databases • Apply continuous quality improvement techniques and methodologies • Plan and manage small, well-defined projects or sub-projects under general direction of senior project managers • Retrieve medical records for MA and ACA campaigns through internal EMR access based on production goals

🎯 Requirements

• Bachelor's Degree in business, project management, healthcare, or related field and at least 2 years of experience in a project support role, preferably within health care, or equivalent combination of education and experience • Ability to manage small, less complex projects with minimum supervision • Experience with Microsoft Office suite of tools • Demonstrated analytical and problem-solving skills • Experience in project management methods and techniques • Ability to interpret service provider contracts and statements of work (SOW) • Ability to track and monitor service provider performance and delivery quality against service level agreements (SLAs) • Ability to communicate effectively, verbally and in writing, with all levels of leadership • Knowledge of Facets, PIMS, and claims processes is preferred • Background check required • Access to a personal mobile device for Multi-Factor Authentication (MFA) • Wired internet connection that is not satellite or cellular, with minimum upload speed of 5Mb and minimum download speed of 10 Mb, for work-from-home option

🏖️ Benefits

• Work from home options for most roles • Competitive salary • Generous benefits (not applicable to this temporary non-benefited assignment) • Career growth and development opportunities • Cambia-supported community outreach programs • Employee resource groups • Wired internet connection requirements for work-from-home option • Personal mobile device access for Multi-Factor Authentication