Risk Adjustment Campaign Associate Hybrid role(3days/weekin office)atourPortland, Medford ... Work alongside diverse teams building cutting-edge solutions to transform health care. * Earn a ...
Risk Adjustment Campaign Associate Hybrid role(3days/weekin office)atourPortland, Medford ... Work alongside diverse teams building cutting-edge solutions to transform health care. * Earn a ...
Quality Assurance Risk Adjustment Auditor I/II
Salt Lake City, UT · On-site
$69K - $94K/yr
Risk Adjustment Auditor I or II Hybrid role (3 days/week in office) at our Portland, Medford, Boise ... Work alongside diverse teams building cutting-edge solutions to transform health care. * Earn a ...
Quality Assurance Risk Adjustment Auditor I/II
Salt Lake City, UT · On-site
$69K - $94K/yr
Risk Adjustment Auditor I or II Hybrid role (3 days/week in office) at our Portland, Medford, Boise ... Work alongside diverse teams building cutting-edge solutions to transform health care. * Earn a ...
Risk Adjustment Auditor I or II Hybrid role(3days/weekin office)atourPortland, Medford, Boise ... Demonstrated analytical ability to identify problems, develop solutions, and implement actions in a ...
Risk Adjustment Auditor I or II Hybrid role(3days/weekin office)atourPortland, Medford, Boise ... Demonstrated analytical ability to identify problems, develop solutions, and implement actions in a ...
Direct experience selling risk adjustment, coding, CDI, quality, value-based care, population health, or related analytics solutions is strongly preferred. * Experience with the risk adjustment and ...
Direct experience selling risk adjustment, coding, CDI, quality, value-based care, population health, or related analytics solutions is strongly preferred. * Experience with the risk adjustment and ...
Manager, IT Solution Delivery (Clinical Data Exchange & Epic Payer Platform)
Salt Lake City, UT · On-site
Electronic Prior Authorization (ePA), Quality Care Gaps, Risk Adjustment (HCCs) HEDIS, FHIR ... Solutions, Data Warehousing (DW), Enterprise Data, Information Technology (IT), Information ...
Manager, IT Solution Delivery (Clinical Data Exchange & Epic Payer Platform)
Salt Lake City, UT · On-site
Electronic Prior Authorization (ePA), Quality Care Gaps, Risk Adjustment (HCCs) HEDIS, FHIR ... Solutions, Data Warehousing (DW), Enterprise Data, Information Technology (IT), Information ...
... risk to schedule, budget, and safety. Utility coordination becomes more complex as utility density ... drive solutions (avoidance, protection in place, adjustment, relocation) with the design team and ...
... risk to schedule, budget, and safety. Utility coordination becomes more complex as utility density ... drive solutions (avoidance, protection in place, adjustment, relocation) with the design team and ...
... risk to schedule, budget, and safety. Utility coordination becomes more complex as utility density ... drive solutions (avoidance, protection in place, adjustment, relocation) with the design team and ...
... risk to schedule, budget, and safety. Utility coordination becomes more complex as utility density ... drive solutions (avoidance, protection in place, adjustment, relocation) with the design team and ...
Default Solutions Specialist- HiFi Collections
Salt Lake City, UT · On-site
$37K - $44K/yr
Researches and analyzes past bankruptcy loan history identifying necessary adjustments that ensure ... Ensures compliance with risk management programs, rules and regulations, and cybersecurity ...
Default Solutions Specialist- HiFi Collections
Salt Lake City, UT · On-site
$37K - $44K/yr
Researches and analyzes past bankruptcy loan history identifying necessary adjustments that ensure ... Ensures compliance with risk management programs, rules and regulations, and cybersecurity ...
Crypto Trade Support Associate
South Jordan, UT · On-site
$16.25 - $21/hr
The role safeguards client experience and firm risk by executing well-defined procedures ... Background in Trade Support disciplines (e.g., trade adjustments, reconciliations, money movement ...
Crypto Trade Support Associate
South Jordan, UT · On-site
$16.25 - $21/hr
The role safeguards client experience and firm risk by executing well-defined procedures ... Background in Trade Support disciplines (e.g., trade adjustments, reconciliations, money movement ...
Annual merit and adjustment cycles * Incentive and bonus program design (aligned with GOST and ... Champion digital HR solutions that improve efficiency, scalability, and employee experience
Annual merit and adjustment cycles * Incentive and bonus program design (aligned with GOST and ... Champion digital HR solutions that improve efficiency, scalability, and employee experience
Annual merit and adjustment cycles * Incentive and bonus program design (aligned with GOST and ... Champion digital HR solutions that improve efficiency, scalability, and employee experience
Annual merit and adjustment cycles * Incentive and bonus program design (aligned with GOST and ... Champion digital HR solutions that improve efficiency, scalability, and employee experience
Annual merit and adjustment cycles * Incentive and bonus program design (aligned with GOST and ... Champion digital HR solutions that improve efficiency, scalability, and employee experience
Quick apply
Annual merit and adjustment cycles * Incentive and bonus program design (aligned with GOST and ... Champion digital HR solutions that improve efficiency, scalability, and employee experience
Annual merit and adjustment cycles * Incentive and bonus program design (aligned with GOST and ... Champion digital HR solutions that improve efficiency, scalability, and employee experience
Annual merit and adjustment cycles * Incentive and bonus program design (aligned with GOST and ... Champion digital HR solutions that improve efficiency, scalability, and employee experience
Our innovative solutions support providers in treating addiction, eating disorders and many other ... Manage escalations involving financial risk or reimbursement delays, collaborating with Tier III or ...
Our innovative solutions support providers in treating addiction, eating disorders and many other ... Manage escalations involving financial risk or reimbursement delays, collaborating with Tier III or ...
Domain Tech Lead - Infrastructure Patching Automation (Mainframe & AS/400)
Salt Lake City, UT · Hybrid
... solutions that reduce manual effort and risk, and serve as a trusted technical advisor to ... Drive PI planning, backlog prioritization, and sprint-level adjustments with engineering throughput ...
Domain Tech Lead - Infrastructure Patching Automation (Mainframe & AS/400)
Salt Lake City, UT · Hybrid
... solutions that reduce manual effort and risk, and serve as a trusted technical advisor to ... Drive PI planning, backlog prioritization, and sprint-level adjustments with engineering throughput ...
Digital Banking Manager
Pleasant Grove, UT · On-site
$81K - $122K/yr
Implement workflow, staffing, or process adjustments to improve service delivery. * Review service ... Payment Solutions services. * Drive process improvements, operational efficiency, and risk ...
Digital Banking Manager
Pleasant Grove, UT · On-site
$81K - $122K/yr
Implement workflow, staffing, or process adjustments to improve service delivery. * Review service ... Payment Solutions services. * Drive process improvements, operational efficiency, and risk ...
Implement workflow, staffing, or process adjustments to improve service delivery. * Review service ... Payment Solutions services. * Drive process improvements, operational efficiency, and risk ...
Implement workflow, staffing, or process adjustments to improve service delivery. * Review service ... Payment Solutions services. * Drive process improvements, operational efficiency, and risk ...
Conduct comprehensive schedule-risk assessments and devise mitigation strategies that influence ... solutions that enhance reporting methods, data integrity, and decision support. * Serve as senior ...
Conduct comprehensive schedule-risk assessments and devise mitigation strategies that influence ... solutions that enhance reporting methods, data integrity, and decision support. * Serve as senior ...
Conduct comprehensive schedule-risk assessments and devise mitigation strategies that influence ... solutions that enhance reporting methods, data integrity, and decision support. * Serve as senior ...
Conduct comprehensive schedule-risk assessments and devise mitigation strategies that influence ... solutions that enhance reporting methods, data integrity, and decision support. * Serve as senior ...
We are acknowledged as experts at delivering solutions that exceed specifications, limit risk, and ... procedures, adjustment methods, certification processes, formulas, or measuring instruments ...
We are acknowledged as experts at delivering solutions that exceed specifications, limit risk, and ... procedures, adjustment methods, certification processes, formulas, or measuring instruments ...
Hueman Risk Adjustment Solutions information
What are some typical challenges faced by professionals working in risk adjustment solutions at Hueman, and how can they be addressed?
What is the difference between Hueman Risk Adjustment Solutions vs Medical Coding Specialist?
| Aspect | Hueman Risk Adjustment Solutions | Medical Coding Specialist |
|---|---|---|
| Credentials | Certifications in risk adjustment, coding, or related fields | Certified Professional Coder (CPC), CCS, or equivalent |
| Work Environment | Consulting, healthcare analytics, risk adjustment programs | Hospitals, clinics, insurance companies |
| Industry Usage | Health plan risk management, analytics firms | Medical billing, coding departments |
Hueman Risk Adjustment Solutions focuses on optimizing risk adjustment processes through analytics and consulting, while Medical Coding Specialists handle the accurate coding of medical records. Both roles require coding certifications but differ in scope and work environment, with Hueman primarily providing strategic solutions and Medical Coding Specialists executing coding tasks within healthcare facilities.
What is Hueman Risk Adjustment Solutions?
What are the key skills and qualifications needed to thrive as a risk adjustment specialist at Hueman Risk Adjustment Solutions?
Risk Adjustment Campaign Associate (Risk Adjustment Coordinator)
Salt Lake City, UT • Hybrid
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 20 days ago
Cambia Health Solutions rating
8.4
Based on 32 frontline employees who took The Breakroom Quiz
117th of 301 rated insurance
Job description
Hybrid role(3days/weekin office)atourPortland, Medford, Burlington, Vancouver, Renton, Boise, Lewiston, Spokane or Salt Lake Cityoffices. Candidates must reside within commutable distance of that location.
Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.
Who We Are Looking For:
Every day, Cambia's dedicated team of Risk Adjustment Campaign Associate is living our mission to make health care easier and lives better. As a member of the Risk Adjustment team, our Risk Adjustment Campaign Associate works with the Risk Adjustment operations team on on-going activities related to Medicare Advantage and Commercial risk adjustment campaigns. Working under the direction of the Manager of Campaign Execution and alongside other cross functional teams, the campaign associate is responsible for day to day operations and performance of risk adjustment campaigns. The Risk Adjustment Campaign Associate is also responsible for internal EMR medical record retrieval for all Risk Adjustment campaigns - all in service of creating a person-focused health care experience.
Do you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
Risk Adjustment Campaign Associate would have a 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.
Required Licenses, Certifications, Registration, Etc.
Certificate or training in Project Management a plus
CPC and CRC certification a plus
Skills and Attributes:
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).
Knowledge of Facets, PIMS, and claims processes is preferred.
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.
Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired
What You Will Do at Cambia:
Monitors daily vendor performance against project schedule.
Supports the preparation of project reports and presentation of information to management, project teams, and client/customer groups.
Monitors project documentation for compliance with standards.
Develops and maintains the overall project documentation library ensuring that all documentation is established, maintained and retained as necessary in project databases.
Applies continuous quality improvement techniques and methodologies to all facets of job responsibility.
May plan and manage small, well-defined projects or sub-projects under the general direction of more senior project managers.
May retrieve medical records for MA and ACA campaigns through internal EMR access based on production goals set by the manager of Risk Adjustment Campaigns.
Work Environment
Work is primarily performed in an office or remote work environment.
Travel may be required, either locally or out of state.
Oregon, Washington, Utah, and Idaho:The expected hiring range is$62,900.00 - $85,100.00, the full salary range is$59,000.00 - $97,000.00and the bonus target is5%.
About Cambia
Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.
Why Join the Cambia Team?
At Cambia, you can:
- Work alongside diverse teams building cutting-edge solutions to transform health care.
- Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
- Grow your career with a company committed to helping you succeed.
- Give back to your community by participating in Cambia-supported outreach programs.
- Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
We believe a career at Cambia is more than just a paycheck - and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.
In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:
- Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
- Annual employer contribution to a health savings account.
- Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
- Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
- Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
- Award-winning wellness programs that reward you for participation.
- Employee Assistance Fund for those in need.
- Commute and parking benefits.
Learn more about our benefits.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
As part of our security requirements, new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees.
We are an Equal Opportunity employer dedicated to 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 CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.
What Cambia Health Solutions employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Cambia Health Solutions
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Portland, OR, US
Year founded
1996