Provider Reimbursement Systems Analyst or Sr DOE

Provider Reimbursement Systems Analyst or Sr DOEProvider Reimbursement Systems Analyst:

Hybrid role (3 days/week in office) at our Salt Lake City, Boise, Portland, Vancouver, Renton, Medford, Burlington, and Lewiston offices. Preference will be given to current employees and candidates who reside within a commutable distance from our Salt Lake City, Boise, and Lewiston offices or who are willing to relocate.

Provider Reimbursement Systems Analyst Sr:

Hybrid role (3 days/week in office) at our Salt Lake City, Boise, Fargo, Portland, Vancouver, Renton, Medford, Burlington, and Lewiston offices. Preference will be given to current employees and candidates who reside within a commutable distance from our Salt Lake City, Boise, Fargo and Lewiston offices or who are willing to relocate.

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 Provider Reimbursement Systems Analysts is living our mission to make health care easier and lives better. As a member of the Tech Services team, our Provider Reimbursement Systems Analysts support, maintain, and enhance existing systems while developing, configuring, and delivering new solutions in direct alignment with Cambia Core Strategies and Key Initiatives – all in service of creating an economically sustainable health care system.

Do you have a knack for solving complex problems and translating technical concepts into clear, actionable solutions? Do you thrive in a fast-paced environment where analytical thinking and cross-functional collaboration drive meaningful results? Then this role may be the perfect fit. What You Bring to Cambia:

Qualifications:

Provider Reimbursement Systems Analyst:

College degree in Computer Sciences, Mathematics, Business Administration, or a related field; may be substituted by sufficient years of healthcare industry experience

Minimum 1 year of experience in business requirements definition, process modeling, functional systems design, configuration, and/or acceptance testing

Experience in a supported business area required (e.g., Provider Network and Contract Management, Digital Solutions, Pricing, Membership, Claims)
Provider Reimbursement Systems Analyst Sr:

College degree in Computer Sciences, Mathematics, Business Administration, or a related field; may be substituted by sufficient years of healthcare industry experience

Minimum 3 years of experience in business requirements definition, process modeling, functional systems design, configuration, and/or acceptance testing

Experience in a supported business area required

Skills and Attributes:
Demonstrated ability to develop functional requirements, facilitate system configuration decisions, and perform system testing with clear reporting of results

Strong analytical and problem-solving skills with a proven ability to manage and tolerate ambiguity

Ability to facilitate effective communication between technical and business staff to identify optimal solutions for project requirements

Proven written and verbal communication skills; clear, concise, and adaptable across audiences

Ability to work both collaboratively in a team environment and independently with self-motivation

Experience with AI tools and technologies to enhance productivity and decision-making is highly desired

Additional Qualifications for Senior Level:Ability to work independently or with minimal supervision, including providing guidance and answering questions from Level I team members

Demonstrated competency in one or more supported business areas (e.g., claims processing, membership, product configuration, enrollment, eligibility)
Ability to develop detailed functional requirements, perform system testing, facilitate configuration decisions, and report progress for project management purposes within established deadlines

Advanced SQL knowledge and report-writing capabilities with a solid understanding of the software development lifecycle from conception to delivery

What You Will Do at Cambia:  Accountable for functional system design, configuration, and the review and approval of data flows, technical specifications, and functional system requirements

Write and execute ad-hoc reports, queries, and scripts that move or update data to replicate online functionality

Conduct unit, user acceptance, end-to-end, and regression testing for fixes, enhancements, and system upgrades

Perform post-implementation quality assurance,…