Integrity Analyst

Performance Integrity Analyst I

Work from home within Oregon, Washington, Idaho or Utah

to create a person-focused and economically sustainable health care system.

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Every day, Cambia's dedicated Performance Integrity Analyst I are living our mission to make health care easier and lives better. As a member of the Data Analyst team, our 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, 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.

• Two years of experience as a Claim processor or an equivalent combination of education and job-related experience, depending on current business needs

• 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, and applicable systems including Facets, eVIPS, and Radar
• 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
• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired

• Audit claims for accuracy according to audit policies, procedures, and guidelines while encouraging team and individual contributions toward the company's quality initiatives and improvement efforts.
• Participate in team efforts to develop or update department standards and 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 and 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.

Remote. The expected hiring range for a Performance Integrity Analyst I is $20.50 - $30.80 an hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 5%. The current full salary range for this role is $19.20 - $34.90 an hour.

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.

• 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.

• 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…