Hybrid Pricing & Reimbursement Analyst I/II

Cambia Health Solutions, Inc.; Tacoma (WA); Hybrid; USD 59,000 - 90,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Health savings account contributions

Paid time off and holidays

Retirement plan with company match

Parental leave (up to 12 weeks)

Work-from-home options

Job summary

Cambia Health Solutions, Inc. seeks a Pricing and Reimbursement Analyst I or II to manage contract payments and reimbursement rates for providers across regions. Hybrid role with in-office days at multiple locations; strong data skills and healthcare experience preferred.

You will analyze contracts, price methodology, and supporting systems to ensure accurate payments and timely updates. Collaboration across departments and leadership in projects will be key to success.

Qualifications

• Bachelor’s degree in business or related field; 2+ years healthcare exp. or equivalent.
• 3+ years claims processing exp. with knowledge of reimbursement methods.

Responsibilities

• Collaborate with Provider Services, Network Management, and operations to ensure negotiated payments are implemented correctly.
• Load and maintain rates in system files to price professional and facility claims.
• Research and implement provider reimbursement methodologies; develop new strategies.

Skills

Provider contracts

Pricing methodologies

SQL query development

Excel

Microsoft Word

Education

Bachelor's degree in business or related field

Tools

SQL

Excel

Word

Access

Job description

Cambia Health Solutions, Inc. seeks a Pricing and Reimbursement Analyst I or II to manage contract payments and reimbursement rates for providers across regions. Hybrid role with in-office days at multiple locations; strong data skills and healthcare experience preferred.

You will analyze contracts, price methodology, and supporting systems to ensure accurate payments and timely updates. Collaboration across departments and leadership in projects will be key to success.