Hybrid Provider Reimbursement Systems Analyst - SQL & AI

Cambia Health Solutions; Portland (OR); Hybrid; USD 93,000 - 142,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Health savings account contribution

Generous paid time off

Retirement plan with company match

Parental leave

Wellness programs

Employee Assistance Fund

Commute and parking benefits

Job summary

Cambia Health Solutions is seeking a Provider Reimbursement Systems Analyst to support ongoing systems enhancements and data-driven decisions. The role spans requirements, testing, data workflows, and cross-functional collaboration within the Customer Experience and Operations team in a hybrid setting.

The candidate should bring advanced SQL, strong analytical and communication skills, and experience with Tableau and APIs.

Qualifications

• College degree is desired in Computer Sciences, Mathematics, Business Administration, or related fields. College degree may be substituted by sufficient years of experience in the health care industry
• A minimum of five years' experience in defining and analyzing business requirements, process modeling, functional systems design, or configuration and/or acceptance testing is desired

Responsibilities

• Accountable for functional system design, configuration, and review and approval of high-level data flows, functional and technical specifications, system implementation staging, change control, design alternatives, and functional system requirements
• Conduct unit testing, user acceptance testing, end-to-end testing, and regression testing of fixes, enhancements, and system upgrades, followed by post-implementation quality assurance, troubleshooting, and issue resolution, including monitoring and implementing continuous process and system improvements
• Review, analyze, and resolve sustainment issues associated with systems and/or processes, and develop and implement prudent approach, data migration, and back-up plans for any given update
• Write and execute ad-hoc reports and queries, develop scripts that move or update data to replicate online functionality, and demonstrate proficiency in SQL while making recommendations on process and technology changes to support business efficiencies, including support of new technologies such as Tableau and APIs
• Act as a liaison between business areas and technology partners, communicating software and system changes to front-line colleagues, management, senior leadership, vendors, and other internal Cambia teams, while responding to inquiries regarding system functionality, modification, and status of issue resolution
• Schedule, organize, and prioritize work to ensure timely completion of all assignments, performing in a project and staff leadership role, assisting with project or production support duties as directed, and backing up supervisory colleagues as required
• Assist in the development of Business Analysts and Senior Business Analysts, including training and communication of system changes for end users and other impacted colleagues

Skills

SQL

Analytical thinking

Communication

Teamwork

Requirements analysis

Leadership

Education

College degree in CS/Math/Business

Tools

Tableau

Job description

Cambia Health Solutions is seeking a Provider Reimbursement Systems Analyst to support ongoing systems enhancements and data-driven decisions. The role spans requirements, testing, data workflows, and cross-functional collaboration within the Customer Experience and Operations team in a hybrid setting.

The candidate should bring advanced SQL, strong analytical and communication skills, and experience with Tableau and APIs.