Risk Adjustment Campaign Associate - Hybrid Role

Cambia Health Solutions; Lewiston (ID); Hybrid; USD 62,900 - 85,100; Full time

Benefits offered by this job

Health benefits

Paid time off

Retirement plan

Parental leave

Wellness programs

Employee Assistance Fund

Commute support

Job summary

Cambia Health Solutions is seeking a Risk Adjustment Campaign Associate to support Medicare Advantage and Commercial campaigns. The role includes monitoring vendor performance, preparing reports, and maintaining project documentation to ensure compliance and quality.

The position is hybrid with multiple office locations and some travel, requiring an ability to work with EMR data and SOWs while coordinating across teams to meet production goals.

Qualifications

• 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 healthcare) or equivalent education and experience.
• Certificate or training in Project Management (a plus).
• CPC and CRC certification (a plus).

Responsibilities

• Monitor daily vendor performance against project schedule.
• Support preparation of project reports and presentation of information to management, project teams, and client/customer groups.
• Monitor project documentation for compliance with standards.
• Develop and maintain the overall project documentation library ensuring that all documentation is established, maintained and retained as necessary in project databases.
• Apply 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.

Skills

Vendor management

Microsoft Office

Analytical thinking

Project management

SOW interpretation

Contracts knowledge

SLA monitoring

Communication skills

AI tools familiarity

Education

Bachelor's degree

PM certification

Tools

Facets

PIMS

EMR systems

Job description

Cambia Health Solutions is seeking a Risk Adjustment Campaign Associate to support Medicare Advantage and Commercial campaigns. The role includes monitoring vendor performance, preparing reports, and maintaining project documentation to ensure compliance and quality.

The position is hybrid with multiple office locations and some travel, requiring an ability to work with EMR data and SOWs while coordinating across teams to meet production goals.