Risk Adjustment Campaign Associate (Risk Adjustment Coordinator)

Cambia Health Solutions; Idaho; Hybrid; USD 62,900 - 85,100; Full time

Benefits offered by this job

Hybrid work model

Health benefits

Parental leave

401(k) plan

Wellness program

Employee assistance

Job summary

Cambia Health Solutions is seeking a Risk Adjustment Campaign Associate to support Medicare Advantage and Commercial risk adjustment campaigns. You will work with the Risk Adjustment operations team on day-to-day activities, assisting with EMR records retrieval and performance tracking to ensure accurate submissions.

In this hybrid role, you’ll collaborate with multiple stakeholders, manage small projects, and leverage AI tools to improve decision-making.

Qualifications

• Bachelor's degree in business, healthcare, or related field with 2+ years in a project support role.
• Experience with healthcare projects and ability to manage small projects.
• Knowledge of project management methods and ability to interpret SOWs and contracts.

Responsibilities

• Monitors daily vendor performance against project schedule.
• Supports preparation of project reports and presentations to management and clients.
• Monitors project documentation for compliance with standards.
• Develops and maintains the project documentation library.
• Applies continuous quality improvement techniques to job responsibilities.
• May plan and manage small projects or sub-projects under senior PMs.
• May retrieve medical records for campaigns based on production goals.

Skills

Project management

Analytics

SOW interpretation

Vendor management

MS Office

Communication

AI tools

SLA tracking

Contracts knowledge

Problem solving

Education

Bachelor's degree

Tools

Facets

PIMS

EMR systems

Job description

Risk Adjustment Campaign Associate

Hybrid role (3 days/week in office) at our Portland, Medford, Burlington, Vancouver, Renton, Boise, Lewiston, Spokane or Salt Lake City offices. Candidates must reside within commutable distance of that location.

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

Every day, Cambia’s dedicated team of Risk Adjustment Campaign Associate is living our mission to make health care easier and lives better. As a member of the Risk Adjustment team, our Risk Adjustment Campaign Associate works with the Risk Adjustment operations team on on-going activities related to Medicare Advantage and Commercial risk adjustment campaigns. Working under the direction of the Manager of Campaign Execution and alongside other cross functional teams, the campaign associate is responsible for day to day operations and performance of risk adjustment campaigns. The Risk Adjustment Campaign Associate is also responsible for internal EMR medical record retrieval for all Risk Adjustment campaigns - all in service of creating a person-focused health care experience.

Qualifications

What You Bring to Cambia:

Risk Adjustment Campaign Associate would have a 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 health care), or equivalent combination of education and experience.

Required Licenses, Certifications, Registration, Etc.

• Certificate or training in Project Management a plus
• CPC and CRC certification a plus

Skills And Attributes

• Ability to manage small, less complex projects with minimum supervision.
• Experience with Microsoft Office suite of tools.
• Demonstrated analytical and problem-solving skills.
• Experience in project management methods and techniques.
• Ability to interpret service provider contracts and statements of work (SOW).
• Knowledge of Facets, PIMS, and claims processes is preferred.
• Ability to track and monitor service provider performance and delivery quality against service level agreements (SLAs).
• Ability to communicate effectively, verbally and in writing, with all levels of leadership.
• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired

What You Will Do At Cambia

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

Work Environment

• Work is primarily performed in an office or remote work environment.
• Travel may be required, either locally or out of state.

Oregon, Washington, Utah, and Idaho: The expected hiring range is $62,900.00 – $85,100.00, the full salary range is $59,000.00 – $97,000.00 and the bonus target is 5%.

About Cambia

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.

Why Join the Cambia Team?

At Cambia, You Can

• 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.

We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.

Benefits

• 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 company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
• Award-winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.

Learn More About Our Benefits.

We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.

As part of our security requirements, new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees.

We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.

If you need accommodation for any part of the application process because of a medical condition or disability, please email [e-mail]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.