Risk Adjustment Campaign Associate (Risk Adjustment Coordinator)

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

Benefits offered by this job

Medical, dental, and vision coverage

Annual health savings account

Paid time off + 10 holidays

401(k) with company match

Parental leave

Wellness programs

Employee Assistance Fund

Commute and parking benefits

Job summary

Cambia Health Solutions is hiring a Risk Adjustment Campaign Associate for a hybrid role with 3 days in the office. The position supports Medicare Advantage and Commercial risk adjustment campaigns, coordinating with the Risk Adjustment operations team and cross-functional partners.

The role emphasizes project execution, documentation, and data-driven decision-making, with opportunities to improve processes and collaborate across leadership levels.

Qualifications

• Bachelor's Degree in business, project management, healthcare, or a related field.

Responsibilities

• Monitors daily vendor performance against project schedule.
• Supports preparation of project reports and presentations to management and client groups.
• Monitors project documentation for compliance with standards.
• Maintains the project documentation library and retention in project databases.
• Applies continuous quality improvement techniques to job responsibilities.
• Plans and manages small, well-defined projects under senior PM guidance.
• Retrieves medical records for MA and ACA campaigns via internal EMR access.

Skills

Analytical skills

MS Office

Verbal & written communication

AI tools experience

SLA tracking

Project management

SOW interpretation

Facets, PIMS knowledge

Education

Bachelor's Degree in business/healthcare/project management

Tools

Facets

PIMS

EMR systems

Job description

Risk Adjustment Campaign Associate (Hybrid)

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

Who We Are Looking For

As a member of the Risk Adjustment team, the Campaign Associate works with the Risk Adjustment operations team on recurring activities related to Medicare Advantage and Commercial risk adjustment campaigns. Working under the direction of the Manager of Campaign Execution and alongside cross‑functional teams, the associate is responsible for day‑to‑day operations and performance of risk adjustment campaigns, including internal EMR medical record retrieval for all campaigns.

What You Will Do

• 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 and ensures all documentation is established, maintained and retained as required in project databases.
• Applies continuous quality improvement techniques and methodologies to all facets of job responsibility.
• Plans and manages small, well‑defined projects or sub‑projects under the general direction of more senior project managers.
• Retrieves 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.

Qualifications

• Bachelor's Degree in business, project management, healthcare, or a related field.
• At least 2 years of experience in a project support role (preferably within health care) or an equivalent combination of education and experience.
• Ability to manage small, less complex projects with minimal 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).
• Effective verbal and written communication skills with all levels of leadership.
• Experience with AI tools and technologies to enhance productivity and decision‑making in professional settings highly desired.

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 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.

Compensation

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%.

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 and a potential discretionary contribution based on company performance.
• 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 participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.

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.

Background checks and accommodation requests (for medical or disability reasons) should be directed to [e-mail].