Temporary Risk Adjustment Campaign Associate

Cambia Health Solutions, Inc.; Eagle (ID); Remote; USD 58,000 - 70,000; Part time

Job summary

Cambia Health Solutions, Inc. is seeking a Temporary Risk Adjustment Campaign Associate to support Medicare Advantage and Commercial risk adjustment campaigns.

This remote role can be performed from Oregon, Washington, Idaho, or Utah and involves day-to-day campaign operations, EMR record retrieval, and cross-functional coordination. The position requires a Bachelor’s degree in business, project management, healthcare, or related field and at least 2 years in a project support role, along with

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 health care), or equivalent combination of education and experience.
• Certificate or training in Project Management a plus
• Ability to manage small, less complex projects with minimum supervision.
• Experience with Microsoft Office suite of tools.
• Experience in project management methods and techniques.
• 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.
• 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.

Responsibilities

• Assist with day-to-day risk adjustment campaign operations.
• Support project documentation and reporting.
• Track vendor performance against SLAs.
• Retrieve medical records via EMR as needed.
• Coordinate cross-functional teams.

Skills

MS Office

Project management fundamentals

Communication skills

Vendor management

Documentation

SLA management

Education

Bachelor's degree in business, project management, healthcare, or related field

Tools

Facets

PIMS

EMR systems

Job description

Temporary Risk Adjustment Campaign Associate

Work from home within Oregon, Washington, Idaho or Utah.

This is a temporary non-benefited assignment with a duration of approximately 5 months.

Every day, Cambia's dedicated team of Risk Adjustment Campaign Associates are living our mission to make health care easier and lives better.

As a member of the Claims Audit/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.

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
• Ability to manage small, less complex projects with minimum supervision.
• Experience with Microsoft Office suite of tools.
• Experience in project management methods and techniques.
• 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.
• 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.

The expected hiring range depends on skills, experience, education, and training; and performance history.

This is a temporary, non-benefited assignment with an expected duration of approximately 5 months. The hourly rate range for this role is $42.00 - $51.00/hour.

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.

Work alongside diverse teams building cutting-edge solutions to transform health care.

Grow your career with a company committed to helping you succeed.

Give back to your community by participating in Cambia-supported outreach programs.

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.

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.