Oregon, Washington, Idaho or Utah- Hybrid (in office 3 days a week)

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

Who We Are Looking For

Every day, Cambia’s dedicated team is living our mission to make health care easier and lives better. As a member of the Payment Integrity team, our Assistant Director Claims Production provides leadership for Claims production processing activities in the commercial claims service organization and is responsible for strengthening the organization’s effectiveness in claims processing by achieving satisfaction through fast and accurate claims processing – all in service of creating a person-focused health care experience.

As a people leader, you are willing to learn and grow, understanding that leadership is a craft that is continuously honed as you support your team and the lives that depend upon us.

Are you a proven health plan operations leader? Do you pride yourself in developing and mentoring high performance teams? Then this role may be the perfect fit.

Qualifications

What You Bring to Cambia:

• Bachelor’s degree in business management, health care administration or another related field.
• 5 years management/supervisory experience with at least 3 years in claims processing, customer service or membership/enrollment or an equivalent combination of education and job-related work experience.

Skills And Attributes

• Expertise regarding health plan legislation and regulations.
• Successful experience leading health plan operations such as membership, claims customer service and analytics & reporting.
• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired.
• Ability to create, execute and evaluate short- and long-term operating plans.
• Business acumen including financial/budget management, data analysis and decision making.
• Demonstrated ability to manage managers and lead high performing teams. Ability to effectively delegate, evaluate performance, and to motivate and develop others across multiple functions.
• Proven competency in developing and maintaining effective relationships at all levels inside and outside of the organization.
• Excellent verbal and written communication skills including ability to effectively convey complex or sensitive issues or regulations.

What You Will Do At Cambia

• Works cooperatively with executives and management teams throughout Cambia to accomplish goals. Maintains a leadership team approach to resolve problems or issues of overall importance. Matters that cross functional lines directly involve the position's input and may require frequent, direct contact and close communications with all levels across Cambia.
• Drives the effectiveness of the Claims organization through appropriate organizational structure, an effective work environment, regular employee communication, recognition and development.
• Continually strives toward increased customer satisfaction while increasing operational efficiency. This is accomplished through motivating all claims staff toward increased productivity, increased accuracy and focus on customer satisfaction.
• Responsible for fiscal management, including budget preparation, expenditure control, and record keeping.
• Strengthens the organization’s effectiveness in achieving customer satisfaction by ensuring fast and accurate claims processing.
• Coordinates with the directors from all Regence Plans to continuously improve the cost, quality and effectiveness of Operations functions.
• Oversees the selection, training, organization and proper compensation of Cambia claims employees.
• Creates and manages appropriate employee incentives and recognition.
• Partners with the Business Workforce Optimization teams to successfully implement new procedures and enhancements to claims systems that benefit our members.
• Directs the development of Cambia claims processing functions to contribute to improved productivity and accuracy in benefit application and reduced operating costs.
• As a member of our strong leadership community, you will provide direction to your team, engage them towards common goals and create a positive experience thathelps people flourish.

The expected hiring range for a Assistant Director Claims Production is $134,300-181,700 depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 15%.  The current full salary range for this role is $126,000-206,000.

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

In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:

• 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.

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 [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.