*This role is required to work weekends and holidays due to the sensitive response time required for incoming documentation.
*The hours of operation are Monday-Friday 6am-6pm PST. Saturday and Sunday 8am-5pm PST. We require you are available to work between these hours.
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 of Clinical Analyst's are living our mission to make health care easier and lives better. As a member of the Clinical team, our Clinical Intake Analysts acts as the initial point of receipt for all incoming work for the Clinical Service Operations teams (includes documents related to Utilization Management, Care Management, Disease Management and Appeals. All in service of creating an economically sustainable health care system.
The clinical Analyst's manage timeliness and organization of work received in multiple ways and locations, images work in to the system, and insures HIPAA and privacy standards are met for all incoming documents. Utilizes knowledge and experience to triage the work and determine the nature of the inquiry and correct work assignment. This role does not have a flexible schedule. It may require weekends, and over time.
What You Bring to Cambia:
Qualifications:
- High School Diploma or GED
- General office experience plus 1 year of experience in Regence Customer Service or equivalent combination of education and experience.
Skills and Attributes:
• We're looking for someone with solid communication and writing skills, as well as general computer knowledge (think Microsoft Office and internet searching).
• You should be organized, able to enter data accurately, and have some administrative skills under your belt. Plus, a basic understanding of medical terminology and healthcare benefits/systems is a must.
• As a Clinical Intake Analyst, you'll need to be able to review clinical documents and forward them to the right people for resolution. This requires some critical thinking and attention to detail.
• Our team is fast-paced, so you'll need to be able to adapt quickly to new information and processes. You should be able to work independently, prioritize tasks, and meet deadlines with minimal supervision.
• Finally, we're looking for someone who is a team player and can work collaboratively with others to achieve our operational standards. If you're a self-motivated, organized, and detail-oriented individual, we'd love to hear from you!
What You Will Do at Cambia:
• You'll use our systems and tools to research incoming documents related to utilization management, case management, disease management, and appeals, and use your knowledge of member benefits to identify the correct work type and workflow process.
• You'll manage your workload by prioritizing tasks and distributing work to meet deadlines, and ensure that all documentation is imaged and stored in compliance with HIPAA and privacy laws.
• You'll handle a high volume of inquiries on a daily basis, multitasking and asking for help when needed, and adhere to our department's standards for quality, timeliness, and processes.
• You'll also support our Performance Guarantees by providing coverage for urgent appeals on long weekends, and perform basic administrative tasks like requesting equipment maintenance, managing inventory, and mailing correspondence.
• Overall, you'll be a key part of our team, ensuring that our workflows are efficient, our members receive great service, and our department runs smoothly and effectively.
#LI-remote
The starting hourly wage for the Clinical Intake Analyst is $21 - $24/hour, depending on candidate's geographic location and experience. The full pay range for the role is $17.20 - 31.00 an hour.
The annual incentive payment target for this position 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.
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 and Affirmative Action employer dedicated to workforce diversity and 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 CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.
