Cambia Health Solutions, Inc | Supervisor of Claims Production OR
1 day ago
Supervisor Claims Production
Remote within Oregon, Idaho, Utah
Build a career with purpose. Join our
Cause to create a person-focused and economically sustainable health care system.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. This role supports members, providers and various internal departments by mentoring staff, monitoring workflow, maintaining performance measures and ensuring timely and quality claims processing while adhering to State, Federal and company guidelines.
What You Bring to Cambia:
Qualifications:
Bachelor's degree (Preferred)
3 years of experience related to claims processing, preferred in the healthcare industry
Demonstrated leadership/supervisory experience, or the equivalent combination of education and experience.
Skills and Attributes:
* You'll lead a team of claims professionals, setting priorities, overseeing work outputs and timelines, and developing productivity, quality, and service standards to ensure exceptional performance.
* You'll possess strong analytical skills, identifying problems, trends, and developing solutions to implement a course of action, while also communicating effectively with all levels of the organization, both verbally and in writing.
* You'll have a deep understanding of the insurance industry, related regulations, and mandates, as well as experience working in a high-volume claims processing center, with a proven track record of managing performance and creating an environment for service excellence.
* You'll be able to organize, plan, and prioritize assignments within multiple projects, participating in and managing well-defined projects with minimal guidance, and leveraging your knowledge of medical terminology and/or claims coding to inform your decision-making.
* As a leader, you'll be responsible for developing and training your team, including employees in multiple locations or working remotely, and fostering a culture of collaboration, innovation, and customer-centricity to drive results and achieve business objectives.
What You Will Do at Cambia
* You'll lead and manage a team of claims professionals, assigning and prioritizing work, setting goals, and coordinating daily activities, while also providing regular updates and communication through 1:1 and team meetings.
* You'll monitor individual and team results, ensuring work is completed in a timely manner, in accordance with department standards and procedures, and in compliance with medical policy and guidelines, and identify areas for process improvements.
* You'll act as a resource for staff and others, escalating issues and partnering with other departments to resolve them, and participate in the selection process, provide ongoing coaching and performance management, and write performance reviews.
* You'll facilitate the maintenance of reference manuals, work procedures, and procedural guidelines, and complete special projects as assigned, including leading division projects, implementing process improvement projects, and analyzing data to present to departmental leadership.
* You'll oversee claims processing, ensuring accuracy and timeliness according to company timelines, and provide support services, including scheduling, reporting to management, meeting facilitation, and issue resolution, while also participating on project teams to recommend solutions and translate business requirements.
#LI-remote
FTEs Supervised
5-20
-
portland, United States Cambia Health Solutions, Inc Full timeSupervisor Claims ProductionRemote within Oregon, Idaho, UtahBuild a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. 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...
-
Supervisor of Claims Production OR
5 days ago
portland, United States Cambia Health Solutions, Inc Full timeSupervisor Claims ProductionRemote within Oregon, Idaho, UtahBuild a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. 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...
-
portland, United States Cambia Health Solutions, Inc Full timeAdministrative Assistant IVHybrid on-site from Portland, Oregon. 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 Administrative Assistants are living our mission to make health care easier and lives better. As a member of the...
-
portland, United States Cambia Health Solutions, Inc Full timeAdministrative Assistant IVHybrid on-site from Portland, Oregon. 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 Administrative Assistants are living our mission to make health care easier and lives better. As a member of the...
-
portland, United States Cambia Health Solutions, Inc Full timeCare Advocate III -Work Remote within WA, OR, ID, UTBuild 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 Care Advocates are living our mission to make health care easier and lives better. As a member of the clinical team, Care...
-
Portland, United States Cambia Health Solutions, Inc Full timeManager, Workplace Operations On-site from Portland, OR, Renton, WA or Salt Lake City, UTBuild 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 Managers of Workplace Operations are living our mission to make health care easier and lives...
-
portland, United States Cambia Health Solutions, Inc Full timep>Assistant Facilities ManagerRemote from Portland, OR 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 Assistant Facilities Managers are living our mission to make health care easier and lives better. As a member of the Facilities and Physical...
-
Portland, OR, United States Cambia Health Solutions, Inc Full timeManager, Workplace Operations On-site from Portland, OR, Renton, WA or Salt Lake City, UTBuild 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 Managers of Workplace Operations are living our mission to make health care easier and lives...
-
Digital Product Operations Strategist
3 weeks ago
Portland, Oregon, United States Cambia Health Solutions, Inc Full timeDigital Product Operations, Sr Manager Role Overview">Cambia Health Solutions, Inc. is a leading healthcare organization seeking an experienced Digital Product Operations Senior Manager to join our team.">The ideal candidate will possess at least 15 years of experience in Digital Product Operations, with a proven track record of delivering quantifiable...
-
Portland, Oregon, United States Cambia Health Solutions, Inc Full timeAbout Cambia Health Solutions, Inc.Cambia Health Solutions, Inc. is a leading healthcare company dedicated to improving health outcomes and wellbeing. Our team of experts works tirelessly to develop innovative solutions that address the complex challenges facing our healthcare system.As a Clinical Program Consultant or Senior Health Care Strategist, you will...
-
Business Intelligence Analyst
3 weeks ago
Portland, Oregon, United States Cambia Health Solutions, Inc Full timeCambia Health Solutions, Inc. is seeking a skilled Business Intelligence Analyst to join our team in Oregon, Idaho, or Utah.The ideal candidate will have a strong background in data analysis and visualization, with experience working with complex datasets and developing insights that inform business decisions.This role will involve designing and executing...
-
Digital Product Operations Director
3 weeks ago
Portland, Oregon, United States Cambia Health Solutions, Inc Full timeAbout the RoleCambia Health Solutions, Inc. is seeking a Digital Product Operations Director to lead our Digital Squads in developing and implementing processes, tools, and metrics that enable efficient and effective product development.Job DescriptionThe ideal candidate will have at least 15 years of experience in digital product operations, with expertise...
-
Pharmacy Operations Oversight Specialist
3 weeks ago
Portland, Oregon, United States Cambia Health Solutions, Inc Full timeAbout the RoleWe are seeking a highly skilled Pharmacy Operations Oversight Specialist to join our team at Cambia Health Solutions, Inc. This is a remote opportunity based in Oregon, Idaho, or Utah.
-
Director of Facilities and Operations
3 weeks ago
Portland, Oregon, United States Cambia Health Solutions, Inc Full timeCambia Health Solutions, Inc is seeking a highly skilled Director of Facilities and Operations to oversee the day-to-day operations of our facilities. As a key member of our Facilities and Physical Security team, you will be responsible for ensuring the smooth operation of our facilities, managing vendor relationships, and developing and implementing...
-
Pharmacy Operations Oversight Expert
3 weeks ago
Portland, Oregon, United States Cambia Health Solutions, Inc Full timeCambia Health Solutions, Inc is seeking a highly skilled Pharmacy Operations Oversight Expert to join our team. This role offers an estimated annual salary of $94,500 - $143,600 based on location and experience.About the RoleThis is a remote position that can be based in Oregon, Idaho, or Utah. As a Pharmacy Operations Oversight Expert, you will contribute...
-
Healthcare Advocate Professional
3 weeks ago
Portland, Oregon, United States Cambia Health Solutions, Inc Full timeAbout Cambia Health Solutions, Inc.Cambia Health Solutions, Inc. is a leading healthcare organization dedicated to creating a person-focused and economically sustainable health care system. Our mission is to make health care easier and lives better.Job OverviewWe are seeking an experienced Healthcare Advocate Professional to join our team in a remote work...
-
Data Analyst
2 weeks ago
Portland, Oregon, United States Cambia Health Solutions, Inc Full timeAbout Cambia Health Solutions, Inc.Cambia Health Solutions, Inc. is a healthcare company dedicated to creating a person-focused and economically sustainable health care system.Salary Range: The expected hiring range for this position is $74,800 - $101,200 per year, depending on skills, experience, education, and performance history.Job Summary: We are...
-
Facilities Operations Manager
3 weeks ago
Portland, Oregon, United States Cambia Health Solutions, Inc Full timeAbout Cambia Health Solutions, IncCambia Health Solutions, Inc is a leading healthcare organization dedicated to creating a person-focused and economically sustainable health care system.Job SummaryWe are seeking a highly skilled Facilities Operations Manager to oversee the day-to-day operations of our facilities, including maintenance, repair, and upkeep....
-
Strategic Customer Experience Leader
3 weeks ago
Portland, Oregon, United States Cambia Health Full timeCambia Health is a purpose-driven company built on trust and innovation. Our mission is to make healthcare easier and lives better.As a Strategic Customer Experience Leader at Cambia Health, you will be responsible for leading the development and implementation of strategies to enhance customer experience. You will work closely with cross-functional teams to...
-
Clinical Data Analyst
6 days ago
Portland, Oregon, United States Cambia Health Solutions, Inc Full timeCambia Health Solutions, Inc. is seeking a skilled Clinical Data Analyst to join our team. As a Clinical Data Analyst, you will analyze health plan data to understand financial and utilization trends. You will present clinical data findings in an easy-to-understand manner to inform customers and advise on opportunities to improve health plan performance.In...
