Provider Reimbursement Systems Analyst or Sr DOE

Cambia Health Solutions • Boise, ID

5d • Hybrid

About The Position

Every day, Cambia’s dedicated team of Provider Reimbursement Systems Analyst s is living our mission to make health care easier and lives better. As a member of the Tech Services team, our Provider Reimbursement Systems Analyst s support, maintain, and enhance existing systems while developing, configuring, and delivering new solutions in direct alignment with Cambia Core Strategies and Key Initiatives – all in service of creating an economically sustainable health care system. Do you have a knack for solving complex problems and translating technical concepts into clear, actionable solutions? Do you thrive in a fast-paced environment where analytical thinking and cross-functional collaboration drive meaningful results? Then this role may be the perfect fit.

Requirements

• College degree in Computer Sciences, Mathematics, Business Administration, or a related field; may be substituted by sufficient years of healthcare industry experience
• Minimum 1 year of experience in business requirements definition, process modeling, functional systems design, configuration, and/or acceptance testing
• Experience in a supported business area required (e.g., Provider Network and Contract Management, Digital Solutions, Pricing, Membership, Claims)
• Minimum 3 years of experience in business requirements definition, process modeling, functional systems design, configuration, and/or acceptance testing
• Demonstrated ability to develop functional requirements, facilitate system configuration decisions, and perform system testing with clear reporting of results
• Strong analytical and problem-solving skills with a proven ability to manage and tolerate ambiguity
• Ability to facilitate effective communication between technical and business staff to identify optimal solutions for project requirements
• Proven written and verbal communication skills; clear, concise, and adaptable across audiences
• Ability to work both collaboratively in a team environment and independently with self-motivation
• Ability to work independently or with minimal supervision, including providing guidance and answering questions from Level I team members
• Demonstrated competency in one or more supported business areas (e.g., claims processing, membership, product configuration, enrollment, eligibility)
• Ability to develop detailed functional requirements, perform system testing, facilitate configuration decisions, and report progress for project management purposes within established deadlines
• Advanced SQL knowledge and report-writing capabilities with a solid understanding of the software development lifecycle from conception to delivery

Nice To Haves

• Preference will be given to current employees and candidates who reside within a commutable distance from our Salt Lake City, Boise, and Lewiston offices or who are willing to relocate.
• Preference will be given to current employees and candidates who reside within a commutable distance from our Salt Lake City, Boise, Fargo and Lewiston offices or who are willing to relocate.
• Experience with AI tools and technologies to enhance productivity and decision-making is highly desired

Responsibilities

• Accountable for functional system design, configuration, and the review and approval of data flows, technical specifications, and functional system requirements
• Write and execute ad-hoc reports, queries, and scripts that move or update data to replicate online functionality
• Conduct unit, user acceptance, end-to-end, and regression testing for fixes, enhancements, and system upgrades
• Perform post-implementation quality assurance, troubleshooting, issue resolution, and sustainment support for systems and processes
• Respond to customer inquiries regarding system functionality, modifications, and issue resolution status
• Assist in training and communicating system changes to end-users and other impacted staff
• Schedule, organize, and prioritize work while serving as a liaison between business areas and DTS counterparts
• Assist in the development of Business Analysts
• Back up Lead BSA as required
• Perform in a project leadership role
• Assist with project or production support duties as directed by leadership or a Project Manager
• Proficient in writing SQL and understanding software lifecycles; makes recommendations on process and technology changes to support business team efficiencies
• Supports new technology to improve business processes (e.g., Talend, Tableau, APIs)
• Accountable for communicating software changes to front-line staff, management, and consumers of those systems

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, 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree