Benefits at Cambia Health Solutions

The Risk Adjustment Campaign Associate will oversee complex projects related to Medicare Advantage and Commercial risk adjustment campaigns, manage vendor performance, track project documentation, prepare reports, and support quality improvement techniques.

As an Appeals Clinician I, you will apply clinical expertise to manage and resolve member and provider appeals. Responsibilities include conducting clinical reviews, ensuring compliance with medical policies, and advising non-clinical staff. A Bachelor’s degree in nursing and 3 years of experience in clinical settings or related fields is required.

The Staff-Level Accountant will be responsible for various core accounting functions including financial statement preparation, reconciliations, cost analysis, and supporting audits. The role requires analytical skills to problem-solve accounting issues and develop financial procedures, while also mentoring junior staff and participating in budget and forecast processes.