Jobs
>
Lewiston

    Performance Integrity Analyst I - Lewiston, United States - Cambia Health

    Cambia Health
    Cambia Health Lewiston, United States

    2 weeks ago

    Default job background
    Description
    This job was posted by : For more information, please see: Performance Integrity Analyst I - Claims

    Remote within WA, OR, ID and UT

    Onsite is available to those who reside near one of our office locations within our 4 state region.

    Facets knowledge is strongly encouraged.


    Primary Job Purpose:


    The Performance Integrity Analyst will examine and validate Plan and employee performance according to established policies, procedures and mandated audit guidelines.

    Monitor accuracy and timeliness of claims, membership and customer service to meet performance and service level goals. Provide reports, feedback and recommendations for quality improvement to management.


    Responsibilities:
    Audit claims, enrollment, or customer service activities for accuracy and timeliness according to audit policies, procedures and mandated guidelines.
    Encourage team and individual contributions toward the company\'s quality initiatives in improvement efforts.
    Participate in team efforts to develop or update department standards.
    Provide feedback on department\'s performance in reaching service and performance level goals.
    Remain continuously current on changes and/or additions to all other applicable departments\' policies, procedures and guidelines.
    Thoroughly investigate problems.
    Identify and report inconsistencies or ambiguities in manuals, policies and guidelines.
    Compile performance statistics and identify potential trends.
    Generate reports.
    Participate in testing implemented system changes.


    Minimum Requirements:


    Four years experience in Claims, Membership or Customer Service, depending on current business need, or equivalent combination of education and job-related experience.

    Ability to understand and apply mathematical concepts.
    Demonstrated proficient PC skills and familiarity with corporate software, such as Word, Excel and Outlook.
    Knowledge of claims coding, BlueCard, membership and customer service processes, applicable systems including pricing and provider contract language.
    Audit experience desirable.
    Ability to organize and prioritize work.
    Must be detail-oriented and self-motivated.
    Must be able to communicate effectively both orally and in writing.
    A written test may be administered. #LI-remote


    Work Environment:
    Work overtime and on weekends due to fluctuating workload.
    Duties performed in a fast-paced office environment.
    Sitting and keying for extended periods of time.

    #LI-remote


    The starting base pay for the Performance Integrity Analyst is \$ \$28.00 an hour, depending on experience and candidates geographic location.

    The annual incentive payment target for this position is 5%.


    At Cambia, we take a variety of factors into account when creating a job offer, including your skills, experience, education, and training; relevant licensure / certifications; performance history; and work location.

    While we offer competitive salaries, in general, we do not hire candidates at or near the top of the pay range.


    Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits.

    In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current.


    Some highlights:
    medical, dental, and vision coverage for employees and their eligible family members
    annual employer contribution to a health savings account (\$1,200 or \$2,500 depending on medical coverage, prorated based on hire date)
    paid time off varying by role and tenure in addition to 10 company holidays
    up to a 6% company match on employee 401k contributions, with a p tential discretionary contribution based on company performance (no vesting period)
    up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)
    one-time furniture and equipment allowance for employees working from home
    up to \$225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.

    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
  • FlexCare Surgery

    Travel Physical Therapist

    1 week ago

    FlexCare Surgery Lewiston, ID, United States

    FlexCare Surgery is seeking a travel Physical Therapist for a travel job in Lewiston, Idaho. · Job Description & Requirements · Specialty: Physical Therapist · Discipline: Therapy · Start Date: ASAP · Duration: 13 weeks · 40 hours per week · Shift: 8 hours, days · Employment Type ...

  • FlexCare Surgery

    Travel Physical Therapist

    1 week ago

    FlexCare Surgery Lewiston, ID, United States Temporary

    FlexCare Surgery is seeking a travel Physical Therapist for a travel job in Lewiston, Idaho. · Job Description & Requirements · Specialty: Physical Therapist · Discipline: Therapy · Start Date: 05/20/2024 · Duration: 13 weeks · 40 hours per week · Shift: 8 hours, days · ...

  • FlexCare Surgery

    Travel Physical Therapist

    1 week ago

    FlexCare Surgery Lewiston, United States

    Job Description · FlexCare Surgery is seeking a travel Physical Therapist for a travel job in Lewiston, Idaho. · Job Description & RequirementsSpecialty: Physical Therapist · Discipline: Therapy · Start Date: 05/20/2024 · Duration: 13 weeks · 40 hours per week · Shift: 8 hours, d ...

  • FlexCare Surgery

    Travel Physical Therapist

    1 week ago

    FlexCare Surgery Lewiston, United States

    Job Description · FlexCare Surgery is seeking a travel Physical Therapist for a travel job in Lewiston, Idaho. · Job Description & RequirementsSpecialty: Physical Therapist · Discipline: Therapy · Start Date: ASAP · Duration: 13 weeks · 40 hours per week · Shift: 8 hours, days · ...

  • FlexCare Imaging

    Travel Ultrasound Technologist

    1 week ago

    FlexCare Imaging Clarkston, WA, United States

    FlexCare Imaging is seeking a travel Ultrasound Technologist for a travel job in Clarkston, Washington. · Job Description & Requirements · Specialty: Ultrasound Technologist · Discipline: Allied Health Professional · Start Date: 05/27/2024 · Duration: 13 weeks · 40 hours per week ...

  • FlexCare Imaging

    Travel Ultrasound Technologist

    1 week ago

    FlexCare Imaging Clarkston, WA, United States

    FlexCare Imaging is seeking a travel Ultrasound Technologist for a travel job in Clarkston, Washington. · Job Description & Requirements · Specialty: Ultrasound Technologist · Discipline: Allied Health Professional · Start Date: 06/03/2024 · Duration: 13 weeks · 40 hours per week ...

  • FlexCare Surgery

    A+ Physiotherapist

    1 week ago

    FlexCare Surgery Lewiston, ID, United States

    FlexCare Surgery is seeking a travel Physical Therapist for a travel job in Lewiston, Idaho. · Discipline: Therapy · ~ Start Date: ASAP · ~ Shift: 8 hours, days · ~ Employment Type: Travel · Skilled Nursing Facility · FlexCare Surgery Job ID #JOB Pay package is based on 8 h ...

  • FlexCare Surgery

    A+ Physiotherapist

    1 week ago

    FlexCare Surgery Lewiston, ID, United States Temporary

    FlexCare Surgery is seeking a travel Physical Therapist for a travel job in Lewiston, Idaho. · Discipline: Therapy · ~ Shift: 8 hours, days · ~ Employment Type: Travel · Skilled Nursing Facility · FlexCare Surgery Job ID #JOB Pay package is based on 8 hour shifts and 40 hour ...

  • FlexCare Imaging

    Travel Ultrasound Technologist

    1 week ago

    FlexCare Imaging Clarkston, United States

    Job Description · FlexCare Imaging is seeking a travel Ultrasound Technologist for a travel job in Clarkston, Washington. · Job Description & RequirementsSpecialty: Ultrasound Technologist · Discipline: Allied Health Professional · Start Date: 06/03/2024 · Duration: 13 weeks · 40 ...

  • FlexCare Imaging

    Travel Ultrasound Technologist

    1 week ago

    FlexCare Imaging Clarkston, United States

    Job Description · FlexCare Imaging is seeking a travel Ultrasound Technologist for a travel job in Clarkston, Washington. · Job Description & RequirementsSpecialty: Ultrasound Technologist · Discipline: Allied Health Professional · Start Date: 05/27/2024 · Duration: 13 weeks · 40 ...

  • FlexCare Imaging

    Travel Ultrasound Technologist

    1 week ago

    FlexCare Imaging Clarkston, United States

    FlexCare Imaging is seeking a travel Ultrasound Technologist for a travel job in Clarkston, Washington. · Job Description & Requirements · Specialty: Ultrasound Technologist · Discipline: Allied Health Professional · Start Date: 05/27/2024 · Duration: 13 weeks · 40 hours pe ...

  • FlexCare Imaging

    Sonographer / Ultrasound Technologist - Travel Contract

    1 week ago

    FlexCare Imaging Clarkston, WA, United States Temporary

    FlexCare Imaging is seeking a travel Ultrasound Technologist for a travel job in Clarkston, Washington. · Ultrasound Technologist · ~ Discipline: Allied Health Professional · ~ Shift: 8 hours, days · ~ Employment Type: Travel · Pay package is based on 8 hour shifts and 40 ho ...

  • Washington State University

    Application Systems Analyst/ Developer

    2 weeks ago

    Washington State University Pullman, United States

    DAS ( is an Integrated Pest Management (IPM) decision support system for tree fruit and potato growers and pest managers in the Pacific Northwest. It provides easy-to-use pest management models and helps to optimize management decisions for certain i Systems Analyst, Application, ...

  • FlexCare Medical Staffing

    Travel Nurse

    2 weeks ago

    FlexCare Medical Staffing Pullman, United States

    FlexCare Medical Staffing is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Pullman, WA. Shift: 3x12 hr nights Start Date: 07/01/2024 Duration: 13 weeks Pay: $ / Week NOTE: THIS IS A TRAVEL STAFFING ASSIGNMENT. INQUIRE TODAY FOR ...

  • FlexCare Imaging

    Travel Ultrasound Technologist

    2 days ago

    FlexCare Imaging Pullman, WA, United States

    FlexCare Imaging is seeking a travel Ultrasound Technologist for a travel job in Pullman, Washington. · Job Description & Requirements · Specialty: Ultrasound Technologist · Discipline: Allied Health Professional · Start Date: 07/01/2024 · Duration: 13 weeks · 40 hours per week · ...

  • FlexCare Imaging

    Travel Ultrasound Technologist

    2 days ago

    FlexCare Imaging Pullman, United States

    Job Description · FlexCare Imaging is seeking a travel Ultrasound Technologist for a travel job in Pullman, Washington. · Job Description & RequirementsSpecialty: Ultrasound Technologist · Discipline: Allied Health Professional · Start Date: 07/01/2024 · Duration: 13 weeks · 40 h ...

  • InsideHigherEd

    Business Data Analyst

    3 weeks ago

    InsideHigherEd Pullman, United States Administrative Jobs ,

    Available Title(s): · 1496-NN_ADMINPRO - Business Data Analyst, 1496-YN_ADMINPRO - Business Data AnalystBusiness Title: · Business Data AnalystEmployee Type: · Admin. ProfessionalTime Type: · Full timePosition Term: · 12 MonthPosition Details: · The Opportunity: · As the Business ...

  • Geosearch

    Applied Python Analyst

    3 weeks ago

    Geosearch Moscow, United States

    Job Description · Job Description · GeoSearch is actively looking for an Applied Python Analyst. The main responsibilities of this position are designing and testing automated data pipelines, statistical modeling, and method/product development and documentation within the Comp ...

  • InsideHigherEd

    Application Systems Analyst/ Developer

    1 week ago

    InsideHigherEd Pullman, United States Administrative Jobs ,

    Available Title(s): · 1356-NN_ADMINPRO - Application Systems Analyst/DeveloperBusiness Title: · Application Systems Analyst/ DeveloperEmployee Type: · Admin. Professional (+) (Fixed Term)Time Type: · Full timePosition Term: · 12 MonthPosition Details: · Summary of Duties: · DAS ( ...

  • GeoSearch

    Applied Python Analyst

    1 week ago

    GeoSearch Moscow, United States

    Job Description · Job DescriptionGeoSearch is actively looking for an Applied Python Analyst. The main responsibilities of this position are designing and testing automated data pipelines, statistical modeling, and method/product development and documentation within the Companys ...