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Policy & Implementation Analyst Job Opening In Coeur d'Alene – Now Hiring Cambia Health Solutions


Job description

Policy & Implementation Analyst (Healthcare)

Hybrid within Oregon, Idaho or Utah 

Build a career with purpose.

Join our to create a person-focused and economically sustainable health care system.

Who We Are Looking For: 

Every day, Cambia’s dedicated Policy & Implementation team is living our mission to make health care easier and lives better.

As a member of the Policy & Implementation team, uses Medical coding knowledge and experience and evaluates, recommends and implements clinical editing solutions to assure accurate outcomes consistent with medical and reimbursement policy and financial targets.

This role develops and executes implementation plans to include system updates, business process changes and timely communication.

The position develops, maintains and publishes reimbursement policy.

– all in service of making our members’ health journeys easier.

If you're a motivated and detail-oriented clinician looking to make a difference in payment integrity, apply for this exciting opportunity today!

What You Bring to Cambia: 

Preferred Key Experience:

  • Clinical knowledge (Understands clinical reviews)

  • Understanding of claims, billing and coding

  • Facets/claims systems in appeals, SIU

  • Claims processing, claims configuration roles

  • Understanding of Medical and reimbursement policies

  • CPC Certified or willing to get CPC Certified as condition to position.

  • Qualifications:

  • Bachelor’s degree in Business Administration or a related field

  • 3 years of experience in a healthcare related environment utilizing analytical skills

  • or an equivalent combination of education and experience.​


  • Skills and Attributes (Not limited to):

  • Understanding of claims processing to evaluate implementation needs

  • Demonstrated analytical ability to identify problems, develop solutions and implement a chosen course of action.

  • Ability to present issues, lead and/or participate in discussions and develop conclusions with internal and external medical professionals and other experts.

  • Demonstrated knowledge of the following: CMS reimbursement and medical policies; Medicare products; Procedural and diagnostic coding; and the national Resource Based Relative Value Schedule.

  • Serves as primary support for CPT/HCPCS procedure and ICD-9/ICD-10 diagnosis coding questions across Cambia, ensuring decision-making related to coding is consistent, clinically appropriate and thoroughly documented.

  • Applies coding expertise and judgment to assure medically appropriate and accurate claims adjudication.

  • What You Will Do at Cambia (Not limited to):

  • Facilitates development, understanding and documentation of business requirements related to policy implementation and clinical editing.

  • Performs analysis in the design and implementation plans to support new and revised medical and reimbursement policies.

  • Responsible for maintaining online documentation for accurate and uniform administration of medical and reimbursement policy.

  • Coordinates the implementation of new and revised online reference materials and technical documentation.

  • Communicates policy and edit decisions to internal and external customers in a clear and concise manner.

  • The expected target hiring range for this position is $64,000 – $81,000/year depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location.

    The bonus target for this position is 10%.

    The current full salary range for this position is $64,000 - $106,000/year.

    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 .

    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 employer dedicated to 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 .

    Information about how Cambia Health Solutions collects, uses, and discloses information is available in our .

    Required Skill Profession

    Business Operations Specialists


    • Job Details

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    Unlock Your Policy Implementation Potential: Insight & Career Growth Guide


    Real-time Policy Implementation Jobs Trends (Graphical Representation)

    Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph here. Uncover the dynamic job market trends for Policy Implementation in Coeur d'Alene, United States, highlighting market share and opportunities for professionals in Policy Implementation roles.

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    Download Policy Implementation Jobs Trends in Coeur D'alene and United States

    Are You Looking for Policy & Implementation Analyst Job?

    Great news! is currently hiring and seeking a Policy & Implementation Analyst to join their team. Feel free to download the job details.

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    The Work Culture

    An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at Cambia Health Solutions adheres to the cultural norms as outlined by Expertini.

    The fundamental ethical values are:

    1. Independence

    2. Loyalty

    3. Impartiapty

    4. Integrity

    5. Accountabipty

    6. Respect for human rights

    7. Obeying United States laws and regulations

    What Is the Average Salary Range for Policy & Implementation Analyst Positions?

    The average salary range for a varies, but the pay scale is rated "Standard" in Coeur d'Alene. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.

    What Are the Key Qualifications for Policy & Implementation Analyst?

    Key qualifications for Policy & Implementation Analyst typically include Business Operations Specialists and a list of qualifications and expertise as mentioned in the job specification. The generic skills are mostly outlined by the . Be sure to check the specific job listing for detailed requirements and qualifications.

    How Can I Improve My Chances of Getting Hired for Policy & Implementation Analyst?

    To improve your chances of getting hired for Policy & Implementation Analyst, consider enhancing your skills. Check your CV/Résumé Score with our free Tool. We have an in-built Resume Scoring tool that gives you the matching score for each job based on your CV/Résumé once it is uploaded. This can help you align your CV/Résumé according to the job requirements and enhance your skills if needed.

    Interview Tips for Policy & Implementation Analyst Job Success

    Cambia Health Solutions interview tips for Policy & Implementation Analyst

    Here are some tips to help you prepare for and ace your Policy & Implementation Analyst job interview:

    Before the Interview:

    Research: Learn about the Cambia Health Solutions's mission, values, products, and the specific job requirements and get further information about

    Other Openings

    Practice: Prepare answers to common interview questions and rehearse using the STAR method (Situation, Task, Action, Result) to showcase your skills and experiences.

    Dress Professionally: Choose attire appropriate for the company culture.

    Prepare Questions: Show your interest by having thoughtful questions for the interviewer.

    Plan Your Commute: Allow ample time to arrive on time and avoid feeling rushed.

    During the Interview:

    Be Punctual: Arrive on time to demonstrate professionalism and respect.

    Make a Great First Impression: Greet the interviewer with a handshake, smile, and eye contact.

    Confidence and Enthusiasm: Project a positive attitude and show your genuine interest in the opportunity.

    Answer Thoughtfully: Listen carefully, take a moment to formulate clear and concise responses. Highlight relevant skills and experiences using the STAR method.

    Ask Prepared Questions: Demonstrate curiosity and engagement with the role and company.

    Follow Up: Send a thank-you email to the interviewer within 24 hours.

    Additional Tips:

    Be Yourself: Let your personality shine through while maintaining professionalism.

    Be Honest: Don't exaggerate your skills or experience.

    Be Positive: Focus on your strengths and accomplishments.

    Body Language: Maintain good posture, avoid fidgeting, and make eye contact.

    Turn Off Phone: Avoid distractions during the interview.

    Final Thought:

    To prepare for your Policy & Implementation Analyst interview at Cambia Health Solutions, research the company, understand the job requirements, and practice common interview questions.

    Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the Cambia Health Solutions's products or services and be prepared to discuss how you can contribute to their success.

    By following these tips, you can increase your chances of making a positive impression and landing the job!

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