Policy Change Supervisor supervises a group of insurance policy change technicians to ensure that policy changes and requests are carried out according to established guidelines. Determines action on changes for which a policyholder has applied, but which are not covered by policy provisions, and computes costs or allowances for policy changes. Being a Policy Change Supervisor contacts policy owners and field agents with pertinent information that may affect a policy change. Does not have underwriting approval. Additionally, Policy Change Supervisor requires a bachelor's degree. Typically reports to a manager or head of a unit/department. The Policy Change Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. To be a Policy Change Supervisor typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. (Copyright 2024 Salary.com)
POLICY & IMPLEMENTATION ANALYST
Work from home within Oregon, Washington, Idaho or Utah
Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.
Who We Are Looking For :
The Policy and Implementation Analyst 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.
Are you a detail-oriented problem solver with a passion for ensuring accurate outcomes in healthcare? Do you have experience in medical coding and clinical editing?
We're searching for a talented Policy and Implementation Analyst to join our team!
Preferred Key Experience :
What You Bring to Cambia :
Qualifications :
Required Licenses, Certifications, Registration, Etc.
Current licensure or professional certification relevant to the work (coding certification) is preferred.
Skills and Attributes (Includes but not limited to) :
What You Will Do at Cambia (Includes but not limited to) :
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 $62.
5k Low Range / 78.5k MRP / $102.5k High Range.
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 :
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 :
Learn more about our benefits.
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 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 CambiaCareers@cambiahealth.
com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.
Last updated : 2024-06-08