Cambia Health Solutions

HEDIS Quality Consulting Associate II or Analyst DOE

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:

Every day, Cambia’s dedicated team of Quality Consultants are living our mission to make health care easier and lives better. As a member of the CMO Quality team, our Quality Consulting Associate or Analyst provide consultation on the design, testing and enhancement of corporate programs. Achieves actionable insights and solutions using analytical and statistical methods, AI techniques and experience, project management and business knowledge. Researches and evaluates programs and outcomes to determine performance against stated objectives. Documents and communicates recommendations and solutions to business partners – all in service of creating a person-focused health care experience.

Do you get energized by solving complex problems that improve people's lives? Do you thrive in collaborative environments where your insights shape strategic decisions? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

• BA/BS degree in social science, public health, economics, statistics, actuarial science or equivalent related field
• Minimum of 3 years of related work experience or equivalent combination of education and experience
• Master’s degree preferred

Skills and Attributes:

• Proficiency with analytical tools (Alteryx, SAS, SQL, R, Tableau) for data extraction, visualization, and analysis. Experience in advanced analytics including descriptive statistics, forecasting, multivariate modeling, experimental design, statistical inference, AI knowledge, and predictive models.
• Ability to develop and modify queries for large-scale data extraction, perform comprehensive data pre-processing (cleansing, aggregating, sorting), and effectively combine multiple data sources for standard and ad-hoc requests.
• Capability to analyze complex quantitative and qualitative data, synthesize analytic insights with business questions and policy knowledge, and develop innovative solutions that support strategy development, program implementation, and evaluation.
• Excellent oral, written, and presentation abilities to effectively interface with diverse internal and external customers, including leadership, and communicate complex analytical findings clearly.
• Demonstrated ability to facilitate projects, identify business requirements, resolve issues, build consensus among diverse stakeholders, and coordinate across teams to drive timely solutions. Includes training and staff development responsibilities.
• Application of healthcare knowledge and intervention strategies to improve member experience, achieve cost containment, and support corporate objectives while serving as a Cambia resource for current programs and new opportunities.
• Design, develop, or oversee acceptance testing of reports, programs, and models. Review deliverables with end customer focus to ensure outputs meet expectations before production implementation.

What You Will Do at Cambia:

• Perform complex analyses on programs and initiatives, create visual representations and summary reports of findings, and develop meaningful dashboards and presentations that inform and influence business activities and strategies.
• Apply knowledge of state and federal regulatory policies and procedures to program analysis and recommended actions, ensuring compliance considerations are integrated into analytical work.
• Extract, sort, cleanse, aggregate, and process data from multiple sources while developing queries and reports based on specific business requirements for both standard and ad-hoc requests.
• Work independently and as part of larger teams to support various internal customer groups, collaborate with cross-functional teams to develop business cases, identify business problems, and understand desired business outcomes.
• Complete complex analysis and apply judgment to derive recommendations for challenging initiatives, ensuring appropriate identification of root causes through effective use of data analysis tools and techniques, including artificial intelligence when appropriate.
• Prepare and present analysis to business partners that guide decisions and support results, provide higher-level consultation on findings and recommendations, and deliver insights that drive organizational outcomes.
• Perform responsibilities with increased independence and self-direction while working and interacting across the organization with various business units to drive solutions and influence strategic direction.

#LI-Remote

The expected hiring range for a Quality Consulting Associate II is $75,700 ($78k WA) - $102,400 depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 10%. The current full salary range for this role is $71,000 ($78k WA) - $116,000.

The expected hiring range for a Quality Consulting Analyst is $91,800 - $124,200 depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 15%. The current full salary range for this role is $86,000 - $141,000.

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 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 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 CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.