Cambia Health Solutions · 2 months ago
Assistant Director Claims Production
Idaho
Full-time
Hybrid
Lead/Staff, Director/Executive
$126K/yr - $206K/yr
5+ years expCambia Health Solutions is dedicated to creating a person-focused and economically sustainable health care system. They are seeking an Assistant Director Claims Production to lead claims processing activities and enhance customer satisfaction through efficient operations and team development.
BiotechnologyHealth CareInformation Technology
Responsibilities
Works cooperatively with executives and management teams throughout Cambia to accomplish goals
Maintains a leadership team approach to resolve problems or issues of overall importance
Drives the effectiveness of the Claims organization through appropriate organizational structure, an effective work environment, regular employee communication, recognition and development
Continually strives toward increased customer satisfaction while increasing operational efficiency
Responsible for fiscal management, including budget preparation, expenditure control, and record keeping
Strengthens the organization’s effectiveness in achieving customer satisfaction by ensuring fast and accurate claims processing
Coordinates with the directors from all Regence Plans to continuously improve the cost, quality and effectiveness of Operations functions
Oversees the selection, training, organization and proper compensation of Cambia claims employees
Creates and manages appropriate employee incentives and recognition
Partners with the Business Workforce Optimization teams to successfully implement new procedures and enhancements to claims systems that benefit our members
Directs the development of Cambia claims processing functions to contribute to improved productivity and accuracy in benefit application and reduced operating costs
Provides direction to your team, engages them towards common goals and creates a positive experience that helps people flourish
Qualification
Required
Bachelor's degree in business management, health care administration or another related field
5 years management/supervisory experience with at least 3 years in claims processing, customer service or membership/enrollment or an equivalent combination of education and job-related work experience
Expertise regarding health plan legislation and regulations
Successful experience leading health plan operations such as membership, claims customer service and analytics & reporting
Ability to create, execute and evaluate short- and long-term operating plans
Business acumen including financial/budget management, data analysis and decision making
Demonstrated ability to manage managers and lead high performing teams
Ability to effectively delegate, evaluate performance, and to motivate and develop others across multiple functions
Proven competency in developing and maintaining effective relationships at all levels inside and outside of the organization
Excellent verbal and written communication skills including ability to effectively convey complex or sensitive issues or regulations
Preferred
Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired
Benefits
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.
Company
Cambia Health Solutions
Cambia Health Solutions is a nonprofit total health solutions company based in the Pacific Northwest/Intermountain region, serving
5001-10000 employees
H1B Sponsorship
Cambia Health Solutions has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (12)
2024 (11)
2023 (7)
2022 (12)
2021 (23)
2020 (24)
Funding
Current Stage
Late StageLeadership Team
Jared L. Short
President & CEO
Mike Rains
Chief Financial Officer
Recent News
Arkansas Business — Business News, Real Estate, Law, Construction
2025-12-22
Arkansas Business — Business News, Real Estate, Law, Construction
2025-12-22
Company data provided by crunchbase