• Job Description

  Req#: R-4241

  Risk Adjustment Project Coordinator (Campaign Associate)

  Work Remotely from Oregon, Washington, Idaho or Utah

  Primary Job Purpose

  The Risk Adjustment Project Coordinator (Campaign Associate) oversees multiple small to large-scale complex projects related to Medicare Advantage and Commercial risk adjustment campaigns. The Risk Adjustment Coordinator (Campaign Associate) leads the campaign and project activities including scope, capacity planning, resource allocation, costs and timing while minimizing financial and compliance risks under the direction of management. Working closely with cross functional teams, the campaign associate is responsible for monitoring the day-to-day performance levels both internally and externally, to ensure campaign success and accomplishment of timelines and expected deliverables. The Risk Adjustment Campaign Associate is also responsible for internal EMR medical record retrieval for all Risk Adjustment campaigns.

  General Functions and Outcomes

  • Monitors daily vendor performance against project schedule.

  • Supports the preparation of project reports and presentation of information to management, project teams, and client/customer groups.

  • Monitors project documentation for compliance with standards.

  • Develops and maintains the overall project documentation library ensuring that all documentation is established, maintained and retained as necessary in project databases.

  • Applies continuous quality improvement techniques and methodologies to all facets of job responsibility.

  • May plan and manage small, well-defined projects or sub-projects under the general direction of more senior project managers.

  • May retrieve medical records for MA and ACA campaigns through internal EMR access based on production goals set by the manager of Risk Adjustment Campaigns.

  Minimum Requirements

  • Ability to manage small, less complex projects with minimum supervision.

  • Experience with Microsoft Office suite of tools.

  • Demonstrated analytical and problem-solving skills.

  • Experience in project management methods and techniques.

  • Ability to interpret service provider contracts and statements of work (SOW).

  • Knowledge of Facets, PIMS, and claims processes is preferred.

  • Ability to track and monitor service provider performance and delivery quality against service level agreements (SLAs).

  • Ability to communicate effectively, verbally and in writing, with all levels of leadership.

  Normally to be proficient in the competencies listed above

  Risk Adjustment Campaign Associate would have a Bachelor's Degree in business, project management, healthcare, or related field and at least 2 years of experience in a project support role (preferably within health care), or equivalent combination of education and experience.

  Required Licenses, Certifications, Registration, Etc.

  Certificate or training in Project Management a plus.

  Work Environment

  • Travel may be required, either locally or out of state.
  • Global travel may be required.

  The expected hiring range for a Risk Adjustment Coordinator (Campaign Associate) is $60,000.00 - $82,000.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 5%. The current full salary range for this role is $56,500.00 to $92,500.00.

  #LI-remote

  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 potential 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 CambiaCareers@cambiahealth.com . Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy . As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.

• About the company

  Cambia Health Solutions is a nonprofit health care company based in Portland, Oregon.

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