Data Consultant
Cambia Health Solutions

Burlington, Washington

Posted in Health and Safety


This job has expired.

Job Info


Data ConsultantPortland, OR; Remote within OR, WA, ID or UT.

The Data & Process Imp Consultant II drives superior data quality through a robust process of collecting, validating, analyzing, and reporting of key information. Propels effective and efficient business operations by instituting, enhancing, and overseeing process improvement efforts. This role is critical to ensuring providers receive accurate and timely insights to effectively manage our members.

Responsibilities:

  • Provides data analytics, primarily for Provider Partnership Innovations (PPI) department.
  • Pulls, validates, and analyzes data from all types of sources to identify and assess risks and prevent, detect, investigate, and correct data inconsistencies and anomalies.
  • Develops working partnerships with data and system owners across Cambia and relevant vendors to secure necessary access, training, and context for obtaining and analyzing data
  • Supports departmental and cross-departmental reporting, including performance reporting
  • Develops and maintains reporting commitments
  • Creates and manages supporting materials
  • Analyzes and identifies healthcare industry trends and shifts in consumers' preferences, attitudes and perceptions.
  • Researches best business practices within and outside the organization to establish benchmark data
  • Designs, populates, maintains, and creates departmental and cross-departmental reporting, including performance reporting. Assists in analyzing monitoring results and compiling statistics on a weekly, monthly or quarterly basis.
  • Applies data and analysis to drive process optimization, controls analysis and improvement, and risk reduction, directly and through leading cross-functional teams.
  • Participates in remediating risk areas or identified issues and documents processes and controls; monitors and regularly reports findings.
  • Ensures that activities are executing as planned, including vendor activities, and provides a feedback loop and remediation plan if problems are identified.
  • Documents and reviews business requirements, internal controls and/or management controls used to generate work output. Analyzes controls for strengths and weaknesses.



Minimum Requirements:
  • Demonstrated ability in creating innovative and persuasive presentations.
  • Ability to communicate effectively, both orally and in writing, regarding complex or sensitive information or issues.
  • Demonstrated experience in report preparation, project documentation, or policy and procedure writing, including the ability to organize, review and interpret statistical data.
  • Demonstrated analytical ability to identify problems, develop solutions, and implement chosen course of action.
  • Strong computer skills including use of Microsoft Office products or equivalent software for creating and maintaining databases, spreadsheets and creating reports and documents.
  • Action oriented with the ability to prioritize workload and focus on highest priorities.
  • Demonstrated ability to organize, plan, prioritize and coordinate multiple projects within specified timelines with minimal supervision.
  • A proven team player with the ability to partner, maintain and develop relationships.
  • Ability to pull, manage, organize and analyze data
  • Ability to understand the data and when it may be incorrect, contradictory and/or incomplete
  • Knowledge of health insurance claims processing with the ability to pull, validate, and analyze health insurance claims data. Knowledge of health insurance data systems.
  • May have experience in one of the following: data mining tools (TOAD, SQL, BOE, etc.) or analytic tools, statistical analysis or methods
  • Demonstrated ability to learn quickly when faced with new situation.
  • Demonstrated competency in pulling, managing, organizing, and analyzing data.
  • Demonstrated competency in reconciling data that may be incorrect, contradictory, and/or incomplete into understandable framework and actionable recommendations.
  • Fluent with health insurance claims processing and proven ability to pull, validate, and analyze health insurance claims data. Proficient in health insurance data systems.
  • Experienced in data mining tools (TOAD, SQL, BOE, etc.), analytic tools, statistical analysis and methods (e.g., SQL, SAS, OLAP, SPSS or the advanced statistical capabilities of Excel).
  • Demonstrated competency in process optimization, including end-to-end process mapping, control point identification and improvement, stakeholder interviewing, and end-to-end control assessment.
  • Proven decision making and problem solving skills.
  • Proven influence, interpersonal, communication, and relationship-building skills. Proven ability to work as part of a team, across teams, and with key business partners at all levels of the organization.
Normally to be proficient in the competencies listed above:

PPI Data and Process Improvement Consultant II would have a Bachelor's Degree and 5 years progressive experience in data identification, collection, validation and analytics, including report design or equivalent combination of education and related work experience.


Regence employees are part of the larger Cambia family of companies, which seeks to drive innovative health solutions. We offer a competitive salary and a generous benefits package. Regence is 2.2 million members, here for our families, co-workers and neighbors, helping each other be and stay healthy and provide support in time of need. We've been here for members for 100 years. Regence is a nonprofit health care company offering individual and group medical, dental, vision and life insurance, Medicare and other government programs as well as pharmacy benefit management. We are the largest health insurer in the Northwest/Intermountain Region, serving members as Regence BlueShield of Idaho, Regence BlueCross BlueShield of Oregon, Regence BlueCross BlueShield of Utah and Regence BlueShield (in Washington). Each plan is an independent licensee of the Blue Cross and Blue Shield Association.

If you're seeking a career that affects change in the health care system, consider joining our team at Cambia Health Solutions. We advocate for transforming the health care system by making health care more affordable and accessible, increasing consumers' engagement in their health care decisions, and offering a diverse range of products and services that promote the health and well-being of our members. Cambia's portfolio of companies spans health care information technology and software development; retail health care; health insurance plans that carry the Blue Cross and Blue Shield brands; pharmacy benefit management; life, disability, dental, vision and other lines of protection; alternative solutions to health care access and free-standing health and wellness solutions.

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 drug screen and background check are 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.


This job has expired.

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