Cambia Health Solutions

Financial Planning and Analysis

• Provides financial guidance and support; builds budgets, forecasts, conducts variance analysis and reporting.
• Prepares financial analysis and support such as cost-benefit, return on investment and capital resource analysis for new business opportunities, proposals, contracts, or product development.
• Supports cost savings and process improvement efforts.
• Provides financial governance and oversight – all in service of creating an economically sustainable health care system.
• Develops financial models and analysis using advanced analytical techniques and complex financial systems; provides business with solid alternatives to issues; some guidance required.
• Plans, organizes, schedules, coordinates and monitors a variety of work streams.
• Provides training or consulting expertise to other departments, analysts and external stakeholders.
• Identifies, raises and effectively articulates issues with multi-business area or cross-functional impacts; provides informal leadership if needed, monitors and improves unit workflow/processes.

Strategic Finance Analyst, Senior

Manager

• Collaborates with cross-functional teams and senior management to establish strategic goals, develop and deploy key performance indicators, and identify business opportunities that inform process efficiency and operational outcomes.
• Anticipates and manages project dynamics by monitoring effort-to-value alignment, intervening when scope or approach drifts from business objectives, and ensuring pragmatic delivery without sacrificing quality.
• Provides hands-on technical leadership by troubleshooting complex analytical challenges, unblocking team members on SQL queries, clarifying ambiguous business requirements, and removing roadblocks that impede team progress.
• Navigates organizational complexity and removes administrative barriers by partnering with enterprise data governance, architecture, and management functions to secure approvals, align on technical standards, and resolve policy constraints enabling the team to maintain focus on analytical delivery without disruption.
• Crafts compelling data narratives through impactful visualizations, dashboards, and KPIs that use summary metrics strategically to tell a story, drive action, and ensure stakeholders understand root causes—not just symptoms.

Manager Performance Analytics, Insights

Systems Engineer

• Participate in the daily support, maintenance, and enhancement of existing systems.
• Development, configuration, and delivery of new systems to directly support Cambia Core Strategies and Key Initiatives.
• Write and execute ad-hoc reports and queries.
• Conduct unit testing, user acceptance testing and end-to-end testing for configuration.
• Perform post implementation quality assurance, troubleshooting and issue resolution.
• Respond to customer inquiries regarding system functionality, modification, and status of issue resolution.
• Review, analyze and resolve sustainment issues associated with systems and/or processes.
• Develop scripts that move data or update data in a manner that replicates online functionality.
• Act as a liaison between the business areas and our DTS counterparts.

Support Services Business Systems Analyst, Senior

AI Research Scientist

• Researches, designs, develops, and implements data-driven models and algorithms
• Trains and tests models to solve business problems
• Collaborates with AI team members and business partners
• Analyzes and resolves bugs in production machine learning models
• Communicates effectively with technical and non-technical audiences

AI Scientist Intern

• Researches, designs, develops, and implements data-driven models and algorithms using generative AI, machine learning, deep learning, statistical, and other statistical modeling techniques.
• Trains and tests models, and develops algorithms to solve business problems.
• Adheres to standard best-practices and establishes principled experimental frameworks for developing data-driven models.
• Develops models and performs experiments and analyses that are replicable by others.
• Uses open-source packages and managed services when appropriate to facilitate model development.
• Identifies, measures, analyzes, and visualizes drivers to explain model performance (e.g, feature importance, interpretability, bias and error analysis), both offline (in the development phase) and online (in production).
• Uses appropriate metrics and quantified outcomes to drive AI model and algorithm improvements.

AI Scientist I – Healthcare

Product Manager

• Manage product roadmap, prioritization, and sprint planning while defining feature sets, business requirements, and measures of success from multiple stakeholder sources.
• Direct product management activities to meet business, market segmentation, and financial goals while tracking product profitability and enrollment metrics.
• Produce product requirements and specifications (functional requirements, user stories, wireframes) for multiple projects simultaneously, interfacing with marketing, UX, engineering, and category management teams.
• Understand internal markets and primary user needs through research and collaboration with internal teams, brokers, and sales.
• Guide product lifecycle from planning through tactical execution to cross-company go-to-market planning and launch.
• Develop and deploy strategies for improving customer acquisition, engagement, and retention in collaboration with cross-functional teams.
• Drive solutions across all departments, coordinating product messaging, communications, promotions, and conference participation as product expert.
• Use data to shape product design decisions and develop core metrics supporting engagement, platform performance, customer behavior, conversion, and usability.
• Anticipate bottlenecks, manage escalations, balance business needs versus technical constraints, and identify, assess, track, and mitigate risks at multiple levels.
• Guide UX and solution design in concert with engineering teams while ensuring timely identification, reporting, tracking, and resolution of all issues.

Data Product Manager – Provider & Quality

Analyst

• Retrieve, abstract, or overread medical records in order to capture pertinent, required, data elements for HEDIS reporting
• Collects assigned medical records from EMR/EHR systems and prepares them for medical record abstraction
• Documents retrieval progress/findings for each EMR accessed
• Communicates effectively and professionally with provider offices
• Reviews assigned medical records in order to abstract specified, clinical data elements for HEDIS reporting (e.g. date of service of breast cancer screening, date of service and results of laboratory tests related to chronic conditions)
• Documents abstraction findings on appropriate paper and/or electronic tools as directed by the HEDIS MR Team
• Communicates additional pursuit strategies, if needed, to other members of the team as defined in the department’s policies and procedures.

HEDIS Medical Record Analyst

Solutions Engineer

• Designs scalable, secure architecture for member authentication and authorization systems.
• Leads technical strategy for web and mobile member experiences across iOS, Android, and web platforms.
• Collaborates with UX/UI teams to ensure technical feasibility of member experience designs.
• Defines API strategies and standards for mobile and web application consumption.
• Establishes performance benchmarks and monitoring strategies for member-facing applications.
• Champions accessibility and inclusive design in all member touchpoints.
• Engages in business analysis, information acquisition analysis and design, data access analysis and design, archive and recovery strategy and security.
• Provides overall technical leadership to multiple product teams.
• Applies reference architectures and patterns to the architecture and design of technology solutions and services.
• Clearly documents all solutions within the EA Modeling Environment.
• Actively participates in the review and governance of architecture quality.
• Receives general feedback from management, customers, or other external sources and translates that feedback into an overall technical direction.
• Mentors developers in the definition of technology implementation strategies and provides assistance where needed in transitioning the technology to the delivery organization.

Solutions Architect I/II

Full-stack Engineer

• Serve as a player/coach who balances hands-on technical contributions with team development—building proof-of-concepts and production solutions that advance modernization goals.
• Consults with Engineering and Business partners, ensuring the solutions are pragmatic, secure, scalable and aligned with Cambia’s goals.
• Role model the creation and utilization of Responsible agentic solutions and AI-accelerated workflows, including AI-assisted coding tools to improve engineering velocity and quality.
• Leads through action in requirement analysis, system design, data modeling, secure code development, code quality, test automation, and documentation.
• Mentors and educates others to help build stronger team practices and stronger engineering communities.
• Provides technical leadership throughout organization consistent with the best industry practices.
• Defines, challenges, and refines Cambia's broader organizational processes to innovate new capabilities and increase efficiency and productivity.

Senior Software Engineer

Director

• Lead annual and multi-year Medicare Stars strategy development, translating priorities into detailed operational plans while monitoring CMS rulemaking and providing leadership recommendations on program implications.
• Serve as organizational expert on Medicare Stars requirements, measure specifications, and CMS methodology, ensuring enterprise-wide understanding of priorities and cascading goals across cross-functional teams.
• Lead Stars analytics operations including measure-level tracking, forecasting models, root cause analysis, and financial impact assessments.
• Deliver actionable performance insights through deep-dive analyses of underperforming measures, trend identification, and executive-level reporting to drive quality improvements.
• Drive cross-functional Stars improvement initiatives by partnering with clinical operations, care management, pharmacy, provider relations, and operational leaders to implement and scale interventions.
• Facilitate Stars governance and technical operations including workstream coordination within enterprise quality structure, HEDIS engine optimization, data validation, and vendor management collaboration.
• Lead Stars Program operations and improvement initiatives by directing team priorities, overseeing quality improvement projects using Lean/Six Sigma methodologies, and maintaining real-time performance dashboards.
• Manage Stars reporting and compliance including executive presentations, quarterly business reviews, regulatory submissions, CMS reporting, data audits, and timely submission requirements.
• Lead and develop Stars program team by mentoring specialists and analysts in Medicare quality measurement, setting performance expectations, providing coaching and evaluations, and building team capacity to manage priorities and adapt to evolving CMS requirements.

Director, Clinical Quality Performance & Improvement

QA Engineer

• Assuring the delivery of high-quality products and software services
• Leading teams carrying out quality assurance and testing strategies
• Participate on project scrum team
• Manage personal work backlog using agile practices
• Review user stories, acceptance criteria, specifications, software designs, code and tests
• Write automated and manual test cases and procedures
• Collaborate with peers to ensure adequate test coverage
• Report test results and verify defect fixes
• Ensure software testability and maintainability

Interim Software Quality Engineer

Accountant

• Contributing to the preparation of federal, state and local income tax returns
• Preparing monthly tax accruals and journal entries
• Preparing quarterly tax reconciliations
• Partnering on tax fixed asset accounting
• Implementing process improvements
• Assisting with financial examinations and tax audits

Tax Accountant Intern

Actuary

• Leads and performs technical, analytical, reporting and support functions, collaborating with peers, management, and customers.
• Helps the Cambia Actuarial and Healthcare Informatics departments and the company meet market and financial goals.
• Enhances our growing Stop Loss business including Stop Loss pricing, forecasting, data analysis, underwriting support, rate filings, and other projects as necessary.
• Develops new methodologies; recommends methodology, assumptions, or process improvements to team management; may perform actuarial certification duties.
• Presents results to customers; effectively develops and reviews written responses to complex regulator or customer questions.
• Demonstrated success with personal and team project management; develops workplans and documentation.
• Performs peer review of regular and ad hoc work products, following department and team quality assurance standards; understands risk level of work products; ensures compliance with applicable Actuarial Standards of Practice.

Stop Loss Actuary

Security Engineer

• Develops and applies reference architectures, patterns, and implementations to technology solutions while documenting all work using industry standard tools and leading architecture quality reviews and governance practices.
• Sets technical and product strategies by interpreting industry trends, anticipating market opportunities, and aligning current activities with future direction across the organization.
• Provides technical security leadership organization-wide, serving as a key resource on security matters and shaping security architecture solutions and services.
• Estimates and manages project resources accurately, auditing project status to ensure technical and process excellence throughout execution.
• Partners strategically with internal and external stakeholders, including industry leaders and customers, to develop business strategies that anticipate and influence industry trends.
• Translates business feedback into technical direction, aligning individual project roles and overseeing solution design based on project requirements and architectural patterns.
• Oversees product development processes by teaming with management to integrate business direction with technical strategies and execution.
• Drives thought leadership by utilizing industry intelligence, shaping initiatives and standards, and conducting presentations at customer, industry, and media events.
• Champions process improvement by challenging and refining Cambia's IT processes and leading architecture practices to increase efficiency and productivity.
• Facilitates organizational adaptation in response to company and industry changes while taking responsibility for continuous personal skill development and technical growth.

IAM Security Architect

Account Executive

• The Account Executive is responsible for strategic account management for assigned groups.
• Retains group business for assigned territory.
• Establishes and maintains strategic agent relationships.
• Will cross sell other lines of business directly or through broker/agents.
• May also work in team environment.
• Responsible for retaining profitable group business.
• Manages and nurtures relationships with brokers/agent/groups to facilitate lifetime relationships with members.
• Effectively work within a team environment and able to work with cross functional teams (ie. Underwriting, customer service, claims, etc.).
• Ability to establish and maintain a key account prospect list for cross selling opportunities.
• Develops and follows customer service plan to meet established standards.
• Ability to anticipate customers needs and effectively problem solve.
• Monitors business/industry conditions, customer developments and competitive activities.
• Works with Group Managers to reflect changing market conditions in the sales approach.