Membership Eligibility Processor I, II, or III, DOE

Membership Eligibility Processor I, II, or III, 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 Member Eligibility Processors are living our mission to make health care easier and lives better. As a member of the Membership team, our Membership Eligibility Processors establish and maintains accurate subscriber and member level eligibility through processing of new applications, member additions and deletions, policy revisions, demographic changes, renewal changes and any other maintenance affecting eligibility – all in service of making our members’ health journeys easier.

Do you have a passion for serving others and learning new things? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

The Membership Eligibility Processor I would have a high school diploma or GED and six months data entry experience with demonstrated ability to meet or exceed accuracy and production standards.

The Membership Eligibility Processor II would have a high school diploma or GED and one year of experience as a Membership Eligibility Processor I with demonstrated ability to meet or exceed accuracy and production standards or an equivalent combination of education and job-related work experience.

Skills and Attributes:

40 wpm keying.

10-key by touch.

Must be detail-oriented and self-motivated.

Must be dependable and maintain attendance at or above departmental standards.

Must be able to exercise judgment, initiative and discretion in confidential, mature and sensitive manner.

Must be able to establish effective working relationships with staff and customers.

Ability to understand mathematical calculations and concepts.

Ability to organize and prioritize work.

PC experience required, experience with Word, Excel, and Outlook or similar software.

Ability to communicate effectively.

Medical Terminology for WSHIP health questionnaire processors required.

What You Will Do at Cambia:

Review, enter, and maintain changes on individual, small, large, trust or specialized group enrollment applications. Review and apply eligibility rules by calculating appropriate waiting period credit, eligibility data, effective date and enter benefits, name, social security number, address, family members and primary care physician information with network coding, which is consistent with contract.

Perform all eligibility tasks accurately and timely to meet MTM requirements, ensuring we’re complying with MTM standards, as well as Consortium standards as they relate to group membership activities.

Identify and prioritize work in order to meet deadlines including state requirements for timeliness.

Incorporate and apply changes made to Membership Accounting, Underwriting and State and Federal policies and procedures to ensure current requirements are met.

Responsible for meeting established departmental performance expectations.

Handle responses to inquiries to meet BlueCross and BlueShield Association (BCBSA) standards and corporate goals.

Provide customer service to internal customers and may place and track outgoing calls to external customers including groups, agents and subscribers to obtain information necessary for enrollment, while maintaining member confidentiality in all aspects of eligibility and billing processes.

Assist less experienced staff with questions and/or difficult issues or accounts as needed.

Maintain manuals to ensure policies and procedures are current.

Attend and participate in training and staff meetings.

The starting hourly wage for the Membership Eligibility Processor I role is $17.20 – $24.60/hour, depending on candidate’s geographic location and experience.

The starting hourly wage for the Membership Eligibility Processor II role is $17.20 – $26.60/hour, depending on candidate’s geographic location and experience.

The starting hourly wage for the Membership Eligibility Processor III role is $17.20 – $28.60/hour, depending on candidate’s geographic location and experience.

The annual incentive payment target for this position is 5%.

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 (eligible day one of employment if within first 12 months following birth or adoption).
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 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.

Assistant Inventory Planner

About Misfits Market:

Misfits Market is a mission-driven, high-growth startup dedicated to reducing food waste and making shopping for sustainable, high-quality groceries easier and more affordable. We deliver organic produce, high-quality meats and seafood, plant-based proteins, dairy, bakery, wine, and other grocery items to nearly every zip code in 48 states at up to 30 percent off traditional grocery store prices. In 2022, Misfits Market acquired sustainable e-grocer Imperfect Foods and now leverages its in-house transportation network to deliver directly to consumers with one of the most carbon-efficient grocery delivery models on the market. By tackling inefficiencies in the food system, our passionate and motivated team of problem solvers helps save an average of 500,000 pounds of food per week from waste or lesser outcomes, with an all-time savings of 190+ million pounds of food.

About the Role:

The Assistant Inventory Planner is on the Planning & Analytics Merchandising team. They will be responsible for managing all distributor vendors (forecasts, and PO placement) as well as overseeing the entire end to end PO tracking process for the inventory planning team . They will also support the team by running ad hoc reports and data entry tasks as needed. This position reports to the Director of Inventory Planning, Grocery.

Responsibilities:

Forecasting at the item and fulfillment center level quantities needed within assigned distributor vendors to meet sales plans, minimize shrink risk, and hit planned inventory level targets.
Purchase Order management. This includes creating Purchase Orders, verifying all information on purchase orders is accurate, sending purchase orders to vendors, and tracking all purchase orders until they deliver to our fulfillment centers. They will own updating the PO tracker for the entire team, following up directly with vendors and Operations teams, recapping status of POs and escalating vendor issues as needed to Inventory Planners and Category Managers.
Assist finance with resolving all PO and invoice discrepancies. Coordinate with receivers to verify arrivals. Work with vendors to resolve any quality or quantity issues. Escalate to Inventory Planner / Category Managers as needed to ensure timely resolution.
Demonstrate logical analytical abilities, creative problem-solving skills, and financially sound judgment to deliver conclusions and recommendations to the Director of Inventory Planning and cross-functional teams.
Consistently meeting quarterly metrics including sales and inventory plans based on on-time deliveries and in-stock rate.
Provide weekly and monthly reporting on forecast accuracy, sku count, shrink and in stock rate root cause.
Support the weekly catalog process by ensuring that all POs planned to be sold are on time and have appointments at the FCs.
Serve as point of contact for the Operations team for PO exceptions.
Support the inventory planner team with data entry projects as needed.
Skills and Qualifications:

1-3 years experience in Merchandise Planning and Purchase Order Management.
Experience with quickly solving issues and working in a fast-paced environment.
Ability to manage multiple priorities and pivot as needed.
Proficient with Excel, Word, Google Sheets/Docs, and ERP systems
Excellent interpersonal skills
Bachelor’s degree
About You:

You’re highly energetic and friendly attitude, ready to learn
You’re extremely organized with strong attention to detail
You’re able to prioritize and meet deadlines
You’re comfortable with ambiguity
You love the opportunity to meet challenges and take preventative action for solutions
You work well in a highly active team in a collaborative environment
You’re passionate about our mission to eliminate food waste and create a better food system for all
Details of Position & Benefits:

Annual Salary range: $65k-$75k
Full-time exempt position
100 % Remote Work
Salary and employee stock options commensurate with experience
Unlimited PTO
Multiple health, dental, and vision plan options
Life Insurance
401K plan

Data Processing Lead

to deliver timely genetic information using digital technology. We aim to provide accurate and actionable answers to strengthen medical decision-making for individuals and their families. Invitae’s genetics experts apply a rigorous approach to data and research, serving as the foundation of their mission to bring comprehensive genetic information into mainstream medicine to improve healthcare for billions of people.

Our team is expanding rapidly and we’re looking for people who are passionate about helping improve healthcare to join us.

We are looking for a dependable and experienced Data Processing Team Lead to join our Data Processing Team who will ensure that the order to results experience of our patients and providers is consistent and exceptional. You will ensure that the order to results experience of our patients and providers is consistent and exceptional. Be a contributor to our team by inputting and verifying all aspects of a patient’s order from demographic information to patient/family history to billing.

Location: Anywhere in the U.S.A. This position is fully remote!

Shift: Monday – Friday, 9:00am – 5:00pm PST

What you’ll do:

Supports team of individual contributors (ICs)
Build and manage team performance as needed
Provide operational support
Manage competencies in MediaLab and other platforms for everyone in your subject area
Support SOX and other regulatory affairs requests
Maintain HIPAA compliance guidelines and policies related to your subject area
What you bring:

High School diploma, required
Bachelor’s degree preferred
1-3 years in healthcare, science, data processing, or related field preferred
Previous leadership experience or demonstrated leadership skills required
This salary range is an estimate, and the actual salary may vary based on a wide range of factors, including your skills, qualifications, experience and location. This position is eligible for benefits including but not limited to medical, dental, vision, life insurance, disability coverage, flexible paid time off, Spring Health, Carrot Fertility, participation in a 401k with company match, ESPP, and many other additional voluntary benefits. Invitae also offers generous paid leave programs so you can spend time with your new child, recover from your own illness or care for a sick family member.
USA National Pay Range
$76,500—$95,600 USD
Please apply even if you don’t meet all of the “What you bring” requirements noted. It’s rare that someone checks every single item, it’s ok, we encourage you to apply anyways.

Join us!

At Invitae, we value diversity and provide equal employment opportunities (EEO) to all employees and applicants without regard to race, color, religion, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. We will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the San Francisco Fair Chance Ordinance.

We truly believe a diverse workplace is crucial to our company’s success and to better serve our diverse patients. Your input is especially valuable. We’d greatly appreciate it if you can take a quick moment to make your selection(s) below. Submissions will be anonymous.

QA Analyst, Video

Youth sports offer important life lessons that propel kids toward meaningful futures, including a sense of family and community. GameChanger by DICK’S Sporting Goods works to connect families via live video streaming of games, scorekeeping and team communication tools for more than half a million teams. We are a remote-first, dynamic tech company based in New York City intent on improving youth sports for all and developing our own teammates.

OVERVIEW:

About GameChanger:

We believe in the life-changing impact youth sports have on and off the field because they encourage leadership, teamwork, responsibility, and confidence—important life lessons that have the power to propel our youth toward meaningful futures. We recognize that without coaches, parents, and volunteers, organized youth sports could not exist. By building the first and best place to experience the youth sports moments important to our community, we are helping families elevate the next generation through youth sports.

So if you love sports and their community-building potential, or building cool products is your sport, GameChanger is the team for you. We are a remote-first, dynamic tech company based in New York City, and we are solving some of the biggest challenges in youth sports today.

The Position: 

GameChanger users already live stream and watch millions of hours of youth sporting events and clips using the GameChanger app, and we’re looking for a QA Analyst for our new Video Product Team. While we’ve had teams build video functionality, this team will be dedicated to video – owning our video pipeline end to end, evolving our live streaming and post-game video capabilities for users, simplifying the developer experience for product teams that are integrating video into our apps, and ensuring we have a scalable and resilient platform to handle millions of streams and hundreds of millions of highlight clips annually.

As the Video Team’s QA Analyst, you will play a pivotal role within the cross-functional Product Team, guaranteeing that our iOS, Android, and web applications consistently uphold our exacting quality standards. Your primary responsibility will involve validating and verifying the functionality of app features across various platforms and devices while monitoring and reporting on key performance metrics. Beyond ensuring quality, you will actively collaborate with the engineering team to actualize the team’s vision. This is a full time position within GameChanger’s Engineering Department, and can be located either at our headquarters in NYC or remotely throughout the US.

Check out some of our current video capabilities at https://gc.com/live-video

What You’ll Do:

  • Collaborate with Engineering, Design and Product Management teams to ensure mobile apps / web releases go smoothly
  • Coordinate with other QA Analysts, QA Leads, and Release Manager
  • Contribute to planning sessions and provide testing effort estimates
  • Anticipate and proactively mitigate potential risks
  • Develop and execute test plans and test cases for new features 
  • Validate and verify functionality of features across various platforms and devices to ensure smooth user experience
  • Advise automation test strategy
  • Monitor, collect and analyze key performance metrics related to app features
  • Document issues using a bug-tracking system
  • Manage and improve test/release processes within product team
  • Execute, improve and expand our regression test coverage
  • Triage bugs and identify risks 
  • Triage CX tickets and perform investigation
  • Communicate issues found, concerns, and feedback back to the team 

Who You Are:

  • Proven experience in software testing, particularly with a focus in live and VoD streaming workflows and exposure to a wide breadth of video technologies around mobile broadcast, ingest, storage, playback, and related systems at scale
  • Meticulous attention to detail and precision, adept at isolating issues and identifying steps to reproduce them accurately
  • Ability to navigate big picture system context as well as delve into the specific details of its functionalities
  • Experience collaborative debugging and troubleshooting with engineering team members
  • Sound judgment and problem-solving abilities
  • Self Starter
  • Experience testing on web, iOS/Android mobile native apps, as well as backend experience, server-side testing, database systems testing
  • Excellent communication skills and excels in fostering collaborative relationships within cross-team cultures
  • Strong technical understanding, as well as the ability to learn new software/technologies
  • Ability to trade off getting tasks done with stepping back to see the big picture
  • 1 – 5 years of experience as a QA Analyst or a similar role
  • Experience with Test Case Management and Bug Tracking software 
  • Experience using Google Analytics and Looker
  • Test automation experience is a plus 
  • Startup experience is a plus
  • Github experience is a plus
  • Knowledgeable about sports rules and statistics for popular sports in the US, such as baseball, softball, basketball, soccer is a plus

Perks:

  • Work remotely throughout the US* or from our well-furnished, modern office in Manhattan, NY.
  • Unlimited vacation policy.
  • Paid volunteer opportunities.
  • WFH stipend – $500 annually to make your WFH situation comfortable.
  • Snack stipend – $60 monthly to have snacks shipped to your home office.
  • Full health benefits – medical, dental, vision, prescription, FSA/HRA., and coverage for family/dependents.
  • Life insurance – basic life, supplemental life, and dependent life.
  • Disability leave – short-term disability and long-term disability.
  • Retirement savings – 401K plan offered through Vanguard, with a company match.
  • Company paid access to a wellness platform to support mental, financial and physical wellbeing.
  • Generous parental leave.
  • DICK’S Sporting Goods Teammate Discount.

In your cover letter, please tell us about why you’re interested in the QA position and GameChanger.

We are an equal opportunity employer and value diversity in our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

The target salary range for this position is between $80,000 and $110,000. This is part of a total compensation package that includes incentive, equity, and benefits for eligible roles. Individual pay may vary from the target range and is determined by several factors including experience, internal pay equity, and other relevant business considerations. We constantly review all teammate pay to ensure a great compensation package that is fair and equal across the board.

*DICK’S Sporting Goods has company-wide practices to monitor and protect us from compliance and monetary implications as it pertains to employer state tax liabilities. Due to said guidelines put in place, we are unable to hire in AK, DE, HI, IA, LA, MS, MT, OK, and SC.

QUALIFICATIONS:

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Contract QA Tester

About GameChanger:

We believe in the life changing impact youth sports have on and off the field. Sports encourage leadership, teamwork, responsibility, and confidence – important life lessons that have the power to propel our youth toward meaningful futures. We recognize that without coaches, parents, and volunteers, organized youth sports could not exist. By building the first and best place to experience the youth sports moments important to our community, we are helping families elevate the next generation through youth sports.

So if you love sports and their community building potential, or building cool products is your sport, GameChanger is the team for you. We are a remote first, dynamic tech company based in New York City, and we are solving some of the biggest challenges in youth sports today.

The Position:

We’re looking for a diligent, detail-oriented person to work with our Quality Assurance (QA) team & Release team  to test new versions of our app before they are released to the public. 

Note: This role is a contract position that can be done remotely during and outside regular office hours. The expectation is up to 6 hours a day, 4 days a week, but can go up to 40 hours, and will be paid at $22 an hour. It also has the potential to lead to future opportunities.

What You’ll Do:

  • Execute regression test cases on the Alpha & Beta versions of our app.
  • Execute feature test cases.
  • Responsible for documenting issues using a bug-tracking system.
  • Communicate issues found, concerns, and feedback to QA Team and Developers.
  • Be available to work every day during work hours for 4 to 6 hours per day.
  • Maintain existing test cases in Testrail by  informing lead QAs when test cases are outdated so that they can be updated. 

Who You Are:

  • Experience using our apps.
  • Sports knowledge.
  • iOS / Android mobile platform familiarity.
  • Great communication skills.
  • Detail-oriented.
  • QA background.

We are an equal opportunity employer and value diversity in our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.