Job description

Assistant Director Product Owner - Payment Integrity Hybrid role (3 days/week in office) at our Salt Lake City, Boise, Fargo, Portland, Vancouver, Renton, Medford, Burlington, Lewiston, Little Rock and Springdale offices. Preference will be given to current employees and candidates who reside within a commutable distance from our Salt Lake City, Boise, Fargo, Lewiston, Little Rock and Springdale offices or who are willing to relocate. 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 Product Owners are living our mission to make health care easier and lives better. As a member of the Payment Integrity team, our AD Product Management leads the strategy, roadmap, and delivery of Payment Integrity capabilities that improve payment accuracy, strengthen pre- and post-payment controls, and reduce avoidable medical expense. This role leads Product Owners and partners across Operations, Technology, Analytics, Finance, Claims, and external vendors to translate business priorities into an executable product roadmap, improve end-to-end payment integrity workflows, and deliver measurable outcomes. As a people leader, you are willing to learn and grow, understanding that leadership is a craft that is continuously honed as you support your team and the lives that depend upon us. Do you have a passion for improving payment accuracy and building capabilities that help ensure claims are paid correctly? Do you thrive leading teams, working across complex vendor and technology ecosystems, and turning business needs into clear priorities and measurable outcomes? Then this role may be the perfect fit. What You Bring to Cambia: Qualifications: Bachelor s degree in business administration, health care administration, clinical discipline, finance, or related field. Advanced degree preferred. 6 years of experience in product management, health plan operations, healthcare, insurance, or an equivalent combination of education and experience. Skills and Attributes: Strong knowledge of health plan claims, payment integrity, reimbursement, pre- and post-payment workflows, or related health plan operations Proven ability to translate complex operational and technical needs into product strategy, roadmaps, prioritized backlogs, and measurable outcomes Experience leading cross-functional work across Claims, Operations, Technology, Analytics, Finance, and vendor partners Strong business acumen with the ability to use data, financial impact, quality measures, and operational performance to guide prioritization and investment decisions Excellent written and verbal communication skills, with the ability to effectively engage senior leadership and stakeholders at all levels Skilled at navigating complex issues, dependencies, and trade-offs while creating clarity and driving decisions Demonstrated success managing strategic relationships with external partners and vendors Experience with claims editing, payment policy, coding, reimbursement, audit, or payment integrity technology strongly preferred. Experience leveraging AI tools and technologies to enhance productivity, quality, analytics, or decision-making highly desired What You Will Do at Cambia: Own the Payment Integrity product strategy and roadmap, aligning priorities to enterprise goals, medical expense reduction opportunities, regulatory requirements, and operational needs Lead and develop Product Owners and team members, creating clear accountability for outcomes, priorities, and delivery Partner with business and technology leaders to translate payment integrity opportunities into prioritized capabilities, requirements, and executable work Oversee operational, process, data, vendor, and systems changes required to support evolving Payment Integrity capabilities Use financial, quality, operational, and vendor performance measures to evaluate outcomes, identify gaps, and recommend corrective action Drive end-to-end readiness across claims editing and payment integrity workflows, including testing, implementation, issue resolution, and post-production stabilization Manage strategic vendor relationships and ensure vendor capabilities, integrations, performance, and roadmaps align with business needs Identify risks, dependencies, capacity constraints, and trade-offs early and bring forward clear options and recommendations for decision As a member of our strong leadership community, you will provide direction to your team, engage them towards common goals and create a positive experience that helps people flourish. FTEs Supervised 3-5 #LI-Hybrid Pay ranges vary based on the candidate s work location. The expected hiring range depends on skills, experience, education, and training; relevant licensure / certifications; and performance history. National pay structure — applies to the Boise and Lewiston, ID; Salt Lake City, UT, Oregon and Washington. The full salary range is $141,000 - $231,000 and the bonus target is 20%. The expected salary range is $150,500 - $203,600. Regional pay structure — applies to North Dakota and Idaho and Utah locations outside the metro areas listed above: The full salary range is $127,000 - $208,000 and the bonus target is 20%. The expected salary range is $135,400 - $183,200. 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 (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. 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. As part of our security requirements, new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees. We are an Equal Opportunity employer dedicated to 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 .

Requirements

Must-haves

Assistant Director Product Owner - Payment Integrity
Hybrid role (3 days/week in office) at our Salt Lake City, Boise, Fargo, Portland, Vancouver, Renton, Medford, Burlington, Lewiston, Little Rock and Springdale offices.
Preference will be given to current employees and candidates who reside within a commutable distance from our Salt Lake City, Boise, Fargo, Lewiston, Little Rock and Springdale offices or who are willing to relocate.
As a people leader, you are willing to learn and grow, understanding that leadership is a craft that is continuously honed as you support your team and the lives that depend upon us.
6 years of experience in product management, health plan operations, healthcare, insurance, or an equivalent combination of education and experience.
Strong knowledge of health plan claims, payment integrity, reimbursement, pre- and post-payment workflows, or related health plan operations
Proven ability to translate complex operational and technical needs into product strategy, roadmaps, prioritized backlogs, and measurable outcomes
Experience leading cross-functional work across Claims, Operations, Technology, Analytics, Finance, and vendor partners
Strong business acumen with the ability to use data, financial impact, quality measures, and operational performance to guide prioritization and investment decisions
Excellent written and verbal communication skills, with the ability to effectively engage senior leadership and stakeholders at all levels
Skilled at navigating complex issues, dependencies, and trade-offs while creating clarity and driving decisions
Demonstrated success managing strategic relationships with external partners and vendors
Experience leveraging AI tools and technologies to enhance productivity, quality, analytics, or decision-making highly desired
Own the Payment Integrity product strategy and roadmap, aligning priorities to enterprise goals, medical expense reduction opportunities, regulatory requirements, and operational needs
Lead and develop Product Owners and team members, creating clear accountability for outcomes, priorities, and delivery
Partner with business and technology leaders to translate payment integrity opportunities into prioritized capabilities, requirements, and executable work
Oversee operational, process, data, vendor, and systems changes required to support evolving Payment Integrity capabilities
Use financial, quality, operational, and vendor performance measures to evaluate outcomes, identify gaps, and recommend corrective action
Drive end-to-end readiness across claims editing and payment integrity workflows, including testing, implementation, issue resolution, and post-production stabilization
Manage strategic vendor relationships and ensure vendor capabilities, integrations, performance, and roadmaps align with business needs
Identify risks, dependencies, capacity constraints, and trade-offs early and bring forward clear options and recommendations for decision
As a member of our strong leadership community, you will provide direction to your team, engage them towards common goals and create a positive experience that helps people flourish.
FTEs Supervised

Nice-to-haves

Experience with claims editing, payment policy, coding, reimbursement, audit, or payment integrity technology strongly preferred.

Application prep

Use the role’s language and application details while tailoring your materials.

Keywords to mirror

Platform: workday
Effort: long

Benefits

Benefits detected in the listing.

Dental

Vision

401(K)

Paid Time Off

Wellness