Accountant Ii
Cambia Health Solutions • Full Time
Posted on Mon, Aug 31, 2026
Accountant II (Staff Accountant)
Hybrid role (3 days/week in office) at our Salt Lake City, Boise, Fargo, Portland, Vancouver, Renton, Medford, Burlington, Lewiston offices. Preference will be given to current employees and candidates who reside within a commutable distance from our Salt Lake City, Boise, Fargo and Lewiston 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 Accountants is living our mission to make health care easier and lives better. As a member of the Accounting team, our Accountant II’s responsibilities will include a variety of general, cash management/treasury or cost accounting activities and functions such as financial statement preparation, account, bank and report reconciliations and analysis, development of desktop procedures, and participation in the development, maintenance and analysis of Company budgets, forecasts, cost data and operating plans – all in service of creating a person-focused health care experience.
Do you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
The Accountant II will have a Bachelor's degree in Accounting, Finance or Business with 1 to 3 years of relevant experience or an equivalent combination of education and experience. CPA, CMA or MBA preferred.
Skills and Attributes:
- Ability to think analytically and to make sound judgments from analysis.
- Ability to plan and organize own work.
- Ability to work flexible hours during periods of heavy workloads.
- Thorough knowledge of PC and mainframe software and systems as currently used by the Company.
- Ability to work effectively in a team environment with all levels of staff and management.
- Ability to communicate effectively, verbally and in writing with stakeholders.
- Based on area of expertise, demonstrated application of accounting knowledge in the following areas:
- Financial Reporting and General Accounting: Generally Accepted Accounting Principles (GAAP), Statutory Accounting Principles (SAP) for Health Care Service Contractors and Health Maintenance Organizations as promulgated by the NAIC.
- Cost Accounting: Cost Accounting Standards (CAS), Federal Acquisition Regulations (FAR); GAAP and SAP.
- Government Accounting: FEHBAR, FAR, CAS, GAAP
- Ability to problem solve questions related to assigned functions (including proposed answers).
- Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired
What You Will Do at Cambia:
- Duties can include one or several of the following:
- Prepares required monthly journal entries on a timely basis to record appropriate accruals and reclass transactions as appropriate.
- Maintains and reconciles various balance sheet accounts on a timely basis and ensures their accuracy by preparing all necessary documentation for reconciling journal entries.
- Accurately prepares components of basic corporate and subsidiary financial statements.
- Accurately gathers, validates, and summarizes accounting or statistical data.
- Maintains allocation tables within the cost accounting system using information such as labor distribution, organization structure, space, line of business distribution, workload, and any other statistical data as necessary. May be required to review and validate information with operating departments throughout the organization.
- Prepares and analyzes administrative cost and budget reports, including the investigation of budget variances, at various levels such as department, division, line of business, and activity categories.
- Responsible for miscellaneous invoicing - research and identify transactions, coordinate reimbursement as necessary.
- Prepare marketing incentive worksheets for monthly journal entry and payroll as requested.
- In support of other staff, will cross-train on a variety of jobs to provide back-up capabilities.
- Prepares major sections of monthly corporate and subsidiary financial statements (both GAAP and SAP) by ensuring accurate and timely data entry of financial information from various system and manual sources. Reviews, analyzes, investigates and reports on significant fluctuations between financial statements of different time periods.
- Maintains and reconciles various balance sheet accounts (FEP, Medicare, ITS, Membership billing & reconciliation system, etc.) on a timely basis and ensures their accuracy by preparing all necessary documentation for reconciling journal entries, including recommendations for process improvement.
- Coordinate with other Plans and departments as necessary.
- Provides internal and external auditors with consolidated reconciliations, schedules and adjustments, including explanations and answering questions necessary to complete the annual audit. Investigates any unusual transactions or activities. Coordinates with other Company departments to resolve inaccuracies.
- Performs analysis on cost trends and allocations; proposes and implements updates to allocation tables as appropriate.
- Mentors new team members on Cambia policies, assists in onboarding as requested.
- Prepares ad-hoc analyses as requested.
Work Environment
- Work primarily performed in office environment.
- May be required to work overtime.
- May be required to work outside normal business hours.
Oregon, Washington, Utah, and Idaho: The expected hiring range is 25.93 – 37.26 per hour, the full salary range is 24.40 – 42.20 per hour and the bonus target is 5%. North Dakota: The expected hiring range is $26.42 - $35.74 per hour , the full salary range is $23.91 - $38.25 per hour.
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.
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