Demo

Cost Accountant III, IV or Senior

Cambia Health Solutions
Medford, OR Full Time
POSTED ON 7/12/2026
AVAILABLE BEFORE 8/9/2026
Hybrid role (3 days/week in office) at our Portland, Medford, Fargo, Burlington, Vancouver, Renton, Boise, Lewiston or Salt Lake City offices. Candidates must reside within commutable distance of that location.

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 Cost Accountants is living our mission to make health care easier and lives better. As a member of the Cost Accounting team, our Cost Accountants [Summary]– 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.

Qualifications

What You Bring to Cambia:

The Accountant III will have a Bachelor's degree in Accounting, Finance or Business with 3 to 5 years of relevant experience or an equivalent combination of education and experience. CPA, CMA or MBA preferred.

The Accountant IV will have a Bachelor's degree in Accounting, Finance or Business with 4 years of relevant experience or an equivalent combination of education and experience. CPA, CMA or MBA preferred.

The Accountant Sr I would have a Bachelor's degree in Accounting, Finance or Business and 6 years of relevant experience or an equivalent combination of education and experience. CPA, CMA or MBA preferred.

Skills And Attributes

Accountant III

  • Analytical thinking and sound judgment
  • Ability to plan and organize own work
  • Ability to work flexible hours during heavy workloads
  • Thorough knowledge of PC and mainframe software and systems
  • Ability to work effectively in a team environment at all levels
  • Effective verbal and written communication with stakeholders
  • Demonstrated application of accounting knowledge in relevant area of expertise (GAAP, SAP, CAS, FAR, FEHBAR as applicable)
  • Ability to problem solve questions related to assigned functions
  • Demonstrated in-depth accounting knowledge based on area of expertise
  • Leadership abilities in a project setting and cross-functional teams
  • Demonstrated ability to plan and organize own work and projects with minimal supervision
  • Ability to research and prepare ad-hoc reports
  • Ability to research and report accounting guidance (existing and new transactions/guidance)
  • Experience with AI tools and technologies to enhance productivity and decision-making (highly desired)

Additional Skills And Attributes For Accountant IV

  • Knowledge and understanding of financial analysis and contract administration, including budgets, forecasting, internal controls, and treasury management
  • Proficiency in drafting professional research papers on major company transactions based on applicable accounting guidance
  • Ability to provide in-depth trend analysis on major operating accounts
  • Leadership abilities such as managing projects, training staff, and leading cross-functional teams
  • Demonstrated success working independently on complex, ad hoc projects for the department

Additional Skills And Attributes Accountant Sr I

  • Demonstrated application of in-depth and complex accounting knowledge (elevated from in-depth alone)
  • Proven leadership abilities as demonstrated by successfully managing projects, leading cross-functional teams, training, and process improvement
  • In-depth knowledge and understanding of financial analysis and contract administration, including budgets, forecasting, strategic plans, internal controls, treasury, and financial management
  • Demonstrated ability to plan and organize work, projects, and the work of others with minimal supervision
  • Ability to work effectively in a team environment while providing in-depth analysis and recommendations using critical thinking and sound judgment
  • Demonstrated ability in delivering effective presentations to stakeholders and/or leadership
  • Demonstrated strong proficiency with relevant technology and applications, including Excel
  • Exceptional verbal and written communications with all levels in the organization
  • Ability to prepare team or department-wide trainings
  • Demonstrated success with research and analysis, and review and writing of professional research papers
  • Ability to delegate and assign responsibility for tasks, set clear objectives and measures, monitor work, assess progress, evaluate results, and provide feedback to others

What You Will Do At Cambia

Duties can include one or several of the following:

  • Prepares monthly journal entries, balance sheet reconciliations, and major sections of corporate and subsidiary financial statements (GAAP and SAP)
  • Gathers, validates, and summarizes accounting and statistical data; prepares ad-hoc analyses as requested
  • Maintains allocation tables within the cost accounting system using labor distribution, organization structure, line of business, and other statistical data
  • Prepares and analyzes administrative cost and budget reports, including investigation of budget variances at department, division, and line of business levels
  • Responsible for miscellaneous invoicing, marketing incentive worksheets, and cross-training on a variety of jobs to provide back-up capabilities
  • Coordinates with other Plans and departments; provides internal and external auditors with reconciliations, schedules, and explanations; investigates unusual transactions
  • Performs analysis on cost trends and allocations; proposes and implements updates to allocation tables; supports re-forecasts and budgeting
  • Researches and reports on current and proposed accounting and auditing standards; prepares and presents regular and ad-hoc analysis to Management
  • Coordinates administration and operation of complex financial systems; participates in design, development, and testing of financial system updates and enhancements
  • Mentors new team members on Cambia policies; provides support and assistance to Accountants I and II in their routine job functions

Additional Duties For Accountant IV

  • Provides financial assistance and support on corporate projects and activities, including mergers, system conversions, and new product development.
  • Participates in the development, implementation and revision of financial policies, procedures, and practices that are a part of the Company's set of internal controls.
  • Support development of implementation plans as new accounting rules and regulations become effective.
  • Provides support, assistance and training to Accountants I and II and III in their preparation of monthly balance sheet account reconciliations, analyses, journal entries, financial reports, and collection of data, including coordination with other Company departments to resolve inaccuracies or discrepancies as necessary.

Additional Duties For Senior I

  • Helps oversee the preparation of audit schedules used in the audit examination. Investigates and resolves any unusual transactions or activities. Works closely with internal and external auditors to ensure timely completion of audits, resolving questions or audit issues as they arise.
  • Assists, supports, trains and directs Accountants I, II and III in daily activities, including the preparation of monthly balance sheet account reconciliations, analyses, journal entries, financial reports, and collection of data, including coordination with other Company departments to resolve inaccuracies or discrepancies as necessary.
  • Works directly with outside consultants, bankers, brokers, regulators and customers on financial and accounting issues.
  • Assists in the coordination of the monthly close with other team members.
  • Leads small groups/teams on small projects.
  • Ensures team members assigned tasks are completed timely and accurately, can provide effective feedback on technical performance.

Work Environment

  • Work primarily performed in office environment.
  • May be required to work overtime.
  • May be required to work outside normal business hours.

Accountant III

  • Oregon, Washington, Utah, and Idaho: The expected hiring range is 62,900.00 – $85,100.00, the full salary range is $59,000.00 – $97,000.00. and the bonus target is 5%.
  • North Dakota: The expected hiring range is $59,837.48 - $80,956.60, the full salary range is $54,151.66 - $86,642.43.

Accountant IV

  • Oregon, Washington, Utah, and Idaho: The expected hiring range is $76,500.00 – $103,500.00, the full salary range is $72,000.00 – $117,000.00 and the bonus target is 10%.
  • North Dakota: The expected hiring range is $73,231.73 - $99,078.23, the full salary range is $66,273.48 - $106,036.49.

Senior Accountant I

  • Oregon, Washington, Utah, and Idaho: The expected hiring range is $84,200.00 – $113,900.00, the full salary range is is $79,000.00 – $129,000.00 and the bonus target is 10%.
  • North Dakota: The expected hiring range is $81,679.31 - $110,507.30, the full salary range is $72,523.20 - $119,663.39.

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.

Benefits

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.

Salary : $54,152 - $86,642

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