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Manager, Broker & Field Sales
CareSource
-
Dayton, OH
The Manager of Broker & Field Sales will be responsible for supporting and executing on the established D SNP sales strategy. Essential Functions Act as the primary liaison between CareSource, the various contracted enrollment platforms and the broker community to ensure plan data is available and recruited brokers have requested the appropriate and access and can view pl
Email Job
Posted 2 days ago
Clinical Operations Program Manager Mom & Baby Beginnings
CareSource
-
Dayton, OH
The Clinical Operations Program Manager Mom & Baby Beginnings (MBB) is responsible for managing programs that are aligned to strategic objectives and meet business/contractual/regulatory requirements of the MBB and NICU programs including project plan development, workflow design, program tracking and enhancements. This role is responsible for supporting and maintaining t
Email Job
Posted 3 days ago
Investment Accountant III
CareSource
-
Dayton, OH
The Investment Accountant III is responsible for performing the day to day accounting functions related to investment portfolios, with a focus on ensuring accurate and timely reporting of the investing activity in compliance with Generally Accepted Accounting Principles (GAAP), Statutory Accounting Principles (STAT) or other basis as deemed applicable. Essential Functions
Email Job
Posted 3 days ago
Community Based Care Manager - RN - Cuyahoga County
CareSource
-
Cleveland, OH
The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c
Email Job
Posted 4 days ago
Community Based Care Manager - RN - Franklin County
CareSource
-
Columbus, OH
The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c
Email Job
Posted 4 days ago
Director, Risk & Insurance
CareSource
-
Dayton, OH
The Director, Risk & Insurance has overall responsibility for the organization's insurance and reinsurance programs. Essential Functions Lead the organization's captive reinsurance companies and look for ways to leverage captive structure Maintain relationships with brokers, carriers, and third party vendors Oversee the purchase of all insurance and reinsurance coverage f
Email Job
Posted 5 days ago
Operations Specialist III
CareSource
-
Dayton, OH
The Operations Specialist III provides analytical support and leadership for key Claims related projects. Essential Functions Regulatory reporting such as CMS and Medicaid Prompt Pay Serve as high dollar claims reviewer Identify payment integrity issues with claims reimbursement methodologies Prepare and deliver responses to legal correspondence and state complaints Provi
Email Job
Posted 5 days ago
Architect III - Frontend Arch & System Design
CareSource
-
Dayton, OH
The Architect III is responsible for the system design and development of critical frontend platform elements that will support our Digital systems. Additionally, expected to play a key role in defining and delivering strategies to help our Digital platform scale at a national level. Essential Functions Partnerships Driving strong partnerships with our internal Cloud, Dev
Email Job
Posted 6 days ago
Care Guide - Lucas County/Toledo
CareSource
-
Dayton, OH
The Care Guides are responsible for participating as a member of the inter disciplinary Care Coordination Team to coordinate care for members, meeting their individual needs and the needs of the population. The Care Guide serves as a single point of contact for care coordination when there is no CCE or OhioRISE Plan and/or CME involvement & short term care coordination ne
Email Job
Posted 6 days ago
Medical Claims Lifecycle Process Manager - Facets
CareSource
-
Dayton, OH
The Claims Lifecycle Process Manager is responsible for leading and managing the efforts to improve the claim outcomes for existing and new lines of business within the Claims organization. This will involve working closely with cross functional teams to develop and execute project plans, manage risks, track progress, lead process improvement initiatives, and drive change
Email Job
Posted 10 days ago
Director, Market Operations
CareSource
-
Little Rock, AR
The Senior Director, Market Operations is responsible for planning, organizing, and leading market initiatives and the implementations of CareSource, client, program, and State initiatives. The Senior Director, Market Operations is responsible for working directly with Enterprise Operations and the Market Lead to prepare the market for growth and continued operations. Ess
Email Job
Posted 11 days ago
Community Based Care Manager - Clermont/Brown County
CareSource
-
Cincinnati, OH
The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c
Email Job
Posted 11 days ago
Care Guide - Hamilton County
CareSource
-
Cincinnati, OH
The Care Guides are responsible for participating as a member of the inter disciplinary Care Coordination Team to coordinate care for members, meeting their individual needs and the needs of the population. The Care Guide serves as a single point of contact for care coordination when there is no CCE or OhioRISE Plan and/or CME involvement & short term care coordination ne
Email Job
Posted 11 days ago
Facets Developer II
CareSource
-
Dayton, OH
The Facets Developer II is responsible for the designing, coding, testing, and analyzing software programs and applications including research, design, documenting and modifying throughout the production lifecycle. Essential Functions Understand business requirements to create solutions for business processes. Work in an Agile framework with Sprint Planning, Daily Scrum,
Email Job
Posted 11 days ago
Manager, Provider Relations
CareSource
-
Columbus, OH
The Manager, Provider Relations is responsible for overseeing and encouraging the collaboration with key Health Partners in the development of specific strategies for enhanced operational engagement. Essential Functions Oversee the ownership of the relationship with the Health Partner/Provider with a proactive focus on overall provider satisfaction and retention Assists w
Email Job
Posted 11 days ago
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