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Director, Market Finance(Must Live in Ohio, Managed Care Experience Required)

CareSource Management Services LLC
Dayton, OH
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83558518 288861962 Job Summary: Director, Finance - Market provides ...
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About the job:
financial oversight, leadership and support to the market/corporate and ensures the department proactively collaborates with and provides support for analyses being conducted by areas outside the Finance Department. Essential Functions: Provide timely, accurate comprehensive and transparent financial reporting including, but not limited to, operating statements, trend reports and key business reports as needed to market and corporate leadership Responsible for input and review of market finance IBNR models and understanding...
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6
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Product Support Application Developer II

CareSource Management Services LLC
Dayton, OH
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83552705 288852148 Job Summary: The Production Support Application Developer ...
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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: Analyze, Design, code and test software through the production lifecycle according to functional/technical specifications that meet business requirements Run and monitor software performance tests on new and existing software for the purposes of correcting errors, isolating areas for improvement, and...
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4
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5
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5
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Clinical Systems Production Support Specialist III

CareSource Management Services LLC
Dayton, OH
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83552706 288852160 Job Summary: The Clinical Systems Support Specialist III ...
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will be responsible for leading the efforts of multiple projects at the same time, duties will include, but not limited to implementation of the strategies designed by the architecture team, work with the architecture team on those strategies, solutions, progress and ensure timely delivery of key clinical system improvements. Serve as primary lead for the implementation of key clinical projects. Essential Functions: Execute tactical components to achieve deliverables by vendor, to include but not limited to components...
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Workkeys
Applied Math
4
Graphic Literacy
5
Workplace Documents
5
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Integrations Application Developer III

CareSource Management Services LLC
Dayton, OH
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83545973 288815463 Job Summary: The Enterprise Integrations Application ...
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Developer III(API/Azure) is responsible for the designing, coding, testing, and analyzing Enterprise Integrations and APIs including research, design, documenting and modifying throughout the production lifecycle on cloud and on prem. This role is responsible for setting the vision and direction for the Enterprise Integrations teams with best practices and understanding of the vision at CareSource IT. The role will have oversight over Enterprise Integrations and APIs. This role works in close collaboration with...
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Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
7
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Team Lead Customer Care Issue Resolution Team

CareSource Management Services LLC
Dayton, OH
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83520374 288772294 Job Summary: The Team Lead, Customer Care Resolution ...
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manages the daily activities of the team that provides overall second level support to frontline Customer Care Specialist across CareSource sites ensuring efficient handling of all inquiries in an accurate and timely manner. Essential Functions: Partner with internal stakeholders including but not limited to Claims, Pharmacy, and Utilization Management, Grievance and Appeals and Health Partnership to determine scope of support ensuring member and provider requests are resolved appropriately Leverage data, proactively...
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Workkeys
Applied Math
4
Graphic Literacy
4
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4
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Application Developer III

CareSource Management Services LLC
Dayton, OH
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83520361 288771890 Job Summary: The Application Developer III is responsible ...
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for the designing, coding, testing, and analyzing software programs and applications including research, design, documenting and modifying throughout the production lifecycle. Essential Functions: Analyze, Design, code and test software through the production lifecycle according to functional/technical specifications that meet business requirements Run and monitor software performance tests on new and existing software for the purposes of correcting errors, isolating areas for improvement, and general debugging...
Location:
Job Type:
Occupation:
Career Level / Education:
Salary:
From:
Ohio Means Jobs
Certifications / Licenses:
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
7
apply
Detailed Job Information

Market Liaison Support Services Analyst II

CareSource Management Services LLC
Dayton, OH
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83506661 288684122 Job Summary: Market Liaison Support Services Analyst II ...
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is responsible to work the daily inquiries coming into Operations through the common intake process. Essential Functions: Conduct end-to-end research on assigned MLSS Operation Intakes working with all necessary departments as applicable to the issue, including but not limited to contracting, credentialing, provider data management, claims, configuration, enrollment, utilization management, finance, payment integrity, policy, member benefits, IT and other operational/enterprise departments Review, facilitate, document...
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From:
Ohio Means Jobs
Certifications / Licenses:
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
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Business Analyst III - Must have Provider lifecycle experience

CareSource Management Services LLC
Dayton, OH
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83500849 288637266 Job Summary: The Business Analyst III plays a critical ...
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role in bridging the gap between business needs and technology solutions within the organization. This position involves participating on complex projects, collaborating with cross-functional teams, and providing insights to drive business improvements. The ideal candidate is a seasoned professional with strong analytical skills, a proven track record of successful requirements delivery, and the ability to influence stakeholders at all levels. Key Responsibilities: Lead collaboration efforts with stakeholders to...
Location:
Job Type:
Occupation:
Career Level / Education:
Salary:
From:
Ohio Means Jobs
Certifications / Licenses:
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
apply
Detailed Job Information

Business Analyst III - Must have Claims/Encounters experience

CareSource Management Services LLC
Dayton, OH
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83500848 288637187 Job Summary: The Business Analyst III plays a critical ...
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About the job:
role in bridging the gap between business needs and technology solutions within the organization. This position involves participating on complex projects, collaborating with cross-functional teams, and providing insights to drive business improvements. The ideal candidate is a seasoned professional with strong analytical skills, a proven track record of successful requirements delivery, and the ability to influence stakeholders at all levels. Key Responsibilities: Lead collaboration efforts with stakeholders to...
Location:
Job Type:
Occupation:
Career Level / Education:
Salary:
From:
Ohio Means Jobs
Certifications / Licenses:
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
apply
Detailed Job Information

Claims Reimbursement Analyst

CareSource Management Services LLC
Dayton, OH
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83500847 288637098 Job Summary: The Claims Reimbursement Analyst is ...
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responsible to support Claims Operations work including, implementation and management of product reimbursement strategy and process. Essential Functions: Execute and support the tasks to develop, implement and maintain reimbursement guidelines for assigned CareSource Products, driving consistency, compliance, simplicity and standardization Collaborate with key stakeholders and Product to ensure Claims Reimbursement process and procedures align with the overall strategy and align to industry standard Participate in Benefit...
Location:
Job Type:
Occupation:
Career Level / Education:
Salary:
From:
Ohio Means Jobs
Certifications / Licenses:
Workkeys
Applied Math
4
Graphic Literacy
5
Workplace Documents
4
apply
Detailed Job Information
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