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Provider Contract Manager

CareSource Management Services LLC
Dayton, OH
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85706195 292981928 Job Summary: The Provider Contract Manager supports the ...
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Director, Provider Contracting & Strategic Growth with the development, implementation, and management of provider contracting operations processes. Essential Functions: Ensure operational effectiveness by assisting in strategic and business planning, including strategic initiative identification and resource planning and allocation Partner with leadership to determine and prioritize opportunities to achieve departmental and enterprise goals Participate in provider contract template development Provide proactive...
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Team Lead, Case Management, Integrated Care

CareSource Management Services LLC
Dayton, OH
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84685294_1 292981924 Job Summary: The role of the Team Lead, Case Management ...
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- Integrated Care is to provide support, direction and assistance to Case Management staff. Essential Functions: Give effective and timely feedback to staff in regard to performance outcomes and progress toward goals Monitor work allocation to maximize output and effectiveness of staff Provide daily oversight of scheduling and attendance of personnel Monitor performance of staff members through ongoing audit process Provide ongoing training, mentoring, coaching and disciplinary action as needed Conduct regularly...
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Actuarial Analyst I

CareSource Management Services LLC
Dayton, OH
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85701042 292978391 Job Summary: The Actuarial Analyst I is responsible for ...
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providing timely, accurate, and actionable data and analysis supporting the department, area, and corporate key initiatives. Essential Functions: Develops actionable recommendations to management relative to all analysis Calculates profitability reports on appropriate business segments Performs regular and ad-hoc analysis to identify opportunities to improve efficiency and affordability Performs regular and ad-hoc analysis/studies to evaluate assumptions used in other processes Participates in cross functional teams to...
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Applied Math
5
Graphic Literacy
6
Workplace Documents
6
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Provider Engagement Communications Analyst II

CareSource Management Services LLC
Dayton, OH
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85701043 292978398 Job Summary: The Provider Engagement Communications ...
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Analyst II executes small project plans and provides support for new market implementations along with existing markets and products. This role is responsible for aiding in the oversight of all network Provider Engagement communication materials including updating, tracking, cataloging, and socializing materials & templates. Essential Functions: Work collaboratively with team and other business areas to support both internal and external communications assuring execution of the Provider Engagement Strategy and meeting all...
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5
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5
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Actuarial Analyst II (Medicare)

CareSource Management Services LLC
Dayton, OH
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81311000_3 292978373 Job Summary: The Actuarial Analyst II (Medicare) is ...
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responsible for providing timely, accurate, and actionable data, analysis and recommendations supporting the department, area, and corporate key initiatives. Essential Functions: Develops actionable recommendations to management relative to all analysis Calculates profitability reports on appropriate business segments Leads regular and ad-hoc analysis identifying opportunities to improve efficiency and affordability Leads regular and ad-hoc analysis/studies to evaluate assumptions used in other processes Participates in...
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Applied Math
5
Graphic Literacy
6
Workplace Documents
6
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Pharmacy Resident

CareSource Management Services LLC
Dayton, OH
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85689955 292976495 Job Summary: The Pharmacy Resident interacts ...
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professionally as a pharmacist resident within an interdisciplinary team of health care professionals to provide support and leadership within the managed care environment and an academic setting. Essential Functions: Assist operations team in processing prior authorization requests and improving operational processes Develop innovative programs and contribute to ongoing projects by performing a variety of tasks as assigned by residency director to further support pharmacy's role in supporting the CareSource mission of...
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Customer Care Specialist I (Must live in Ohio)

CareSource Management Services LLC
Dayton, OH
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85695078 292977283 Job Summary: The Customer Care Specialist I assists ...
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members/beneficiaries or providers with routine service inquiries. Essential Functions: Resolve member/beneficiaries or provider routine service inquiries; examples include claims processing, member benefit education, contracting and credentialing requests, and when applicable, eligibility inquiries, and transportation arrangements Ensure all HIPAA, State and/or Federal requirements/regulations are always adhered to Research, follow up, and resolve all open/pending issues in a timely manner to ensure member or provider...
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4
Graphic Literacy
4
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4
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Data Product Manager I

CareSource Management Services LLC
Dayton, OH
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85682299 292973186 Job Summary: The Data Product Manager I is responsible ...
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for supporting the analytics and data strategy within the healthcare insurance space. In this role, you will work closely with product managers, data teams, and stakeholders to implement the existing analytics strategy and manage analytics solutions using Mixpanel, Freshpaint, and Power BI. Essential Functions: Execute and maintain the analytics strategy and roadmap developed for products using different Analytics Tools. Work closely with product and marketing teams to set up campaign tracking and report on campaign...
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From:
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Certifications / Licenses:
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
6
apply
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Lead Digital Product Manager

CareSource Management Services LLC
Dayton, OH
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85682300 292973333 Job Summary: The Lead Digital Product Manager drives and ...
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aligns digital product vision, strategy, and development. This role champions key digital product management initiatives that move the needle for the digital product management team and the company, and requires experience with enterprise architecture, big data technologies, product management skill set, and a roll-up-your-sleeves, entrepreneurial approach. Essential Functions: Align digital product strategy to CareSource prioritized market opportunities Translate digital product business strategies into roadmaps and...
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From:
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Certifications / Licenses:
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
6
apply
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Purchase Coordinator II

CareSource Management Services LLC
Dayton, OH
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85682298 292973181 Job Summary: The Purchase Coordinator II assists with ...
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purchase orders, reviews invoices, monitors vendor invoicing, and takes a proactive role in continuous improvement of the ERP system. Essential Functions: Assist with purchase orders(POs) by verifying accuracy of line details and price against executed contracts Process purchase requisitions and contract shells with appropriate cost center/ project and GL account coding Review and interpret contracts accurately to create purchase orders Verify receipt of goods and services in a timely manner Monitor vendor on time...
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From:
OhioMeansJobs.com
Certifications / Licenses:
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
apply
Detailed Job Information
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