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Operations Specialist II

CareSource Management Services LLC
Dayton, OH
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85437016 292864245 Job Summary: The Operations Specialist II provides ...
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analytical support and leadership for project impacting Claims and key internal Claims projects. Essential Functions: Represent claims on cross-functional project work teams Submit, monitor and prioritize IT tickets for the Claims department Review special projects and identify issue trends and potential resolutions Assist with Onbase reporting and processes Develop and draft P&P's and job aides for Claims Assist in training claims staff on claims processing policy and procedures Assist in educating/training Business...
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Tech Delivery Lead

CareSource Management Services LLC
Dayton, OH
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85426980 292860301 Job Summary: The Technical Delivery Lead is responsible ...
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for owning technical delivery and technical management for a defined domain or platform. The role will work closely with cross-functional teams, including product managers, designers, and quality assurance, to ensure the successful delivery of solutions within the defined scope, timeline, and quality standards. Essential Functions: Prioritize team activities based upon IT leadership priorities and bandwidth Represent IT in project/business meetings and engagements Improve solution functionality and efficiency with...
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Women and Children's Regulatory Support Manager

CareSource Management Services LLC
Dayton, OH
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85426979 292860299 Job Summary: The Women and Children Heath Regulatory ...
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Support Manager is responsible for planning, organizing, leading and executing strategic initiatives and supporting regulatory requirements to align with overall business strategy for the Women and Children's Health Team. Essential Functions: Work closely with executives and leaders to ensure assigned initiatives align with business strategies, regulatory/contract/accreditation requirements and are properly resourced, and managed. Develop and provide comprehensive reporting & analysis with actionable recommendations and...
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Applied Math
4
Graphic Literacy
5
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4
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Healthcare Analyst III

CareSource Management Services LLC
Dayton, OH
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85387014 292860071 Job Summary: The Healthcare Analyst III is responsible ...
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for trend analysis, presenting analytical findings and recommendations regarding utilization to management and being proficient in identifying and quantifying opportunities to reduce medical costs while supporting high quality care for members. Essential Functions: Analyze membership, provider, and claims data to uncover trends, variance opportunities, and performance drivers that impact health plan performance. Translate complex healthcare data into compelling, audience-specific stories that support/recommend...
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Strategic Sourcing Specialist

CareSource Management Services LLC
Dayton, OH
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85407266 292855106 Job Summary: The Strategic Sourcing Specialist supports ...
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the corporate strategic sourcing and vendor relations function and associated processes to ensure the company is strategically sourcing materials, equipment, and services with the highest level of quality and in the most cost effective manner. Essential Functions: Triage purchasing requests to ensure timely and appropriate engagement Research internal customer needs and identify the best contracted vendor to provide products and/ or services Facilitate Request for Quote (RFQ) activities for new and existing products...
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4
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5
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5
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Care Manager NICU - Social Worker -

CareSource Management Services LLC
Dayton, OH
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85417421 292855137 Job Summary: The Care Manager - NICU collaborates with ...
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members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the social determinant of health (SDOH) needs of the individual, natural supports and the population with culturally competent delivery of care, services and supports. Facilitates communication, coordinates care and service of the member through assessments, identification, person-centered planning, to prioritize and address what matters most to improve the of lives our members. Essential...
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5
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5
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2026 Summer Internship - Program Integrity

CareSource Management Services LLC
Dayton, OH
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85398985 292855098 Job Description Internship Program The CareSource Intern ...
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is responsible for providing support on special projects, initiatives, and specific activities which will vary by assignment. We offer a 12-week, paid summer internship program for college students who want to separate themselves from the pack. This is an exciting opportunity to obtain real-world experience and prepare yourself for your career after college. The program offers: The opportunity to work on projects that truly impact the company Journey-to-the-Job seminars with CareSource leaders to network and learn...
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Community Based Care Coordinator - Waiver

CareSource Management Services LLC
Dayton, OH
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85412488 292855126 Job Summary: The Community Based Care Coordinator, Duals ...
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Integrated Care is responsible for managing and coordinating care for dual-eligible beneficiaries, those who qualify for both Medicare and Medicaid. This position focuses on integrating health services and community resources to improve health outcomes and enhance the quality of life for individuals with complex health needs. Essential Functions: Engage with the member in a variety of community-based settings to establish an effective, care coordination relationship, while considering the cultural and linguistic needs...
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From:
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Certifications / Licenses:
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
apply
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Configuration Systems Analyst III - Facets Integration

CareSource Management Services LLC
Dayton, OH
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85407267 292855117 Job Summary: The Configuration Systems Analyst III is ...
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responsible for managing and defining system configuration requirements. Essential Functions: Manage and define system configuration requirements. Responsibility for requirements, definition, document, design, testing, training and implementation support using appropriate templates or analysis tool Develop and utilize reports to analyze and stratify data in order to address gaps and provide answers to issues identified within the department or by other departments Identify, manage and document the status of open issues,...
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Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
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Supervisor

CareSource Management Services LLC
Dayton, OH
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85391555 292843082 Job Summary: Director, Women and Children's Health is ...
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responsible to collaborate with enterprise and market leadership in the development, design and implementation of women and children's health program, aligning to market requirements, corporate goals, and quality outcomes. Essential Functions: Serve as subject matter expert (SME), for women and children's health in data analysis, staffing implications and performance goals associated the population Lead large scale transformational change in the market, working effectively with all levels of the organization, individual...
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From:
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Certifications / Licenses:
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
apply
Detailed Job Information
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