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34

caresource jobs.

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Team Leader PCC

Caresource Management Services Co. All jobs » | Dayton, OH, United States
activities for CareSource members and monitoring the appropriate delivery of healthcare services in a cost effective manner Essential Functions Provide guidance orientation training and resource to PCC and pre...
from LinkUp | 9 days ago | | Save
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Team Lead II - CM - High Risk

Caresource Management Services Co. All jobs » | , OH, United States
Flexible hours including possible evenings and or weekends as needed to serve the needs of our members and may ref members to other CareSource resources Requirements Minimum Qualifications Education...
from LinkUp | 9 days ago | | Save
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Pharmacist

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Supports the department and organizational strategies goals and vision Supports the Formulary and Clinical Program Manager and make recommendations to the CareSource formulary and clinical program...
from LinkUp | 9 days ago | | Save
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Team Leader Pharmacy

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Participate as a pharmacy coordinator oversee and act as a resource to CareSource pharmacy technicians regarding formulary management technical inquiries and staff oversight in conjunction...
from LinkUp | 9 days ago | | Save
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Encounter Data Lead

Caresource Management Services Co. All jobs » | Dayton, OH, United States
The encounter data lead is responsible for all routine submissions by CareSource to state and federal agencies of claims and case management data This includes adhering to the various state...
from LinkUp | 11 days ago | | Save
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Regulatory Reporting Analyst

Caresource Management Services Co. All jobs » | Dayton, OH, United States
The Regulatory Data Submission Analyst provides assistance and analysis related to all regulatory data submissions by CareSource to state and federal agencies of claims and case management data...
from LinkUp | 11 days ago | | Save
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Internal Audit Consultant

Caresource Management Services Co. All jobs » | Dayton, OH, United States
management and staff Educate other departmental staff for ex Associate Auditors and CareSource staff about Internal Audit as necessary Maintain all organizational and professional ethical standards Work under...
from LinkUp | 11 days ago | | Save
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Credentialing Coordinator I

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Committee Responsible for staying abreast of State and federal regulations pertaining to provider credentialing and recredentialing CareSource Credentialing Policies and Procedures and Standard Operating...
from LinkUp | 17 days ago | | Save
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Dir Grievance & Appeals

Caresource Management Services Co. All jobs » | Dayton, OH, United States
with knowledge and experience in a Windows environment Typing speed of 35 words per minute WPM Maintain regulatory knowledge for compliance to ODI CMS and CareSource requirements Customer service orientation...
from LinkUp | 22 days ago | | Save
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RN Case Mgr - My Care OH

Caresource Management Services Co. All jobs » | Youngstown, OH, United States
Perform any other job related instructions as requested with reasonable accommodation Work Environment Physical Requirements Mobile Worker Will work at different office locations established by CareSource...
from LinkUp | more than 30 days ago | | Save
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Claims Analyst

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Responsible for accurate and timely processing of claims Essential Functions Accurately process medical facility and or dental claims for Medicaid and Medicare members Research and process COB Coordin...
from LinkUp | 15 days ago | | Save
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Assoc Prior Auth Specialist

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Role Responsibility Convert information obtained from providers received via fax phone web mail or mail into electronic records Facilitate assist in completion of appropriate documentation and forms t...
from LinkUp | 15 days ago | | Save
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Manager, Alignment Group

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Role Responsibility Responsible for managing team to ensure requirements testing processes and comprehensive portfolio aligns with strategic and operational improvement initiatives to meet business pa...
from LinkUp | 17 days ago | | Save
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HEDIS Operations Analyst

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Education Review and maintain newsletters material Provider Tools CareSource Quality Improvement Department Job Aids etc to ensure they are kept current with Annual NCQA HEDIS Technical Specification updates...
from LinkUp | more than 30 days ago | | Save
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Case Manager - High Risk

Caresource Management Services Co. All jobs » | Cleveland, OH, United States
and thinking skills Decision making and problem solving skills Proper grammar usage Strong organizational and time management skills Proper phone etiquette Customer service oriented The HRCM Caresource Care...
from LinkUp | more than 30 days ago | | Save
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Social Worker Case Manager - MyCare Ohio

Caresource Management Services Co. All jobs » | Youngstown, OH, United States
Mobile Worker Will work at different office locations established by CareSource and will typically work in established geographical area in the community will be exposed to weather conditions typical...
from LinkUp | more than 30 days ago | | Save
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Dir Medical Risk Adjustment

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Role Responsibility Manages the Hierarchical Condition Category HCC revenue function by developing and implement policies to ensure the Risk Adjustment Factor accurately reflects the membership health...
from LinkUp | 22 days ago | | Save
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Quality Management Analyst Operations

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Oversight and monitoring of Operations regulatory requirements and Service Organization Control SOC controls Oversight and monitoring of Operations specific HEDIS initiatives and accreditation require...
from LinkUp | 22 days ago | | Save
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Mgr, HEDIS Analytics

Caresource Management Services Co. All jobs » | Dayton, OH, United States
their HEDIS analytic needs or the HEDIS analytic needs of the organization Serve as HEDIS consultant for members of the CareSource management team Responsible for the execution of the efforts conducted...
from LinkUp | more than 30 days ago | | Save
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Manager Enterprise Project Office

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Responsible for directing Project Office team members and the various functions of the team Collaborate with various business customers to establish implement develop and control best practices for pr...
from LinkUp | 24 days ago | | Save
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