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24

caresource jobs.

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Team Lead, Care Management

Caresource Management Services Co. All jobs » | Indianapolis, IN, United States
administration of the program Flexible hours including possible evenings and or weekends as needed to serve the needs of CareSource members Apply On line Send This Job to a Friend Copyright Ultimate Software BACH...
from LinkUp | 11 days ago | | Save
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Manager, Member Wellness

Caresource Management Services Co. All jobs » | Dayton, OH, United States
and analyze wellness and prevention data and reporting Foster relationships and provide education with internal and external resources Identify and report risk management issues for CareSource as a whole Assist...
from LinkUp | 11 days ago | | Save
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Director, Health Partner Delegation Oversight

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Role and Responsibility Serve as the subject matter expert in interpreting requirements and ensuring overall areas for health partner delegation are functional and in compliance with CareSource...
from LinkUp | 13 days ago | | Save
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Dental Prior Authorization Specialist

Caresource Management Services Co. All jobs » | Dayton, OH, United States
with the provider to facilitate review process Maintain department turnaround times to ensure compliance with NCQA URAC and CareSource guidelines Ensuring all HIPAA and State requirements regulations are adhered...
from LinkUp | 13 days ago | | Save
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Pharmacist

Caresource Management Services Co. All jobs » | Cleveland, OH, United States
Description Supports the department and organizational strategies goals and vision Supports the Formulary and Clinical Program Manager and make recommendations to the CareSource formulary...
| 16 days ago | | Save
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RN Case Mgr - My Care OH

Caresource Management Services Co. All jobs » | Peninsula, OH, United States
established by CareSource and will typically work in established geographical area in the community will be exposed to weather conditions typical of the location and may be required to stand and or sit for long...
| 16 days ago | | Save
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Claims Processing Coordin

Caresource Management Services Co. All jobs » | Dayton, OH, United States
of scanners to gather manipulate and analyze data Perform Scanning to meet the 24 hour turnaround target Provide technical support for Capture Perfect 0 software This includes entering preferences or claim...
from LinkUp | 11 days ago | | Save
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SIU Internal Controls Analyst

Caresource Management Services Co. All jobs » | Dayton, OH, United States
weaknesses and fraud waste and abuse Ensure adherence to CareSource corporate compliance policies and procedures Perform any other job related instructions as requested with reasonable accommodation CB...
from Miracle Workers | more than 30 days ago | | Save
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Associate Pharmacy Analyst

Caresource Management Services Co. All jobs » | Dayton, OH, United States
and multiple departments across CareSource on specialty pharmacy operations and projects when needed Prepare reports and materials to support management in communicating the specialty pharmacy objectives...
from Miracle Workers | more than 30 days ago | | Save
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Care Management Clerk

Caresource Management Services Co. All jobs » | Louisville, KY, United States
Essential Functions Responsible for reviewing scanning and attaching clinical information in the CareAdvance System Setting alerts within the CareAdvance system for Case Manager or Disease Manager not...
from CareerBuilder | 22 days ago | | Save
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Specialty Pharmacist

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Participate in documentation design implementation and coordination of the clinical management programs Act as primary contact for health partners and staff members regarding all specialty pharmacy ma...
from Miracle Workers | 27 days ago | | Save
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Senior Data Analyst

Caresource Management Services Co. All jobs » | Dayton, OH, United States
The senior data analyst will perform analysis of all data into out of and within CareSource as needed They will identify and quantify data issues within the organization and assist in the development...
from LinkUp | more than 30 days ago | | Save
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Sr Reporting Analyst

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Description Develop reporting that meets the information needs of the organization Work with the business areas to identify and implement opportunities for process improvement that impact performance ...
| 16 days ago | | Save
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Analyst Medical Risk Adjustment

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Description Role and Responsibility Compile and analyze member information to ensure the Risk Adjustment Factor accurately reflects the member health profile financial and clinical information Prepare...
| 16 days ago | | Save
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TL II, Institutional Care

Caresource Management Services Co. All jobs » | Cleveland, OH, United States
Job Summary Provide support direction and assistance to CM staff Give effective and timely feedback to staff in regards to performance outcomes and progress toward goals Assist with integration of CM ...
from LinkUp | 26 days ago | | Save
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Manager, Enterprise Behavioral Health

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Ensure operational alignment of enterprise and market implementation and execution of behavioral health projects and initiatives Assist Behavioral Health Director in implementation of Behavioral Healt...
from Miracle Workers | more than 30 days ago | | Save
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Prior Authoirization Specialist

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Job Summary Assist with Medical Management Processes Responsible for collection and entry of demographic and service requests information from providers members into the electronic record Verify eligi...
from Miracle Workers | more than 30 days ago | | Save
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Sr. Communications Specialist

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Communication plans and messaging Executive talking points Cross Functional Interactions CareSource Foundation and CareSource University Market and Product Group Core Services Accountability Accuracy...
from LinkUp | more than 30 days ago | | Save
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Actuarial Analyst

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Complete Incurred But Not Reported IBNR reserve estimates for all CareSource lines of business on a monthly basis Ensure financial integrity of lag cell data via reconciliation procedures Support...
from LinkUp | more than 30 days ago | | Save
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Configuration Analyst II

Caresource Management Services Co. All jobs » | Dayton, OH, United States
software releases including testing and training Participate in meetings with business owners and users to solutions that meet the requirements and expectation of CareSource Serve as liaison between internal...
from LinkUp | more than 30 days ago | | Save
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