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116 caresource jobs

Specialty Pharmacist

CareSource 18 Reviews Dayton, OH

§ Research, gather and analyze specialty pharmacy utilization data. Evaluate and make recommendation § Participate on internal committees such as… CareerBuilder

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Clinical Operations Quality Specialist

CareSource 18 Reviews Dayton, OH

Responsible for performing quality monitoring activities of clinical and nonclinical areas for compliance with National Committee for Quality… CareerBuilder

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POOL-Associate Case Manager

CareSource 18 Reviews Dayton, OH

• Verify eligibility, previous enrollment history, demographics and current health status of each member. • Maintain current and accurate… CareerBuilder

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Associate Pharmacy Analyst

CareSource 18 Reviews Dayton, OH

§ Proactively research, gather, analyze, and cross examine pharmacy and medical claims § Provide management level summaries that explain key finding… CareerBuilder

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Sr Reporting Analyst – new

CareSource 18 Reviews Dayton, OH

Develop reporting that meets the information needs of the organization. Work with the business areas to identify and implement opportunities for… Percipio Media

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Team Leader PCC – new

CareSource 18 Reviews Dayton, OH

Oversee day-to-day workflow issues with PCC team. Develop plan for management of workload after analyzing trends and act as advocate for PCC team… Percipio Media

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Prior Authorization Specialist Behavioral Health – new

CareSource 18 Reviews Dayton, OH

Assist with Medical Management Processes. Responsible for collection and entry of demographic and service requests information from providers/members… Percipio Media

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Mgr, Enterprise Behavioral Health – new

CareSource 18 Reviews Dayton, OH

§ Ensure operational alignment of enterprise and market implementation and execution of behavioral health projects and initiatives § Assist… Percipio Media

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Manager, Clinical Initiatives – new

CareSource 18 Reviews Dayton, OH

§ Develop, implement, and manage clinical programs such as Medication Therapy Management Programs, Medication Adherence and Compliance programs… Percipio Media

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QI Specialist – new

CareSource 18 Reviews Dayton, OH

Review, track and trend QI issues and report all issues to Senior Management. Retrieve and perform analysis on data and medical records; review… Percipio Media

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Director of Clinical Operations and Programs – new

CareSource 18 Reviews Dayton, OH

Oversee and direct clinically focused areas and operations of Pharmacy Department related across all lines of business. Lead direct reports to… Percipio Media

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Manager MyCare Integrated Care – new

CareSource 18 Reviews Dayton, OH

Oversees the MyCare Management Teams in coordinating the care, services, and health benefits for selected MyCare member populations. Working with the… Percipio Media

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Vendor Oversight Manager – new

CareSource 18 Reviews Dayton, OH

§ Serve as the subject matter expert in interpreting requirements and ensuring overall areas for delegation are functional and in compliance with… Percipio Media

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Manager Consumer Resolution

CareSource 18 Reviews Dayton, OH

§ Has oversight of the Grievance, Appeal, IRE/IRO and State Hearing teams within CareSource § Provide leadership and direction to staff to ensure the… Percipio Media

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CareSource Summer Intern

CareSource 18 Reviews Dayton, OH

Role and Responsibility: § Specific activities will vary by assignment § Assist with general office tasks § Provide support on special projects and… Percipio Media

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