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80 caresource jobs

RN, Clinical Trainer, My Care

CareSource 18 Reviews Columbus, OH

Job is located in Mayfield Heights, OH. • Collaborate with management and leadership team and CareSource University to identify and develop case… CareerBuilder

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Case Manangement RN ( Nurse )

Caresource 18 Reviews Dayton, OH

Use decision support software in order to perform telephonic clinical health information services for CareSource managed health plans and external… CareerBuilder

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SIU Internal Controls Analyst

CareSource 18 Reviews Dayton, OH

§ Evaluate and make recommendations. Drive process and implement policy changes to address internal control and system weaknesses § Assist in the… 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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VP, Enterprise Strategy and Management Services – new

CareSource (Ohio) 18 Reviews Dayton, OH

§ Develops strong working relationships with external parties (e.g., Trade Associations) to identify growth opportunities § Develop finance model in… CareSource (Ohio)

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Grievance & Appeals Specialist – new

CareSource (Ohio) 18 Reviews Dayton, OH

The Customer Service Grievance Specialist is responsible for capturing and resolving all complaints regarding bills, dissatisfaction with services… CareSource (Ohio)

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Analyst Medical Risk Adjustment – new

CareSource 18 Reviews Dayton, OH

§ Provide management with analysis based on an understanding of the financial impacts of decisions pertaining to Exchange and Medicare Risk… CareSource

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Service Delivery Specialist – new

CareSource 18 Reviews Dayton, OH

in service resolution environment § Collaborates and develops relationships with external departments in order to resolve escalated issues… CareSource

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Bridge to Home RN Coach

CareSource 18 Reviews Dayton, OH

§ Collaborate and coordinate with primary care physicians, specialists, community agencies, transportation and other partners to ensure members… CareSource

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Senior Marketing Specialist

CareSource 18 Reviews Dayton, OH

Role and Responsibility: § Develop comprehensive marketing plans that align with business needs, members and providers § Create and maintain… CareSource

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Service Ops Analyst

CareSource 18 Reviews Dayton, OH

§ Serve as the Service Operations expert related to accreditation and government regulatory requirements § Conduct Service Operations business… CareSource

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Administrative Specialist

CareSource 18 Reviews Dayton, OH

§ Coordinate large group meetings and events for department management. Makes necessary arrangements such as, securing meeting rooms, prepare agenda… CareSource

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Director Data Management

CareSource 18 Reviews Dayton, OH

The Director, Data Management will support and lead the data warehouse system capabilities and services to enable decision support across the… CareSource

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Manager Wellness and Population Health Programs

CareSource 18 Reviews Dayton, OH

§ Provide leadership and direction to staff to ensure tasks, goals and strategies are successfully achieved § Assist with the design and development… CareSource

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SIU Fraud Claim Analyst

CareSource 18 Reviews Dayton, OH

§ Responsible for FICO IFM incoming scored claims, electronic inquiries and medical records work queues § Responsible for making claim payments… CareSource

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