
Health Partner Engagement Specialist II
Detroit, Michigan
Job Summary: The Health Partner Engagement Specialist II collaborates with key Health Partners in the development of specific strategies for enhanced engagements. Health Partner engagement shall be measured by confidence in CareSource and a...
8d

IT New Market Implementation Lead - Mergers and Acquisitions IT Integration
Job Summary: The IT New Market Implementation Lead has program management and strategic responsibilities related to driving the delivery of software solutions across the CareSource ecosystem for merger & acquisitions, as well a new and expa...
8d

Enterprise Accreditation Specialist III -
Job Summary: The Enterprise Accreditation Specialist III is responsible for supporting the organization to obtain and maintain appropriate accreditations, distinctions and recognitions through NCQA, URAC or other accrediting bodies. This pe...
8d

Operations Specialist II (Facets Dual Processing)
Dayton, Ohio
Job Summary: The Operations Specialist II provides 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...
8d

Dayton, Ohio
Job Summary: Provider Performance Liaisons (PPLs) will develop partnerships with providers to close identified gaps in care and achieve targeted thresholds in Alternative Payment Model (APM) programs and customized plans. The PPL will work ...
8d

LTSS Provider Network Operations Analyst II
Dayton, Ohio
Job Summary: The Provider Network Operations Analyst II executes small to medium scale project plans, business and data analysis, and provides specialized support of the LTSS & HCBS provider network and EVV compliance initiatives. Essential...
8d

Health Partner Engagement Specialist II-Northern Nevada (Reno, Carson City, Elko)
Las Vegas, Nevada
Job Summary: The Health Partner Engagement Specialist II collaborates with key Health Partners in the development of specific strategies for enhanced engagements. Health Partner engagement shall be measured by confidence in CareSource and a...
8d

Health Partner Engagement Specialist II-Northern Nevada
Las Vegas, Nevada
Job Summary: The Health Partner Engagement Specialist II collaborates with key Health Partners in the development of specific strategies for enhanced engagements. Health Partner engagement shall be measured by confidence in CareSource and a...
8d

Job Summary: The Operations Specialist III provides analytical support and leadership for key Claims-related projects. Essential Functions: Regulatory reporting such as CMS and Medicaid Prompt Pay Serve as high dollar claims reviewer Identi...
8d

LTSS Provider Network Operations Analyst II
Dayton, Ohio
Job Summary: The Provider Network Operations Analyst II executes small to medium scale project plans, business and data analysis, and provides specialized support of the LTSS & HCBS provider network and EVV compliance initiatives. Essential...
8d