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The Azure Engineer is responsible for engineering, architecting, developing, and implementing unique and innovative enterprise wide, cloud based solutions that deliver actionable platforms to the business with a high degree of impact. Essential Functions Execute tactical components to achieve deliverables set by department leaders, to include but not limited to components
Posted 1 day ago
The Director, Portfolio Management LTSS Delivery establishes a trusted advisor relationship with assigned strategic pillar executives and acts as primary liaison to ensure the delivery of assigned projects/programs. Essential Functions Integrate continuous improvement and innovation into all projects and programs for the assigned strategic pillar Provide support to VP EPM
Posted 1 day ago
The Claims Lifecycle Process Manager is responsible for leading and managing the efforts to improve the claim outcomes for existing and new lines of business within the Claims organization. This will involve working closely with cross functional teams to develop and execute project plans, manage risks, track progress, lead process improvement initiatives, and drive change
Posted 1 day ago
The Senior Director, Market Operations is responsible for planning, organizing, and leading market initiatives and the implementations of CareSource, client, program, and State initiatives. The Senior Director, Market Operations is responsible for working directly with Enterprise Operations and the Market Lead to prepare the market for growth and continued operations. Ess
Posted 2 days ago
The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c
Posted 2 days ago
The Care Guides are responsible for participating as a member of the inter disciplinary Care Coordination Team to coordinate care for members, meeting their individual needs and the needs of the population. The Care Guide serves as a single point of contact for care coordination when there is no CCE or OhioRISE Plan and/or CME involvement & short term care coordination ne
Posted 2 days ago
The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c
Posted 2 days ago
The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c
Posted 2 days ago
The Facets Developer II is responsible for the designing, coding, testing, and analyzing software programs and applications including research, design, documenting and modifying throughout the production lifecycle. Essential Functions Understand business requirements to create solutions for business processes. Work in an Agile framework with Sprint Planning, Daily Scrum,
Posted 2 days ago
The Manager, Provider Relations is responsible for overseeing and encouraging the collaboration with key Health Partners in the development of specific strategies for enhanced operational engagement. Essential Functions Oversee the ownership of the relationship with the Health Partner/Provider with a proactive focus on overall provider satisfaction and retention Assists w
Posted 2 days ago
The Triage Nurse is responsible for using decision support software to perform telephonic clinical triage and health information service for CareSource managed health plans and external clients. Essential Functions Utilize assessment skills and the nursing process for care of healthy, as well as acutely or chronically ill or injured clients, including pediatric, adult, ma
Posted 3 days ago
The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c
Posted 4 days ago
The Enterprise Data Architect is responsible for designing, creating, and managing CareSource's enterprise wide data architecture. This role is critical in establishing a solid foundation for data management and data processing flow throughout the CareSource ecosystem, ensuring that data is organized, accessible, secure, and aligned with business objectives. The Enterpris
Posted 5 days ago
The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c
Posted 8 days ago
The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c
Posted 8 days ago
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