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Director Provider Contracting

CareSource


Job Summary: • The Director, Provider Contracting executes contracting strategy, develops provisions based on cost, quality/analysis and monitors key metrics. • Essential Functions: • Conduct annual effectiveness review of contracting strategies; ensure corporate compliance with all...


Manager, Compliance Regulatory Distribution Management

CareSource


Job Summary: • The Manager, Compliance Regulatory Distribution Management serves as the leader, subject matter expert of the Medicaid compliance regulatory distribution management team. • Essential Functions: • • Leads the overall process, reporting, training and team for the Medicaid regulatory...


Manager, Claims Performance Solutions

CareSource

  • US - OH - Dayton

  • July 24, 2024


Job Summary: • The Manager, Claims Performance Solutions provides leadership and direction to ensure the goals and strategies of the department are successfully achieved • Essential Functions: • Develop metrics and leading indicators to measure technical results and create/execute action plans as...


Medicare Sales Representative II-Base + Commission-Must Reside in Cincinnati/ Area

CareSource

  • US - OH - Dayton

  • July 29, 2024


Job Summary: • The Medicare Sales Representative II is responsible for supporting the sales strategy and enrollment goals in collaboration with management to ensure goals are successfully achieved for the Medicare Advantage product line within an assigned territory and consistent with state and...


Investment Accountant III

CareSource


The Investment Accountant III is responsible for performing the day-to-day accounting functions related to investment portfolios, with a focus on ensuring accurate and timely reporting of the investing activity in compliance with Generally Accepted Accounting Principles (GAAP), Statutory Accounting...


Data Solutions Engineer III Managed Care - Finance Focus

CareSource


This is Data Engineering with Purpose ! Bring your strong ETL and architecture skills to our state-of-the-art Databricks platform and join us as we change lives- together ! This role focuses upon financial subjects within the health insurance industry: • Claims, membership, eligibility, and...


Data Solutions Engineer II Managed Care - Clinical Focus

CareSource


This is Data Engineering with Purpose ! Bring your strong ETL and architecture skills to our state-of-the-art Databricks platform and join us as we change lives- together ! This role focuses upon clinical subjects within the health insurance industry: • member conditions, social determinants of...


Senior Manager, Finance Cost Reporting

CareSource

  • US - OH - Dayton

  • July 29, 2024


Job Summary: The Senior Manager, Finance - Cost Reporting is responsible for oversight of the cost reporting process, including, but not limited to data management, coding, encounter reconciliation, financial report reconciliation, and coordination with other finance teams. There is a strong focus...