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Results based on filters ( 27 jobs found )

Facets Developer II

CareSource Management Services LLC
Dayton, OH
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1015749 293486943 Analyze, design, code and test software programs and ...
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Summary
About the job:
applications according to functional/technical specifications that meet business requirements. Research, modify, and document throughout the production lifecycle. Run and monitor software performance tests on new and existing software for the purposes of correcting errors, isolating areas for improvement, and general debugging. Administer critical analysis of test results and deliver solutions to problem areas. Assists in software deployment based on build specification. Liaise with network administrators, systems...
Location:
Dayton, OH
Job Type:
Full-Time
Permanent
Occupation:
Software Developers
Career Level / Education:
Bachelor's degree
Salary:
N/A
From:
OhioMeansJobs.com
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Mgr, Ohio Market Contracting- Managed Care- Healthcare-Leadership Experience

CareSource Management Services LLC
Dayton, OH
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86634437 293451742 Job Summary: The Manager, Ohio Market Contracting is ...
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Summary
About the job:
responsible for leading specialized contracting efforts, handle unique contracting situations, including facilitating contracting changes and negotiations. Essential Functions: Responsible for tracking and trending, inventory and priorities Assists with the development and evolution of the team's strategic direction, annual goals and objectives; recommends new processes and changes for increased department productivity Establish and maintain strong working relationships with key internal business partners Develop and...
Location:
Dayton, OH
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
OhioMeansJobs.com
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
3
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Detailed Job Information

Manager, Application Development

CareSource Management Services LLC
Dayton, OH
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1012917 293482148 Manage all assigned technology components, including ...
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Summary
About the job:
setting vision, direction and execution. Develop strategy and high-level implementation plans for the delivery of new technology and validate business proposition of this technology. Evaluate currently deployed services and develop plans to optimize delivery. Improve technology usability. Liaise closely with business to optimize use of systems and applications. Assess the technology platform to ensure reliability, availability, security, cost, performance justification, regulatory infrastructure for long-term and...
Location:
Dayton, OH
Job Type:
Full-Time
Permanent
Occupation:
Computer and Information Systems Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
OhioMeansJobs.com
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Application Developer Ii

CareSource Management Services LLC
Dayton, OH
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1011907 293482146 Analyze, design, code and test software through the ...
Details
Summary
About the job:
production lifecycle according to functional/technical specifications that meet business requirements. Run and monitor software performance tests on new and existing software for the purposes of correcting errors, isolating areas for improvement, and general debugging. Administer critical analysis of test results and deliver solutions to problem areas. Assist in software deployment as required based on build specification. Utilize UML Modeling and advanced OOP principles for n-tier applications in multi-tier architectures....
Location:
Dayton, OH
Job Type:
Full-Time
Permanent
Occupation:
Software Developers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
OhioMeansJobs.com
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Operations Data Visualization and Analytics Engineer IV

CareSource Management Services LLC
Dayton, OH
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1008589 293482141 Develop department-wide, scalable, efficient database ...
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Summary
About the job:
solutions for supporting reporting functionality. Create ETL solutions for automated, scheduled data refreshes and regular report delivery. Develop and deploy Power BI dashboards which provide leadership with actionable insights that drive critical business decisions. Transform data sets and quantitative and qualitative analysis into usable and effective data for department leaders to make informed business decisions. Build complex analytic tools that utilize the data pipeline to provide actionable insights and other key...
Location:
Dayton, OH
Job Type:
Full-Time
Permanent
Occupation:
Business Intelligence Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
OhioMeansJobs.com
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Architecture Director

CareSource Management Services LLC
Dayton, OH
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1015459 293482458 Job Description: Define and champion technology ...
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Summary
About the job:
architecture strategy in partnership with Enterprise Architecture, ensuring alignment with business goals and IT objectives. Act as a thought leader in identifying emerging technologies and innovative approaches that drive competitive advantage and organizational transformation. Collaborate with executive leadership to establish architecture principles, standards, and governance frameworks to guide IT initiatives. Lead the design and development of enterprise-wide architecture, ensuring solutions are functional, scalable,...
Location:
Dayton, OH
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Engineers/Architects
Career Level / Education:
Bachelor's degree
Salary:
N/A
From:
OhioMeansJobs.com
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medical Director

CareSource Management Services LLC
Dayton, OH
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86473856 293451184 Job Summary: The Medical Director is responsible for ...
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Summary
About the job:
supporting staff by providing training, clinical consultation, and clinical case review for members. Essential Functions: Provide prior authorization medical reviews, consultation and clinical review services Participate in peer-to-peer discussions Provide provider education, training, data sharing, performance evaluations and orientation to the plan Conduct clinical reviews for designated CareSource members as requested Provide physician review for clinical appeals cases Participate in the evaluation and investigations...
Location:
Dayton, OH
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
N/A
From:
OhioMeansJobs.com
Certifications / Licenses:
National Committee for Quality Assurance
Board Certified
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
apply
Detailed Job Information

SIU Investigator Lead Must live in OH or surround

CareSource Management Services LLC
Detroit, MI
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Job Summary: The Special Investigations Unit (SIU) Investigator Lead is the ...
Details
Summary
About the job:
face of the SIU with external federal and state regulatory agencies and is responsible for regulatory communications to ensure timeliness with these oversight agencies. This role is also responsible for the identification and monitoring of emerging FWA trends and conducting research and interactions on claims, industry and other sources (internal and external) of data and information to identify potential FWA and support ongoing fraud investigations. Utilizes a variety of data analytics platforms to mine large volumes...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Insurance Underwriters
Career Level / Education:
Bachelor's degree
Salary:
N/A
From:
State of Michigan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medical Director

CareSource Management Services LLC
Dayton, OH
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86641671 293451746 Job Summary: The Medical Director is responsible for ...
Details
Summary
About the job:
supporting staff by providing training, clinical consultation, and clinical case review for members. Essential Functions: Provide prior authorization medical reviews, consultation and clinical review services Participate in peer-to-peer discussions Provide provider education, training, data sharing, performance evaluations and orientation to the plan Conduct clinical reviews for designated CareSource members as requested Provide physician review for clinical appeals cases Participate in the evaluation and investigations...
Location:
Dayton, OH
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
N/A
From:
OhioMeansJobs.com
Certifications / Licenses:
National Committee for Quality Assurance
Board Certified
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
apply
Detailed Job Information

Business Insights & Planning Analyst III

CareSource Management Services LLC
Dayton, OH
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86741324 293451755 Job Summary: The Business Insights & Planning Analyst III ...
Details
Summary
About the job:
is responsible for the Lean Portfolio Management workstream. Ideal skills we are looking for: Needs graphic development/presentation skills PowerPoint Super User SharePoint Design, Development & Workflows SharePoint Super User Analyze data trends to identify opportunities for continuous improvement Define and track transformation metrics (maturity, flow, predictability, business outcomes) Power BI Experience Essential Functions: Coordinate the execution of diligence planning items and activities among various teams...
Location:
Dayton, OH
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
OhioMeansJobs.com
Certifications / Licenses:
Enterprise Project Management
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
apply
Detailed Job Information
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