CareOregon Jobs in United States

The Contract Specialist, Senior is a key contributor to the Contracting team. · ...

This position is responsible for leading actuarial work across the organization. Work includes but is not limited to value-based payment strategy and provider contracting, supporting the Medicaid and Medicare lines of business, IBNR and reserving recommendations, and supporting t ...

The IS Database Developer III is responsible for defining the direction of database and ETL development as well as designing and developing effective solutions in support of business strategies. · This role is essential toward maturing CareOregon's database and ETL development mo ...

This position is responsible for leading large scale, complex projects utilizing project management and LEAN principles and techniques. · ...

This position is responsible for supporting a variety of employee services across multiple locations. The job involves providing technical guidance to People and Culture Coordinators and other department colleagues. · ...

This position is responsible for supporting a variety of employee services across multiple locations. · ...

This position is responsible for performing data management in Workday and other ancillary systems at a senior level. Core areas of responsibility include data configuration, administration, analysis, reporting, stewardship, and project management.Functional areas of focus may in ...

This position is responsible for supporting a variety of employee services across multiple locations. · This role provides operational support for employment services, including new hire forms review, I-9 verifications, license and certification tracking, position description for ...

This position supports employee services across multiple locations. · Provide operational support for employment services. · Ensure work is done in alignment with internal procedures. · ...

This position is responsible for performing data management in Workday and other ancillary systems at a senior level. · ...

The provider data manager oversees strategic management and optimization of contracted & non-contracted provider network data within the Network Operations Division. · Minimum 5 years' experience in healthcare · Minimum 2 years' experience in managed care; experience should demon ...

This position is responsible for working with CareOregon members their providers and pharmacies to support the pharmacy benefit and prescription needs under the major medical benefit.Core responsibilities include customer service claims processing assistance with prior authorizat ...

The Claims Examiner Lead works under the direction of the Claims Examiner Supervisor to manage the daily operations of the Claims Examiner team. · ...

The Regulatory Affairs Program Manager supports the development oversight and implementation of regulatory programs that support performance at or above federal and state standard requirements contractual obligations and internal standards. · Program Managers serve as strategic p ...

The Intensive Care Coordinator (ICC) develops and implements member-centric care plans and provides telephonic and community-based care coordination for members with high health care needs. · ...

This position is responsible for building oversight and growth of a customer centered Finance organization.This position will require you to into the downtown Portland office 2-3 days a week. · ...

This position is responsible for working with CareOregon members, their providers, and pharmacies to support the pharmacy benefit and prescription needs under the major medical benefit. · Customer Service and Claims Processing · Data Entry and Clerical Support · Prior Authorizati ...

This position negotiates develops and maintains Letters of Agreements LOAs healthcare services contracts which are moderately advanced to complex in nature. · The Contract Specialist Senior identifies expense outliers performs financial analysis and recommends reimbursement strat ...

This position is responsible for providing system configuration for the organization's managed care payment system (QNXT) and other core vendor developed systems at an intermediate level. Ensures system configuration consistency across all core applications, including technical s ...

This position is responsible for performing data management in Workday and other ancillary systems at a senior level. · Data configuration, administration, analysis reporting stewardship project management · ...