Caresource jobs in Dayton, OH

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Prior Authorization Specialist

CareSource - 118 reviews - Dayton, OH 45402 (Downtown area)
Role and Responsibility: § Assists with Medical Management processes § Convert information obtained from providers/members, (received via fax, phone or mail...

Dental Prior Authorization Specialist

CareSource - 118 reviews - Dayton, OH 45402 (Downtown area)
Maintain department turnaround times to ensure compliance with NCQA, URAC, and CareSource guidelines. Role and Responsibility:....

Business Operations Manager

CareSource - 118 reviews - Dayton, OH 45402 (Downtown area)
Role & Responsibility Execute comprehensive programs to meet Business Partner Operations (BPO) goals Provide cross-functional subject matter expertise in...

Provider Claims Specialist

CareSource - 118 reviews - Dayton, OH 45402 (Downtown area)
Role and Responsibility: § Research appeals/grievances to determine validity § Log all appeals/grievances upon receipt in Facets § Stamp and sort incoming...

Member Engagement Specialist

CareSource - 118 reviews - Dayton, OH 45402 (Downtown area)
Role and Responsibility: § Verify member eligibility, previous enrollment history, demographics and current health status § Engage with members with...

COB Claims Specialist

CareSource - 118 reviews - Dayton, OH 45402 (Downtown area)
Perform all verification requests received from providers on the CareSource Provider Web Portal. Role and Responsibility:....

Provider Appeals Specialist

CareSource - 118 reviews - Dayton, OH 45402 (Downtown area)
Review appeals submitted by Medicaid and Medicare providers and all future providers contracted with CareSource. Role and Responsibility:....

Data Analyst

CareSource - 118 reviews - Dayton, OH 45402 (Downtown area)
Perform analysis of all data into, out of and within CareSource in support of Data Warehousing efforts. Role and Responsibility:....

Campaign Coordinator

CareSource - 118 reviews - Dayton, OH 45402 (Downtown area)
Ensure compliance with CareSource and information security policies and regulatory. Role and Responsibility:....

Grievance & Appeals Specialist

CareSource - 118 reviews - Dayton, OH 45402 (Downtown area)
Attempt to save members from disenrolling from CareSource by identifying reason and recommending appropriate resolution. Role and Responsibility:....