Caresource jobs in Moraine, OH

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Patient Care Coordinator

CareSource - 69 reviews - Dayton, OH 45402 (Downtown area)
Document and communicate with CareSource and Provider Case Managers and Discharge Planners to establish discharge planning needs and coordinate care....

Logistics Coordinator

CareSource - 69 reviews - Dayton, OH 45402 (Downtown area)
Role and Responsibility: § Verify member eligibility, previous enrollment history, demographics and current health status § Engage with members with

CSR III

CareSource - 69 reviews - Dayton, OH 45402 (Downtown area)
Role and Responsibility: § Acts as subject matter expert, while staffing the assist line and accurately responding to inquiries presented by a a Customer

Program Manager

CareSource - 69 reviews - Dayton, OH 45402 (Downtown area)
§ Build and manage the project portfolio for strategic corporate programs derived from the company’s three year rolling business strategy § Work closely with

SIU Intake Specialist

CareSource - 69 reviews - Dayton, OH 45402 (Downtown area)
Role and Responsibility: Daily management of the fraud reporting mechanisms (hotline, facets routing, fax, emails) to include follow-up calls with members

Prior Authorization Specialist

CareSource - 69 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

Provider Contract Analyst

CareSource - 69 reviews - Dayton, OH 45402 (Downtown area)
Proactively communicates technical system changes, claims processing, CareSource policies on reimbursement, take-back initiatives, and configuration....

Marketplace Analyst

CareSource - 69 reviews - Dayton, OH 45402 (Downtown area)
Role and Responsibility: Complete reconciliation of premium payments made by members or the government Enforce policy with respect to aging of past due

Resource Operations Analyst

CareSource - 69 reviews - Dayton, OH 45402 (Downtown area)
Role and Responsibility: Conduct Service Operations business analysis function to include analysis and interpretation of statistics Provide tracking and

Team Lead, Contract Analysis

CareSource - 69 reviews - Dayton, OH 45402 (Downtown area)
Proactively communicates technical system changes, claims processing, CareSource policies on reimbursement, take-back initiatives, and configuration....

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