The Associate Vice President, Provider Contract Analytics oversees the Provider Contract Analytics area focusing on providing analysis and modeling regarding health partner contracts. Essential Functions Oversee financial and analytical functions focused on institutional claim re pricing and contract performance, professional claim re pricing and contract performance, and

The Senior Manager, IT Digital Platform is responsible for shaping our Digital ecosystem. The role encompasses strategic oversight and hands on management of critical people, processes, and tools that drive our Digital success. Essential Functions Drive strong partnerships with our internal organizations aimed at enabling the Digital Solutions delivery teams Partner with

The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c

The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c

The Manager, Dynamics Application Development is responsible for setting the vision and direction for SharePoint and the D365 Customer Relationship Management platform with best practices and understanding of the vision at CareSource IT. The role will have oversight over D365 and power platform development, system integrations, web services, API and data integration devel

The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c

The Quality Analyst II is responsible for analyzing and interpreting complex healthcare data. This role will collaborate with cross functional teams, providing analytical insight to inform strategy and interventions to drive improved quality performance. HEDIS and Healthcare Experience Strongly Preferred Essential Functions Generate graphics that effectively describe, exp

The Quality Analyst IV is responsible for developing, implementing, modeling, and leveraging high volume and highly complex healthcare data to transform into advanced analyses or visual analytic solutions. This role will collaborate with cross functional teams, providing analytical insight to inform strategy and interventions to drive improved quality performance. Essenti

The Risk Adjustment Analyst III is responsible for compiling and analyzing member information to ensure the Risk Adjustment Factor accurately reflects the member health profile, financial and clinical information. Essential Functions Compile and analyze member information to ensure the Risk Adjustment Factor accurately reflects the member health profile, financial and cli

The Manager, Medical Risk Adjustment Programs & Operations is responsible for managing performance, activities and SLAs of outside vendors who are partnered with for risk adjustment interventions. This position is full time, remote. Essential Functions Operates in a matrix environment influencing and managing collaborative risk adjustment initiatives with other internal f

The Risk Adjustment Analyst III is responsible for compiling and analyzing member information (utilizing strong SQL skills) to ensure the Risk Adjustment Factor accurately reflects the member health profile, financial and clinical information. This position is full time, Remote. Essential Functions Compile and analyze member information to ensure the Risk Adjustment Facto

The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c

The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c

The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c

The Community Based Care Coordinator I BH/SUD is the member concierge and is the single point of contact for assessment, person centered planning, service coordination (funded or unfunded), disease management, utilization management and transitions between all levels of care. Essential Functions Understand and implement Person Centered Thinking Facilitate the Person Cente