This 6-month temporary position is responsible for ensuring business initiative impact is assessed accurately and consistently, including overall program economics and value delivery. these responsibilities support Finance leadership in the TMO process. Time is fully dedicated to partnering with initiative owners, workstream leads, and Transformation Management team members. Finance Director will partner with and coach workstream leads and initia...
Company Description. CareOregon is a nonprofit, mission-driven health plan dedicated to serving low-income communities in Oregon. The organization is comprised of Columbia Pacific CCO, Jackson Care Connect, and Housecall Providers, and is a key partner in the Health Share of Oregon network. CareOregon is committed to improving health outcomes and providing exceptional care for those in need. They are passionate about recruiting talented individua...
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 include employment functions such as talent acquisition, compensation, benefits, and learning or finance functions such as accounting, budgeting, and procurement. Estimate...
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 include employment functions such as talent acquisition, compensation, benefits, and learning or finance functions such as accounting, budgeting, and procurement. Estimate...
This position is responsible for overall ownership for the ongoing design, deployment, and maintenance of the Workday HCM and Finance system. Primary duties include technical and operational planning and management, leading governance process, driving deployment of feature releases and system maintenance, cross-functional relationship building, and managing a team. This position provides input into strategic planning, provides team leadership and...
The Claims Examiner III is a senior level position responsible for the timely review, investigation, and adjudication of all types of Medicaid, Medicare, Group or Individual medical, dental, & mental health claims. Act as a resource to other claims examiners, other departments, and management. Must meet or exceed quality and production standards. Estimated Hiring Range. $25.42 - $31.07. Bonus Target. Bonus - SIP Target, 5% Annual. Current CareOre...
Pharmacy and/or Medical data entry. Responsibilities will vary depending on the assignment and the department work. Estimated Hiring Range. $18.45 - $22.55. Bonus Target. Bonus - SIP Target, 5% Annual. Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. Essential Responsibilities. Duties will vary depending on the department and assignment but will be of an entry level nature. May include work...
Provider Data Specialist I --------------------------------------------------------------- Job Summary This position is responsible for providing product support to provider data within the QNXT module. Primary tasks include adding, maintaining, and updating provider data records, as well as assistance with database integrity. Accurate and timely provider data plays a critical role in the success of claims payment, OHA Health Systems (DMAP) and C...
Coding Auditor - Risk Adjustment --------------------------------------------------------------- The Coding Auditor performs code audits and is responsible for chart auditing processes as well as contributing to the education of providers and internal stakeholders on coding topics. The position is responsible for keeping up to date on the newest coding guidelines and best practices while promoting compliance with existing American Medical Associa...
The Behavioral Health Care Coordinator (BHCC) is responsible for providing assessment, care planning and service coordination and Intensive Case Management for members with complex or special health care needs and who are identified as high-risk due to behavioral health issues. The BHCC provides clinical expertise in mental health and alcohol and other drug related addiction (AOD) treatment in coordinating services for the purpose of improving me...
Driven by our purpose. Our mission is to inspire and partner to create quality and equity in individual and community health. Our vision is healthy communities for all individuals, regardless of income or social factors. Director, Workplace Services. Essential Responsibilities. Technical/Operational Leadership. Direct facility management and security services across the organization. Lead the execution, management, and oversight of strategic init...
The Clinical Systems Trainer is responsible for training staff in the correct and effective use of decision tools used for utilization management activities and assess staff readiness to begin their specific role in the Division at the conclusion of training. As new initiatives and functionalities arise, they work jointly with Clinical Operations leadership to identify training opportunities and implement strategies to ensure ongoing training nee...
