This position is responsible for proactively identifying opportunities and developing algorithms, models, data structures and data products to facilitate production of insights from healthcare claims, enrollment, and other related data. The core function of this position is to lead efforts to translate complex data into meaningful information for decision makers. Focus ar

This position is responsible for ensuring ongoing, transparent, and consistent communication, support, and engagement between CareOregon and Tribal health partners. Work is in support of services provided by CareOregon to American Indian/Alaska Native Medicaid members living in the state, as well as partnering with Tribal organizations and communities to promote the healt

The Manager, Digital Customer Experience (DCX) is part of the Customer Experience (CX) Department within Operations. This role is responsible for strategic planning, implementation and portfolio management functions that elevate the digital customer experience. Omnichannel digital engagement includes mobile, self service portals, SMS text, chat, artificial intelligence, r

Career Opportunities IS Application Systems Administrator II (24247) Requisition ID 24247 Posted 05/07/2024 CareOregon Full Time Permanent Portland Multi Location (9) Job Description Print Preview Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Position Title IS Applications Systems Admin

The Security and Front Desk Customer Service Representative is the initial point of in person contact for employees, members and visitors of CareOregon. The position provides customer service by providing reception and general information as well as directing visitors, contractors and deliveries to the proper location. This role is also responsible for conducting all init

The Policy Management Specialist is responsible for developing, implementing, and supporting CareOregon's enterprise wide Policy Management Program. Core areas of focus include assisting staff in writing quality and compliant polices, serving as administrator for PolicyTech software, monitoring to ensure policies are current, developing efficient processes, training staff

Career Opportunities IS Application Systems Administrator I (24263) Requisition ID 24263 Posted 05/08/2024 CareOregon Full Time Permanent Portland Multi Location (9) Job Description Print Preview Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Position Title IS Applications Systems Admini

This position is responsible for proactively identifying opportunities and developing algorithms, models, data structures and data products to facilitate production of insights from healthcare claims, enrollment, and other related data. The core function of this position is to translate complex data into meaningful information for decision makers. Focus areas include cost

This position is responsible for performing compliance monitoring of sub contracted organizations, working collaboratively with departments across CareOregon. Primary responsibilities include delegation oversight, process improvement, and reporting. Essential Responsibilities Delegation Oversight Work at the guidance of and with input from the Regulatory Manager to interp

The Health Care Coordinator (HCC) acts an entry point to CareOregon's Regional Care Teams, as well as provides care coordination. This position provides intake functions, physical and behavioral health plan navigation, and care coordination including assessing member needs, developing individualized care plans, coordinating with providers and with members. A focus of this

This position serves as a primary liaison between CareOregon and the provider partner network, which includes contracted, non contracted, and potential providers. This position focuses on establishing, building, and strengthening provider partner relationships among contracted providers. Primary responsibilities include an intermediate level of provider onboarding, develo

This position performs data analysis at an intermediate level. Essential responsibilities are aligned with practices and teams within a defined geographic area, coordinated care organization (CCO), benefit or line of business and may provide guidance to less experienced analysts. This position spends substantial time using a combination of evaluation, quality improvement