The IS Data Security Architect plays a pivotal role in safeguarding the organization's data assets against unauthorized access, disclosure, alteration, and destruction. This professional is responsible for the architectural design, development, and maintenance of comprehensive security frameworks that ensure data protection aligns with business objectives and regulatory r

The Solutions Architect communicates, consults and collaborates with business unit stakeholders and IS teams to weave together information, technologies and capabilities to design and develop appropriate solutions to address business challenges. The position plays a key role in the analysis, definition and development of critical long term technical capabilities and solut

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

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

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

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 is responsible for performing a wide variety of financial and actuarial analyses impacting strategic decision making and the company's financial sustainability efforts. Areas of analysis include cost and utilization trend analysis, return on investment evaluations, Medicare bid development, rate setting optimization, forecasting support, benchmarking, risk a

The Senior Pharmacy Clinical Coordinator is responsible for coordinating with staff and providing pharmacy oversight of a line of business (LOB) (i.e., Coordinated Care Organization (CCO)) or the pharmacy network (i.e., clinical and community pharmacists). Responsibilities include developing and delivering clinical and educational interventions designed to improve pharmac

The Medicare Encounter Data Analyst leads the process for the end to end Encounter Data Processing System (EDPS) data flow and works within CMS guidelines for acceptable data submission. Using SQL and SAS programs, monitor submissions of core claims and supplemental data and reconcile against CMS response files. This position influences leadership decision making and prov

This position performs senior level accounting functions for the organization. Primary responsibilities include general ledger maintenance, analysis and reporting. This position is also responsible for internal and external relations, auditing, and general administration. Senior accountants are responsible for coding accounts payable invoices and check requests, journal e

This position is responsible for leading the execution of Medicaid and Medicare compliance strategy and activity across the organization. Primary duties include technical and operational planning and oversight, as well as resource, relationship, and people management. This position provides input into strategic plans for the broader organization. Essential Responsibilitie

This position performs data analysis and data visualization 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 evaluatio