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The Provider Relations Account Manager is responsible for managing and enhancing relationships with health partners/providers, ensuring satisfaction and retention through operational improvements, analysis of work processes, and effective communication. This role also involves leading meetings, conducting site evaluations, managing projects, and supporting organizational goals.
The Project Manager III will oversee medium to high complexity projects, ensuring project milestones are completed and approved, collaborating with stakeholders, managing project budget, and mentoring junior staff. Responsibilities also include maintaining project documentation, tracking project metrics, and adhering to project management standards.
The Project Manager I is responsible for managing small complexity projects and ensuring successful project delivery. This includes completing project milestone deliverables, managing schedules and budgets, facilitating communications, tracking project status, and advocating for project management standards and tools.
The Manager, IT Financial Systems Development is responsible for leading teams in the delivery of SAP systems and custom solutions, ensuring alignment with business and IT strategies. The role involves managing stakeholder relationships, optimizing delivery processes, and contributing to continuous improvement initiatives. The manager also oversees team and vendor performance, develops career plans for staff, and ensures compliance with architectural standards.
The Senior Manager, Configuration provides leadership and direction for achieving departmental goals. Responsibilities include managing project implementations, ensuring adherence to compliance policies, driving automation, enhancing process efficiencies, and collaborating with cross-functional teams. The role also involves resource planning, team training, and strategic planning to ensure timely delivery of configuration changes.
The Application Developer III is responsible for designing, coding, testing, and analyzing software applications. This includes running performance tests, administering analyses of test results, assisting in software deployment, conducting code reviews, and maintaining an understanding of the software development life cycle. The role involves working independently while contributing to operational goals and resolving software-related issues.
The Associate Vice President, Enterprise Quality Assurance & Accreditation leads the accreditation program, ensuring compliance and readiness. Responsibilities include overseeing audits, managing relationships with accrediting bodies, developing strategic plans, and ensuring reporting accuracy. Additional tasks involve fiscal planning and stakeholder management to drive quality improvement initiatives within the healthcare sector.
The IT Architect II is responsible for defining and overseeing technology designs and roadmaps. This role involves providing architecture guidance, promoting best practices across IT groups, leading vendor assessments, and developing technical architectures. The position also includes Hyper-V solutions design, performance monitoring, and documentation maintenance.
The Data Science and AI Manager will lead the development of advanced analytics solutions utilizing NLP and AI to enhance healthcare operations and patient care. This role includes mentoring a team, delivering complex data science projects, and collaborating with various departments to drive data-driven solutions. Responsibilities also involve predictive modeling, data analysis, and ensuring compliance with data regulations.
The Data Solutions Engineer III is responsible for the full life cycle of data and analytic solutions, focusing on Power BI development. Duties include designing complex reports, optimizing data models, partnering in product ideation, mentoring colleagues, and ensuring data security while maintaining advanced levels of data analysis and business intelligence.
The Actuarial Analyst III analyzes data and provides strategic recommendations to management. This role involves calculating profitability reports, leading actuarial processes, mentoring analysts, and participating in cross-functional teams to improve operational results.
The Solution Architect III leads the design and implementation of enterprise-level cloud solutions. The role involves migrating applications to the cloud, evaluating new technologies, and overseeing the technical design of complex cloud systems. The Architect collaborates with various teams to ensure compliance with industry standards and best practices, and documents architectural solutions focusing on security and scalability.
The Data Scientist II is responsible for designing and validating predictive models, machine learning models, and artificial intelligence. This role requires experience in NLP, machine learning algorithms, and data analysis.
The Compliance Manager at CareSource Arkansas PASSE is responsible for overseeing the compliance program, managing risks, ensuring regulatory adherence, and collaborating with internal and external stakeholders. The role involves drafting reports, conducting data analysis, and maintaining best practices in compliance operations along with assisting in audit processes and compliance training.
The Consumer Insight Advisor manages Consumer Experience research projects, analyzing satisfaction surveys and member feedback to drive improvement strategies. They collaborate with stakeholders, develop action plans based on insights, and produce reports to communicate findings effectively. This role requires proficiency in various research methodologies and the ability to convey information clearly.
The Market Administrative Assistant III provides support through research, data compilation, and record maintenance. Responsibilities include preparing business documents, managing executive schedules, coordinating travel, and taking meeting minutes. This role requires proficiency in Microsoft Office and strong communication skills, alongside the ability to manage multiple priorities in a professional environment.
The FP&A Analyst IV leads the analysis of financial trends, costs, and revenues to forecast future finances, manages financial reporting, and supports compliance. This role requires mentoring, developing financial projections, evaluating process improvements, and collaborating with leadership for business integration.
The Community Marketing Representative III develops strategies for building productive relationships with community partners to enhance enrollment for Medicaid, Marketplace, MyCare, and Medicare Advantage. This role involves collaborating with regional agencies, supporting sales strategies, creating marketing opportunities, coordinating community events, and educating stakeholders about CareSource's offerings while maintaining active communication and compliance with state regulations.
The Manager of Provider Network Performance will lead a team to implement and enhance Value Based Reimbursement (VBR) initiatives, develop action plans, track project performance, and manage process improvement opportunities. This role involves strategic collaboration with various business units, analysis of provider networks, and the development of comprehensive reporting and performance models.
The State Market Intelligence Analyst IV investigates and recommends solutions for reimbursement improvements, collaborates with teams on contracting decisions, and develops actionable recommendations for senior management. The role focuses on optimizing operational processes and providing strategic guidance to enhance quality and affordability initiatives.