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

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

Care Coordination is defined as the organized coordination of a member's health care services and support activities to improve health outcomes. It involves a team based approach and includes the member (unless contraindicated), providers, community partners, and other individuals involved in the member's care. Care Coordination focuses on the needs and strengths of the m

This position is responsible for the development, execution, ongoing maintenance, and health of CareOregon's technology infrastructure and information security services. Work is focused on aligning ISBI resources to CareOregon's strategic and operational goals, developing roadmaps, vendor management, and active engagement with department leaders across the enterprise. Pri

The Data Quality Analyst is responsible for monitoring and assessing the accuracy and integrity of the data within the Enterprise Data Warehouse (EDW). In collaboration with EDW and Business Intelligence Teams, the Data Quality Analyst will design, review, and refine data quality reports and alerts and take actions to remedy issues detected. This position will partner wit

This position is responsible for the strategic deployment and operational implementation of the network strategy within the assigned CCO geography. The primary focus is on physical health and coordination with Mental and Dental strategy. This position is responsible for the relationship management of participating providers. The position supports the execution of transfor

This position is responsible for providing system configuration for the organization's managed care payment system (QNXT) and other core vendor developed systems at an intermediate level. Ensures system configuration consistency across all core applications, including technical scoping, configuration, testing, and implementation. Participates in the vendor management disc

The External Auditor is responsible for conducting audits and ensuring regulatory compliance in the determination of program reimbursement for assigned providers. This position is responsible for conducting financial analysis, limited and full desk reviews, and in house and on site field audits to ensure regulatory compliance, performance, and proper reimbursement for hea

The Strategic Initiatives Portfolio Manager oversees multiple funding portfolios including distribution of resources to community based organizations and health care providers that advance Health Share's strategic priorities. Funds in this portfolio include global budget investments, Supporting Health for All through Reinvestment (SHARE) spending plan investments, collabo

Career Opportunities IS Application Systems Administrator II (24204) Requisition ID 24204 Posted 04/12/2024 CareOregon Full Time Permanent Portland Multi Location (9) Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Position Title IS Applications Systems Administrator II Exemption Status E

This position is responsible for designing and delivering strategies which support the alignment and operations of provider network supports offered through CareOregon's central behavioral health teams. This position will function as a lead for program and specific project management, scoping and sequencing provider offerings, resource mapping, communication supports, eng

This position is responsible for the development, execution, and health of CareOregon's information systems support services. Work is focused on aligning ISBI resources to CareOregon's strategic and operational goals, developing roadmaps, vendor management, and active engagement with department leaders across the enterprise. Primary duties include strategic, technical, an

This position is responsible for providing behavioral health leadership for a Coordinated Care Organization (CCO) for the purpose of developing and improving the quality of the system of care for members with mental health and substance use needs. The intended outcome is to assure members have access to a full continuum of services and supports, as well as ensuring robust

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 Security and Front Desk Customer Service Representative JCC is the initial point of in person contact for employees, members, and visitors to Jackson Care Connect. The position provides customer service by providing reception and general information as well as assistance with administrative tasks such as HR onboarding, vendor/visitor management, mail support, and othe