The OHCW Community Based Care Manager is responsible for working with adult individuals and their care team to develop a person centered care plan to address their home and community based needs, and collaborates with members of an inter disciplinary care team (ICT) to meet the needs of the individual and the population, identifying problems or opportunities that would be

The Health Partner Contracting Specialist II focuses on building and maintaining provider partnerships that optimize network access, availability, and financial outcomes. Essential Functions Identify, evaluate, and onboard healthcare providers to expand the CareSource provider network. Collaborate with providers to negotiate favorable terms and conditions for contracts. E

The Actuarial Analyst I is responsible for providing timely, accurate, and actionable data and analysis supporting the department, area, and corporate key initiatives. Essential Functions Develops actionable recommendations to management relative to all analysis Calculates profitability reports on appropriate business segments Performs regular and ad hoc analysis to ident

The OHCW Community Based Care Manager is responsible for working with adult individuals and their care team to develop a person centered care plan to address their home and community based needs, and collaborates with members of an inter disciplinary care team (ICT) to meet the needs of the individual and the population, identifying problems or opportunities that would be

The OHCW Community Based Care Manager is responsible for working with adult individuals and their care team to develop a person centered care plan to address their home and community based needs, and collaborates with members of an inter disciplinary care team (ICT) to meet the needs of the individual and the population, identifying problems or opportunities that would be

The OHCW Community Based Care Manager is responsible for working with adult individuals and their care team to develop a person centered care plan to address their home and community based needs, and collaborates with members of an inter disciplinary care team (ICT) to meet the needs of the individual and the population, identifying problems or opportunities that would be

The OHCW Community Based Care Manager is responsible for working with adult individuals and their care team to develop a person centered care plan to address their home and community based needs, and collaborates with members of an inter disciplinary care team (ICT) to meet the needs of the individual and the population, identifying problems or opportunities that would be

The Special Investigations Unit (SIU) Investigator Lead is the face of the SIU with external federal and state regulatory agencies and is responsible for regulatory communications to ensure timeliness with these oversight agencies. This role is also responsible for the identification and monitoring of emerging fraud, waste, and abuse (FWA) trends and conducting research a

The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c

The Health Partner Engagement Manager is responsible for working closely with managers to build, manage and maintain health partner relationships. Essential Functions Support Manager in meeting department financial cost savings goals Prepare for and participate in various meetings (to include Joint Operating Committees, Operations Meetings and Association Meetings) with k

CareSource is a healthcare company that's growing rapidly with a lot of exciting things on the horizon. In Florida, ImagineCare was formed by Spark Pediatrics and CareSource to provide differentiating care and service to Florida SMMC Medicaid members and their providers. CareSource is looking for highly skilled professionals to transform the lives of ImagineCare enrollees

The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c

The Community Based Care Coordinator I BH/SUD is the member concierge and is the single point of contact for assessment, person centered planning, service coordination (funded or unfunded), disease management, utilization management and transitions between all levels of care. Essential Functions Understand and implement Person Centered Thinking Facilitate the Person Cente

The OHCW Community Based Care Manager is responsible for working with adult individuals and their care team to develop a person centered care plan to address their home and community based needs, and collaborates with members of an inter disciplinary care team (ICT) to meet the needs of the individual and the population, identifying problems or opportunities that would be

The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c