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

The Mobile Developer II is an advanced position on the IS Mobile Platform team. The role utilizes strong knowledge in mobile application development to develop and maintain CareOregon's mobile applications, influence and recommend solutions to complement business strategies, and help create a new suite of secure and well documented widgets for our member facing applicatio

Career Opportunities IS Data Engineer (24085) Requisition ID 24085 Posted 02/07/2024 CareOregon Full Time Permanent Portland Multi Location (10) Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Position Title IS Data Engineer Exemption Status Exempt Department Business Intelligence Title o

This position is responsible for managing the actuarial components of financial reporting and analysis cycles within the organization. This includes providing actuarial estimates of Incurred But Not Reported (IBNR) liabilities and other assets and liabilities, analyzing trends, identifying deviations from benchmarks and the resulting financial impacts, forecasting changes

This position is responsible for managing actuarial analysis related to Medicaid and Medicare Advantage lines of business with a focus on supporting strategic decision making throughout the organization. This includes analyzing Medicaid capitation rates, overseeing the actuarial components of the Medicare Advantage bid pricing, and analyzing historical and emerging experi

This position is responsible for managing cross functional software development teams comprised of a range of technical roles and responsibilities. This position is in charge of managing a team or teams which are focused on Electronic Data Interchange (EDI) analysis and development. This position assesses current technical architecture; evaluates and proposes architectura

This position is responsible for working with CareOregon members, their providers, and pharmacies to support the pharmacy benefit and prescription needs under the major medical benefit. This is an advanced level support position, requiring Pharmacy Technician Certification. Core responsibilities include customer service, claims processing, prior authorizations, formulary

The Snowflake Administrator is responsible for managing, monitoring, and ensuring the optimal performance of the Snowflake data platform. Collaborating with the Data Management and Business Intelligence Teams, the Snowflake Administrator will design, implement, and refine Snowflake environments and structures, addressing any issues identified promptly. This position will

Responsible for the development, execution, and management of the risk adjustment data analytics programs for the Medicare Advantage and Medicaid programs. Assists Director in developing a long term plan for departmental analytics and submissions strategy to support the analytic needs of the organization. Essential Responsibilities Technical and Operational Management Wor

Under minimal supervision, this position is responsible for administering compensation programs for CareOregon and affiliated organizations at an advanced level toward the achievement of business objectives and to provide a strong competitive position. Primary responsibilities for this senior level position include job evaluation, base pay and incentive pay administration

The Vice President of Medicare is responsible for strategy and execution of the Medicare Advantage line of business. The majority of time is focused on enterprise wide engagement, with secondary time on business group oversight. Primary duties include strategic planning and operational effectiveness, as well as development and oversight of resources, relationships, and te

This position is responsible for administering the digital platform and processes for applicants seeking grant funds from CPCCO. Core areas of responsibility include coordination, meeting the funding goals for CCO grant allocations, communication, and technical assistance for key stakeholders. This position works closely with the community health partnership director to a

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 performs data analysis at a senior 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 methods

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