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

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

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 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 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

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