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This position is responsible for ensuring ongoing, transparent, and consistent communication, support, and engagement between CareOregon and Tribal health partners. Work is in support of services provided by CareOregon to American Indian/Alaska Native Medicaid members living in the state, as well as partnering with Tribal organizations and communities to promote the healt
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The Manager, Digital Customer Experience (DCX) is part of the Customer Experience (CX) Department within Operations. This role is responsible for strategic planning, implementation and portfolio management functions that elevate the digital customer experience. Omnichannel digital engagement includes mobile, self service portals, SMS text, chat, artificial intelligence, r
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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
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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 lead efforts to translate complex data into meaningful information for decision makers. Focus ar
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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