CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.
Medicaid • MyCare Ohio • Health Insurance Marketplace • Medicare Advantage • Health Insurance
4 days ago
🇺🇸 United States – Remote
💵 $81.4k - $130.2k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
📋 Program Manager
🦅 H1B Visa Sponsor
CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.
Medicaid • MyCare Ohio • Health Insurance Marketplace • Medicare Advantage • Health Insurance
• Manage the development, production, and validation of reports from detailed claims, eligibility, pharmacy, and clinical data. • Compile, analyze, and communicate financial and clinical information including preparing the evaluation of medical contracts and generating cost saving initiatives. • Ensure integrity of information obtained for analysis. • Direct and develop competitive analysis and present findings to senior management. • Responsible for developing membership projections, medical expense forecast, and budget. • Proactively identify trends and patterns using reports and databases. • Evaluate and improve internal analysis processes. • Support the financial control environment by reconciling internal data sets.
• Bachelor of Science/Arts Degree in accounting, finance, economics, computer sciences or related field or equivalent work experience is required. • Master of Business Administration (MBA) or other related post-graduate degree is preferred. • Minimum of six (6) years of experience in finance, accounting, or other professional role with a focus on data manipulation and analysis is required. • Managed Care or healthcare experience is preferred. • SQL and/or SAS experience strongly preferred. • Advanced proficiency level with Microsoft Excel. • Proficient with Microsoft Office Suite, including Outlook, Power Point, Access, and Word. • Subject matter expert in a finance domain with a broad understanding of analysis concepts, practices, and procedures. • Ability to lead and provide subject matter expertise to less experienced analysts in the department. • Demonstrates analytical/problem-solving skills to perform a variety of complicated tasks. • Possesses critical thinking/listening skills. • Licensure and Certification: Certified Public Accountant (CPA), Certified Management Accountant (CMA), Association for Financial Professionals (AFP) FP&A, or related certification is preferred and provides credit for one year of related experience.
• Employee-focused total rewards package includes bonuses tied to performance. • Commitment to fostering an inclusive environment.
Apply Now5 days ago
🇺🇸 United States – Remote
💰 Secondary Market on 2021-07
⏰ Full Time
🟡 Mid-level
🟠 Senior
📋 Program Manager
🦅 H1B Visa Sponsor
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