CareOregon

The Customer Service Representative I acts as the initial contact for members, providing excellent service regarding Oregon Health Plan (OHP), Medicaid, Medicare, Dental, and Mental Health inquiries. Responsibilities include researching and resolving eligibility issues, assisting with PCP assignments, and documenting all member communications.

The Program Manager is responsible for ensuring transparent and consistent progress across the clinical cost and utilization program and its initiatives, providing leadership in complex program management, and driving continuous process improvement. This role involves managing program operations, creating policies, training staff, tracking program health, and supporting the execution and development of various cost and utilization initiatives.

The specialist acts as the initial contact for members and providers regarding Health-Related Services (HRS), handling inquiries via phone, email, and text to support improved healthcare delivery. Key duties include researching and resolving complex inquiries, assisting with service applications, documenting all activities in tracking systems, and adhering to HIPAA requirements.

Customer Service HRS Specialist supporting healthcare inquiries

Customer Service Representative providing support for CareOregon members

Program Manager ensuring consistent progress in clinical cost and utilization program

Customer Service Representative assisting CareOregon members with inquiries and support

--------------------------------------------------------------- Estimated Hiring Range: Bonus Target: Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. Research, verify and resolve inquiries related to Oregon Health Plan (OH...

Senior Coding Auditor performing coding audits and training at CareOregon

--------------------------------------------------------------- Estimated Hiring Range: Bonus Target: Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. Perform and lead a variety of coding-related audits for providers and ot...