LTSS Provider Network Operations Analyst II – Provider Relations, Managed Care Experience

Network OperationsNetwork OperationsFull TimeRemoteTeam 1,001-5,000Since 30+ yearsH1B SponsorCompany SiteLinkedIn

Location

Ohio

Posted

31 days ago

Salary

$62.7K - $100.4K / year

Bachelor Degree2 yrs expEnglish

Job Description

• Analyze data, workloads, and processes to enhance operations efficiencies in support of LTSS & HCBS providers • Identify trends and solutions to operational support and ensure provider adherence to regulatory and contractual requirements • Perform quality assurance reviews to ensure that provider information is loaded correctly, and contracting terms are accurately operationalized • Improve Electronic Visit Verification compliance rates for provider network • Manage online communications and optimize service delivery and provider experience

Job Requirements

  • Bachelor of Science/Arts degree or equivalent years of relevant work experience is required
  • Minimum of three (2) years of business management or health care operations experience in insurance, managed care, or related industry is required
  • Minimum of two (2) years Provider Relations experience is required
  • Advanced knowledge of Medicaid, Medicare, MyCare, LTSS, HCBS, and Ohio Home Care Waiver is required
  • Proficient in Microsoft Office Suite to include Word, Excel and PowerPoint
  • Proven experience with project management tools and resolution of open issues
  • Ability to execute small to medium scope project plans including business requirements gathering, definition/prioritization, project scope definition, training, and documentation

Benefits

  • Influenza vaccination is a requirement of this position
  • CareSource provides reasonable accommodations to qualified individuals with disabilities
  • Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members

Related Categories

Related Job Pages

More Network Operations Jobs

SignalFire Talent Network

SignalFire

SignalFire is the first venture capital firm built like a technology company to better solve for the needs of founders. The core of its value-add is Beacon, the AI engine SignalFire has been refining since the firm's launch in 2013. Beacon tracks more than 600 million employees and 80 million companies to guide the fund’s investing and assist portfolio companies with scaling their teams and revenue. SignalFire also helps early-stage founders navigate the toughest parts of building a company at every stage, with expert advisors, 100 skill-building workshops a year, and an in-house team of recruiters, data scientists, PR experts, and go-to-market leaders. With over $2.1 billion in assets under management, SignalFire focuses on investing from seed to scale. The firm’s key sectors include AI/ML, developer tools, B2B SaaS, healthcare, cybersecurity, and consumer. https://www.signalfire.com/disclosures

Network Operations31 days ago
Full TimeRemoteTeam 97Since 2012

SignalFire is building a talent network for future roles at venture-backed startups, seeking builders and technologists across various specialties.

AIMl
California
Network Operations32 days ago
Full TimeRemoteTeam 1,001-5,000

Project Manager overseeing ISP and OSP plant projects for Network Operations

PMP
Arizona + 16 moreAll locations: Arizona, Colorado, Florida, Illinois, Iowa, Kansas, Louisiana, Nevada, New Mexico, North Carolina, Ohio, Michigan, Minnesota, Missouri, Texas, Virginia, Wisconsin
$70K - $80K / year

SNOC Engineer III, Cloud

DYOPATH

Driving Your Organizations's PATH to success.

Network Operations32 days ago
Full TimeRemoteTeam 501-1,000Since 2020H1B Sponsor

SNOC Engineer III leading technical investigations for cloud operations at DYOPATH

AWSAzureCloudCyber Security
United States
$110K / year

Network Operations Specialist I

Cable ONE

Cable One is now Sparklight, visit us at https://lnkd.in/gYiGXS3

Network Operations34 days ago
Full TimeRemoteTeam 1,001-5,000Since 1986H1B Sponsor

Network Operations Specialist maintaining fiber and network systems for Sparklight.

Alabama + 23 moreAll locations: Alabama, Arizona, Florida, Idaho, Illinois, Iowa, Kansas, Louisiana, Nebraska, Nevada, New Mexico, North Carolina, North Dakota, Oklahoma, Oregon, Maryland, Mississippi, Missouri, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah