Senior Vice President, Finance CareOregonSenior Vice President, FinanceOregonCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). Incorporate guidance from CareOregon equity tools into people leadership, planning, operations, evaluation, budgeting, resource allocation, and decision making.
Senior Vice President, Finance CareOregonSenior Vice President, FinancePortland, OR$264,510–$323,290 / yearCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). Incorporate guidance from CareOregon equity tools into people leadership, planning, operations, evaluation, budgeting, resource allocation, and decision making.
Spanish Translator CareOregonSpanish TranslatorPortland, OR$25.92–$31.68 / hourCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). In collaboration with the language access team, this position helps promote, maintain and improve language access and services for Limited English Proficient (LEP) members and families across the state of Oregon.
Quality Assurance Analyst - HRSN CareOregonQuality Assurance Analyst - HRSNOregonCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). Perform accurate and timely data entry and accounting-related support, including reviewing invoices, ledgers, rental statements, and utility bills to determine eligible reimbursement or payment amounts in accordance with benefit policies and procedures.
Special Investigations Unit Investigator CareOregonSpecial Investigations Unit InvestigatorOregonStrong research, investigative and problem-solving skills Strong communication skills, including written, verbal and listening skills Effective computer skills, including MS Office Suite Strong interpersonal and motivational skills Ability to think logically and creatively without undue influence from personal biases Ability to operate with a high degree of professionalism and confidentially Ability to plan, organize, manage, and monitor work projects Ability to facilitate learning opportunities in a variety of informal and formal settings Ability to make presentations to small and large groups. Ability to bend and speak clearly for at least 3 hours/day Ability to learn, focus, understand, and evaluate information and determine appropriate actions Ability to accept direction and feedback, as well as tolerate and manage stress Ability to see, read and hear and for at least 6 hours/day Ability to perform repetitive finger and wrist movement for at least 3-6 hours/day Ability to work effectively with diverse individuals and groups.
Director, Provider Data Management CareOregonDirector, Provider Data ManagementOregonCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). The Director ensures cohesive operations support, timely and accurate provider data configuration, credentialing oversight, and overall operational excellence across Medicaid and Medicare lines of business.
Quality Assurance Analyst - Hrsn CareOregonQuality Assurance Analyst - HrsnPortland, OR$66,690–$81,510 / yearCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). Perform accurate and timely data entry and accounting-related support, including reviewing invoices, ledgers, rental statements, and utility bills to determine eligible reimbursement or payment amounts in accordance with benefit policies and procedures.
Director, Provider Data Management CareOregonDirector, Provider Data ManagementPortland, OR$155,430–$189,970 / yearCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). The Director ensures cohesive operations support, timely and accurate provider data configuration, credentialing oversight, and overall operational excellence across Medicaid and Medicare lines of business.
Spanish Translator CareOregonSpanish TranslatorOregonCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). In collaboration with the language access team, this position helps promote, maintain and improve language access and services for Limited English Proficient (LEP) members and families across the state of Oregon.
Enterprise Project Management Office Lead-1 CareOregonEnterprise Project Management Office Lead-1OregonCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). Depending on the area being hired, experience should include the following: Project Lead: 5 years’ experience leading information systems projects, as well as independent leadership of a variety of medium, large, and enterprise level/complex projects.
Project Manager III CareOregonProject Manager IIIOregonCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). Minimum 7 years’ related experience, including minimum 5 years managing projects; experience should include: Independent leadership of a variety of medium and large-scale projects, as well as leadership on occasional enterprise-wide, complex projects.
Population Health Program Manager CareOregonPopulation Health Program ManagerOregonCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). This role translates population health strategy into operational execution by leading the design, implementation, and evaluation of internal/external programs, services, and processes that address the needs of defined populations and advance organizational goals related to health outcomes, equity, quality, cost, utilization, and member experience.
Enterprise Project Management Office Lead-1 CareOregonEnterprise Project Management Office Lead-1Portland, OR$113,940–$139,260 / yearCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). Depending on the area being hired, experience should include the following: Project Lead: 5 years' experience leading information systems projects, as well as independent leadership of a variety of medium, large, and enterprise level/complex projects.
Special Investigations Unit Investigator CareOregonSpecial Investigations Unit InvestigatorOregonStrong research, investigative and problem-solving skills Strong communication skills, including written, verbal and listening skills Effective computer skills, including MS Office Suite Strong interpersonal and motivational skills Ability to think logically and creatively without undue influence from personal biases Ability to operate with a high degree of professionalism and confidentially Ability to plan, organize, manage, and monitor work projects Ability to facilitate learning opportunities in a variety of informal and formal settings Ability to make presentations to small and large groups. Ability to bend and speak clearly for at least 3 hours/day Ability to learn, focus, understand, and evaluate information and determine appropriate actions Ability to accept direction and feedback, as well as tolerate and manage stress Ability to see, read and hear and for at least 6 hours/day Ability to perform repetitive finger and wrist movement for at least 3-6 hours/day Ability to work effectively with diverse individuals and groups.
NewActuarial Services Manager - Corporate CareOregonActuarial Services Manager - CorporateOregonThis 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 in health care cost and utilization patterns, estimating and calculating the return on investment of proposed and implemented initiatives, completing required regulatory reporting, and communicating results and findings from actuarial analyses within CareOregon. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.).
NewMedical Director - Behavioral Health CareOregonMedical Director - Behavioral HealthOregonCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). This position may be assigned to lead medical management initiatives for the organization including clinical quality in the provider network, as well as utilization, quality, case management and disease management operations, monitoring and results, in the business areas of integration and behavioral health.
Population Health Program Manager CareOregonPopulation Health Program ManagerPortland, OR$102,330–$125,070 / yearCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). This role translates population health strategy into operational execution by leading the design, implementation, and evaluation of internal/external programs, services, and processes that address the needs of defined populations and advance organizational goals related to health outcomes, equity, quality, cost, utilization, and member experience.
NewProject Manager III - Temporary CareOregonProject Manager III - TemporaryOregonCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). Minimum 7 years’ related experience, including minimum 5 years managing projects; experience should include: Independent leadership of a variety of medium and large-scale projects, as well as leadership on occasional enterprise-wide, complex projects.
NewPayment Integrity Analyst CareOregonPayment Integrity AnalystOregonCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). Research and audit simple to complex claims payments including researching tools provided by the Oregon Health Authority (OHA), Medicare billing guidelines, CareOregon’s claims processing policies and procedures and other resources to identify claims overpayments.
NewProvider Data Specialist I CareOregonProvider Data Specialist IOregonCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). Accurate and timely provider data plays a critical role in the success of claims payment, OHA Health Systems (DMAP) and CMS encounter data submission, PCP assignment, authorization processing, credentialing, IRS reporting, regulatory projects, and the provider directory.