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Market Liaison Resolution Specialist at CareSource - ApplyBlast

Market Liaison Resolution Specialist

CareSource

4 months ago

3.5 on Glassdoor

Onsite

Full Time

Junior

0 applicants

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About this role

The Market Liaison Resolution Specialist ensures the thorough resolution of Operational Intakes processed by the Market Liaison Support Services Research Team. This role involves documenting root causes, adjusting impacted claims, and collaborating with cross-functional departments like contracting, IT, and finance. The specialist acts as a subject matter expert for Market specifications regarding HPLC while identifying opportunities for operational process improvements.

Responsibilities

Review Operational Intakes and document findings for resolution
Adjust impacted claims following Standard Operating Procedures
Investigate Market State Compliance tasks and provide documentation
Utilize system knowledge to resolve HPLC Market specifications
Collaborate with cross-functional departments on operational issues

Skills

Qualifications

Bachelor's degree

About CareSource

caresource.com

Headquarters

Dayton, Ohio, United States

Company Size

1001-5000 employees

Founded

1989

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CareSource is a nonprofit managed care organization that provides health insurance plans and related healthcare services, primarily through Medicaid, Medicare, and Marketplace offerings. The company works with members, providers, and government partners to deliver access to medical, behavioral health, and care management services in the health insurance industry.