
1001 - 5000 employees
Founded 30+ years
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • Healthcare Insurance
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.
🔥 15 minutes ago
🏈 Ohio – Remote
💵 $83k - $132.8k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
🖥️ Administration
🦅 H1B Visa Sponsor
👻 Ghost score 0%
Where this job comes from
Posted on CareSource's careers page, not through a job board
First seen by Remote Rocketship 15 minutes ago

1001 - 5000 employees
Founded 30+ years
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • Healthcare Insurance
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.
• Serve as the primary administrator and subject matter expert for the PLM platform • Configure and maintain platform settings, workflows, user interfaces, security models, reference tables, metadata, system parameters, and administrative controls • Administer user provisioning, role assignments, permissions, and access reviews in accordance with enterprise IAM and security policies • Maintain configuration documentation and administration procedures • Partner with business owners to support governance, documentation, and lifecycle workflows • Support platform audits and governance activities • Evaluate, coordinate, test, and implement system enhancements and configuration changes • Manage workflow, lifecycle, security, notification, and configuration components for product, benefit, and code set lifecycle processes • Maintain change controls for production and non-production environments • Coordinate platform releases, upgrades, patches, and enhancement deployments • Assess vendor release impacts on configurations and business processes • Partner with vendor resources and CareSource technology teams to resolve issues and implement improvements • Monitor vendor performance and support escalations with Strategic Sourcing & Vendor Risk Oversight • Serve as CareSource’s lead contact for the PLM vendor • Maintain the PLM platform roadmap and enhancement backlog • Analyze adoption, usage trends, operational metrics, and stakeholder feedback to recommend platform improvements • Identify process automation and operational efficiency opportunities with business stakeholders • Monitor vendor roadmaps, emerging capabilities, lifecycle risks, upgrade dependencies, and technical debt • Provide advanced user and stakeholder support as the primary escalation point for platform issues, service requests, and enhancement requests • Coordinate issue triage with IT, business stakeholders, and PLM vendor support teams • Develop and maintain training materials, user guides, and administration documentation • Lead platform onboarding and ongoing training activities • Define and maintain support processes, escalation procedures, service measures and levels, and enhancement workflows • Develop and maintain operational reports, dashboards, and platform metrics • Monitor data health, workflow integrity, and system utilization to identify incomplete records, process exceptions, and configuration issues • Provide reporting, controls, and audit capabilities for business data stewardship • Support reporting and downstream data consumption for regulatory, operational, and strategic initiatives • Collaborate with Product Management, BAO, Compliance, Market Operations, BC&S, IT, and external partners • Participate in governance forums and facilitate alignment among business owners, platform vendors, and technology teams • Facilitate governance discussions on platform enhancements, roadmap priorities, and system improvement opportunities • Support enterprise efforts to establish and maintain a centralized source of truth for product and benefit requirements • Perform other job-related duties as requested
• Bachelor's degree in Business Administration, Information Systems, Healthcare Administration, or related field required, or equivalent years of relevant work experience in lieu of required education • Five (5) years of experience administering enterprise business platforms, workflow systems, product lifecycle systems, or healthcare operational systems required • Familiarity with the healthcare/managed care field and knowledge of Medicaid, Medicare, Military/Veteran products, Marketplace, or other government-sponsored programs or equivalent work within highly regulated environments required • Three (3) years of supporting system configuration, reporting, user security, and business process management strongly preferred • Experience administering Pega Product Composer System (PCS) or similar Product Lifecycle Management platforms preferred • Experience within health insurance, managed care, healthcare operations, or healthcare technology preferred • Experience supporting regulatory, product, benefit, or configuration management processes preferred • Advanced proficiency with Microsoft Office Suite, including Microsoft Word, Excel, and PowerPoint • Enterprise application administration • Workflow and business process management • User security and access governance • Configuration management • Release and change management • Platform requirements analysis and translation of business needs into system capabilities and solutions • Reporting and analytics • Vendor coordination, relationship, and operational support management • Product lifecycle management concepts • Strong systems-thinking skills and understanding of benefit data governance, including data ownership, systems of record, taxonomy, traceability, validation controls, and downstream data dependencies • Lean, Six Sigma, Agile, Product Management, or Pega certification preferred • Ability to work additional hours and/or outside normal business hours during major releases or production deployments as needed • Up to 15% occasional travel may be required
• Bonus tied to company and individual performance may be available • Substantial and comprehensive total rewards package • Remote work arrangement • Up to 15% occasional travel based on department needs • CareSource is dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds
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