<?xml version="1.0" encoding="UTF-8"?>
<rss version="2.0">
  <channel>
    <title>ODS Companies Jobs</title>
    <link>http://app.brightmove.com/ATS/CompanyPortal.do?companyGK=14095</link>
    <description><![CDATA[Job Postings available for application.]]></description>
    <language>en-us</language>
    <pubDate>Tue, 07 Sep 2010 22:47:37 EDT</pubDate>
    <lastBuildDate>Tue, 07 Sep 2010 22:47:37 EDT</lastBuildDate>
    <generator>BrightMove ATS</generator>
    <item>
      <title><![CDATA[Facets Application Administrator -  - Portland, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=142240</link>
      <description><![CDATA[Release management of the Facets suite of applications, coordinating the implementation of all applicable vendor changes at ODS. Interfaces with vendor technical and manages the resolution of vendor application issues with the Facets suite. Schedules change implementation, coordination of all relevant testing and technical teams to ensure all vendor changes are applied as scheduled, tested and implemented through the appropriate environments.]]></description>
      <pubDate>Tue, 07 Sep 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Supervisor, Web Development - Portland, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=142239</link>
      <description><![CDATA[Leads the Web Development team, coordinates web projects, manages technical team and leads projects.]]></description>
      <pubDate>Tue, 07 Sep 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Medical Director, Healthcare Services - Portland, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=142145</link>
      <description><![CDATA[1.
            
            
            Provide leadership for the ODS Quality Programs department responsible for: a. NCQA accreditation, HEDIS reporting, CAHPS survey, eValue8, other
                quality related certifications.
            b. Promote continuous quality improvement throughout the company.
            c.   Report ODS quality improvement activities and outcomes to the ODS Board
                  of Directors.   
            
        
        
            
            2.
            
            
            Provide a broad range of input and support to the various units of the Healthcare Services department.
            
        
        
            
            3.
            
            
            Perform case review for preauthorization, medical management, behavioral health/chemical dependency management, appeals, claims and pharmacy.
            
        
        
            
            4.
            
            
            Review individual health insurance applications submitted by underwriting for approval, potential misrepresentation; and assists with interpretation and development of underwriting guidelines.
            
        
        
            
            5.
            
            
            Assist the compliance unit with legislative and regulatory issues, benefit design and benefit language.
            
        
        
            
            6.
            
            
            Assist Professional Relations with provider community activities, communications, provider reporting, pay for performance, medical home and other methods to drive results..
            
        
        
            
            7.
            
            
            Provide medical input into claims system processing and edit functions.
            
        
        
            
            8.
            
            
            Support the marketing department in renewal meeting, finalist presentations, prospective client presentations.
            
        
        
            
            9.
            
            
            Chair the ODS Quality Council, ODS Credentialing Committee and Pharmacy & Therapeutics Committee.
            
        
        
            
            10.
            
            
            Represent ODS in the healthcare community (OMA, QCORP, DHS, DMAP, Council of Innovators, etc.).]]></description>
      <pubDate>Fri, 03 Sep 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Business Implementation Coordinator - P11 - Portland, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=142088</link>
      <description><![CDATA[Responsible for successful implementation of new and renewing group business.  Including acting as general resource for implementation questions, assigning benefits/products, assuring issuance of member benefit booklets, ID cards and creating first billing statement.]]></description>
      <pubDate>Thu, 02 Sep 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Support Specialist, Medical Provider Configuration - P08 - Portland, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=142090</link>
      <description><![CDATA[Main telephone contact for contracted Providers with questions or concerns.  Adds and maintains provider records for ODS Medical, creates Provider Maintenance (PR) and Preferred Provider Arrangement (PP) records for contracted providers.  Contract preparation and correspondence.  Provider updates to internal computer systems.]]></description>
      <pubDate>Thu, 02 Sep 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Network System Administrator - I12 - Portland, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=142093</link>
      <description><![CDATA[Maintains and supports Microsoft Windows operating systems and WAN/LAN environments to meet all business needs and service level agreements.]]></description>
      <pubDate>Thu, 02 Sep 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Sr. System Analyst - I15 - Portland, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=142147</link>
      <description><![CDATA[1.
            
            
            Responsible for analysis in the systems development lifecycle from start to finish 
            
        
        
            
            2.
            
            
            Consult with management and business users to define detailed analysis of systems specifications 
            
        
        
            
            3.
            
            
            Develop technical design specifications to be used by software engineers 
            
        
        
            
            4.
            
            
            Review applications to insure that functional specifications and technical design requirements are met
            
        
        
            
            5.
            
            
            Create test plans 
            
        
        
            
            6.
            
            
            Comply with existing documentation standards 
            
        
        
            
            7.
            
            
            Guide, train, instruct and assisting others on a variety of technical issues  
            
        
        
            
            8.
            
            
            Evaluate, redesign and modify  existing applications to improve overall system performance
            
        
        
            
            9.
            
            
            Perform other duties as assigned.]]></description>
      <pubDate>Wed, 01 Sep 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Lead  Billing & Eligibility Specialist, Individual unit - P10 - Portland, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=141977</link>
      <description><![CDATA[Identify, develop and conduct unit training needs on an individual or group basis for all existing employees and backs up the trainer for all new employees.   Provide back up for all supervisory responsibilities and assists the supervisor in monitoring unit performance relative to key objectives.  Provide on-going technical support and back up for all eligibility and billing for the unit.]]></description>
      <pubDate>Tue, 31 Aug 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Dentist, Mobile Clinic (Tooth Taxi) - Portland, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=63400</link>
      <description><![CDATA[We are searching for a pediatric dentist for our mobile dental van aka the &quot;Tooth Taxi&quot;.  The Tooth Taxi is a privately funded state-of-the-art dental office on wheels:  two operatory units, computerized charting, digital radiographs and nitrous oxide that travels 75% of the time throughout the state of Oregon.   It is a direct service project started in 2008 in response to the growing oral health crisis in Oregon. Unlike other dental vans, the Tooth Taxi has a full-time pediatric dentist and staff, and it spends up to four days at a time at schools providing comprehensive dental care and oral health education for Oregon&rsquo;s neediest children.  
 
Oregon dental license required.]]></description>
      <pubDate>Mon, 30 Aug 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Temporary Billing & Eligibility Specialist  - Milwaukie, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=141898</link>
      <description><![CDATA[This is a temporary assignment, on the ODS payroll, and anticipated to last up to 3 months working Monday through Friday.
Process incoming requests or documents from employers and members based on rules and regulations governing the PERS Health Insurance Program, COBRA administration and retiree administration.  Process premium administration accounts for active employees, COBRA participants and retirees.]]></description>
      <pubDate>Mon, 30 Aug 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Business Systems Analyst - I13 - Portland, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=141873</link>
      <description><![CDATA[Participates in Systems Analysis and Implementation Projects as directed; Gathers and documents business requirements, business process, systems flow and functional system design.  Performs existing system analysis and new systems design.  Takes responsibility for and leads small to medium sized systems projects.  Performs analysis and represents business units for projects and implementations.]]></description>
      <pubDate>Fri, 27 Aug 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Pharmacy Prior Authorization Coord - P08 - Portland, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=65756</link>
      <description><![CDATA[Process pharmacy related prior-authorizations for approval or denial, including entering data into appropriate ODS and vendor systems.]]></description>
      <pubDate>Wed, 25 Aug 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Supervisor, RN Case Manager  - Portland, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=140875</link>
      <description><![CDATA[Leads and supervises Case Management unit. Oversees case management program by   1) managing workflow, 2) training staff, 3) auditing quality, and 4) reporting cost savings and all other performance measures.]]></description>
      <pubDate>Wed, 25 Aug 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Supervisor, Applications and Release Management - Portland, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=38396</link>
      <description><![CDATA[The Application Systems Supervisor is the person responsible for Supervising the, Systems & Database,  Administrators who perform the Operations, Support, and Maintenance of all Core and Mission Critical Applications for the Enterprise within the Operations Infrastructure Department.]]></description>
      <pubDate>Mon, 23 Aug 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Alaska Marketing/Sales Office Assistant - Anchorage - Anchorage, AK]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=141695</link>
      <description><![CDATA[Provide administrative support to Alaska office staff.  Performs receptionist functions, ensuring front desk and phone coverage.  Responsible for supply orders, event organization, responding to client and provider inquiries, filing, clerical and mailing functions.]]></description>
      <pubDate>Mon, 23 Aug 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Individual Sales Representative - Medford - Medford, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=141694</link>
      <description><![CDATA[Responsible for the sales membership growth and profitability of our Medical and Dental Individual Products including Medicare business.  Objective is to support the financial and membership growth of ODS and its affiliates.]]></description>
      <pubDate>Mon, 23 Aug 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Marketing Office Assistant - Medford - Medford, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=141693</link>
      <description><![CDATA[Provides internal administrative assistance to the Medford Marketing/Sales office staff.  Provides daily access for Agents, Group Administrators, prospective clients, and Marketing staff by phone and in person for the purpose of providing administrative support necessary to meet sales and service objectives.]]></description>
      <pubDate>Mon, 23 Aug 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[BHS Billing & Eligibility Specialist II - M09 - Milwaukie, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=141593</link>
      <description><![CDATA[Process incoming requests or documents from employers and members based on rules and regulations governing the PERS Health Insurance Program, COBRA administration and retiree administration.  Process premium administration accounts for active employees, COBRA participants and retirees.  Maintain group and member billing records.  Assist with training and problem solving for new or lesser-experienced Billing & Eligibility Specialists.]]></description>
      <pubDate>Thu, 19 Aug 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Dental Claims Support Specialist - P08 - Portland, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=141592</link>
      <description><![CDATA[Investigates and processes Coordination of Benefit (COB) claims, as well as performs claims adjustments related to overpayment recovery, underpayment adjustments, and corrections.  Assists claims processors and customer service with contractual and administrative policy inquiries.]]></description>
      <pubDate>Thu, 19 Aug 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Marketing Sales Representative - P13 - Portland, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=141565</link>
      <description><![CDATA[Responsible for selling new business in their specific assigned segment, at appropriate rates to assure the financial and membership growth of ODS and its affiliates.]]></description>
      <pubDate>Wed, 18 Aug 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[SQL Software Engineer - I15 - Portland, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=141318</link>
      <description><![CDATA[Under limited supervision or self directed: responsible for the major systems supporting the various departments.  Design, code, test, maintain, and implement programs and systems.  Work with client departments to understand business requirements/processes to provide technical and system support.  Provide training, mentoring and technical support to members of the staff, as necessary.]]></description>
      <pubDate>Tue, 17 Aug 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Reconciliation Acct Assistant - Temporary - MIwaukie, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=141447</link>
      <description><![CDATA[Will be responsible for using reports from various systems that details plan (or account) balances and to reconciles/validate the data to confirm it's accuracy.
This is a temporary position, working in our Milwaukie office, for up to 4 weeks - Monday through Friday (day hours).]]></description>
      <pubDate>Fri, 13 Aug 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Market Analyst  - Portland, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=141406</link>
      <description><![CDATA[Enhances marketplace competitiveness and builds competitive advantage through a greater understanding of competitors and the health care environment.]]></description>
      <pubDate>Thu, 12 Aug 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Sr. Medical Provider Relations Network/Contract Rep - Portland, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=141317</link>
      <description><![CDATA[Contracts with Medical Providers and Complementary Care Providers for ODS PPO, POS, Managed Care, Medicaid and Medicare networks.  Assists in setting contracting goals for the team, facilitates consistent meetings and training sessions to ensure departmental goals are being met and adequate training is provided. Works with management team to develop negotiations strategies for complex negotiations, oversees the provider workshop schedules, content and training for each season.  Participates in contract strategy sessions when entering into new partnerships and geographic areas.]]></description>
      <pubDate>Mon, 09 Aug 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Care Coordinator RN - R14 - Portland, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=141309</link>
      <description><![CDATA[Performs medical management to ensure appropriate care is delivered timely and within the appropriate setting for ODS members.  Interacts with the member, family and care providers to develop, coordinate and monitor the member&rsquo;s treatment plan.]]></description>
      <pubDate>Mon, 09 Aug 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Lead Care Coordinator RN - R15 - Portland, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=141077</link>
      <description><![CDATA[Maintains Care Coordination caseload, and directly oversees care coordination practices for all memebers involved in care coordination program.  Ensures compliance with Healthcare Services as well as State mandated standards, and maintains readiness for accreditation organization audits.]]></description>
      <pubDate>Fri, 30 Jul 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Infrastructure Systems Architect - I18 - Portland, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=65754</link>
      <description><![CDATA[Provides senior level expertise on decisions and priorities regarding the enterprise&rsquo;s overall systems architecture. Facilitates the establishment and implementation of standards and guidelines that guide the design of technology solutions including architecting and implementing solutions requiring integration of multiple platforms, operating systems and applications across the enterprise.]]></description>
      <pubDate>Sun, 25 Jul 2010 00:00:00 EDT</pubDate>
    </item>
    <item>
      <title><![CDATA[Sr. Websphere Administrator - Portland, OR]]></title>
      <link>http://app.brightmove.com/ATS/PortalViewRequirement.do?reqGK=140907</link>
      <description><![CDATA[Supports the key applications for ODS, the Facets suite of applications as well as ancillary web applications.   Acts as a senior member of all web infrastructure activities, such as installation, upgrade, troubleshooting and architecture design.]]></description>
      <pubDate>Fri, 23 Jul 2010 00:00:00 EDT</pubDate>
    </item>
  </channel>
</rss>

