Company · 397 open roles
Careers at Caresource
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397 positions at Caresource
Operations Specialist (Hybrid/Brooklyn, NY)
Caresource·Brooklyn NY Office
Job Summary: The Operations Specialist - ESH is responsible for the clerical, administrative, customer service and coordination activities to support Care Management and Member Services. Essential Functions: • Supports the provision of care plans, including ordering services f…
Clinical Care Reviewer II- Post Acute - RN with Compact License
Caresource·Remote
Job Summary: The Clinical Care Reviewer II - Post-Acute is responsible for conducting medical necessity reviews to determine the appropriateness of authorization for post-acute health care services including Skilled Nursing Facilities (SNF), Nursing Facilities (NF), Long Term Ac…
Provider Relations Account Manager
Caresource·Massachusetts Mobile
Job Summary: The Provider Relations Account Manager at CareSource/Commonwealth Care Alliance is responsible for working in a highly matrixed organization and influencing internal stakeholder relationships. This role will engage with providers to build, manage and maintain relati…
Broker Concierge Sales and Service Associate II
Caresource·Ohio WFH
Job Summary: The Broker Concierge Sales and Service Associate II primarily serves as a dedicated operational advocate for CareSource's highest performing brokers, agencies and FMOs. Provides high-touch, personalized support by owning complex pre and post enrollment issues includ…
Data Engineer III
Caresource·Remote
Job Summary: The Data Engineer III independently designs, develops, implements, and supports complex enterprise data pipelines, data models, and analytical solutions that deliver reliable, actionable information to the business. This role contributes to solution architecture, str…
Hybrid RN Care Manager - Longmeadow-
Caresource·Massachusetts Mobile
Job Summary: The Clinical Care Manager-Massachusetts is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, behavioral and social care needs. This position focuses on i…
Integrated Care Clinical Manager - BH - Greenfield, MA
Caresource·Massachusetts Mobile
Job Summary: The Integrated Care Clinical Manager - BH - Massachusetts is a community based BH Clinician responsible for providing monitoring, follow-up and clinical care management to dually eligible enrollees with complex medical, behavioral and social care needs. This positio…
Integrated Care Clinical Manager - BH - Pittsfield, MA
Caresource·Massachusetts Mobile
Job Summary: The Integrated Care Clinical Manager - BH - Massachusetts is a community based BH Clinician responsible for providing monitoring, follow-up and clinical care management to dually eligible enrollees with complex medical, behavioral and social care needs. This positio…
Hybrid RN Clinical Care Manager - Dorchester - 5K Sign On Bonus
Caresource·Dorchester, MA
Job Summary: The Integrated Care Clinical Manager - Massachusetts at CareSource/Commonwealth Care Alliance (CCA) is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, …
Hybrid RN Care Manager - North Shore / Merrimack Valley - $5K SIGN ON BONUS!
Caresource·Lynn, MA
Job Summary: The Integrated Care Clinical Manager - Massachusetts is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, behavioral and social care needs. This position…
Hybrid RN Care Manager - Western, MA - $5K SIGN ON BONUS!
Caresource·Springfield, MA
Job Summary: The Integrated Care Clinical Manager - Massachusetts at CareSource/Commonwealth Care Alliance (CCA) is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, …
Member Svc. Rep. - Bi-lingual preferred!
Caresource·Bronx, NY
Job Summary: The Member Services Representative is responsible for receiving and handling incoming calls on the general 1-800 numbers and provide first call resolution for members and callers. Directs calls as necessary and/or takes detailed messages if unable to complete reques…
Pharmacy Technician II - Rx Solutions Center
Caresource·Dayton, OH
Job Summary: The Pharmacy Technician II - Rx Solutions Center (RSC) is responsible for handling member, pharmacy, and provider calls related to pharmacy clinical campaigns. This role will require collaboration across different areas within CareSource to ensure best in class serv…
Health & Social Partnerships Strategy Lead-HOUSING EXPERIENCE STRONGLY PREFERRED!! MUST RESIDE IN OHIO!
Caresource·Ohio WFH
Job Summary: The Health & Social Partnerships Strategy Lead assists with the identification of populations, needs, trends and patterns that may impact outcomes, experience and cost of care through in-depth analyses and prioritization of strategies that drive social transformatio…
Life Services Member Engagement Specialist I
Caresource·Indiana WFH
Job Summary: Life Services Member Engagement Specialist I is responsible to act as first point of contact for new Life Services members and direct them through the Intake Process. Essential Functions: • Act as first point of contact for new Life Services/JobConnect members, a…
Voice of the Customer Insights Analyst
Caresource·Ohio WFH
Job Summary: The Voice of the Customer (VOC) Insights Analyst collaborates with leadership to identify and outline deliverables that will improve the experience for our customers (Member and Provider), driving innovation and efficiencies within the call center. Essential Functi…
2027 Summer Internship Program - Cybersecurity
Caresource·Remote
Internship Program The CareSource Intern is responsible for providing support on special projects, initiatives, and specific activities which will vary by assignment. We offer a 12-week, paid summer internship program for college students who want to separate themselves from the…
2027 Summer Internship Program - Vendor Management Analyst
Caresource·Remote
Internship Program The CareSource Intern is responsible for providing support on special projects, initiatives, and specific activities which will vary by assignment. We offer a 12-week, paid summer internship program for college students who want to separate themselves from the…
2027 Summer Internship Program - Data Analyst
Caresource·Remote
Job Description Internship Program The CareSource Intern is responsible for providing support on special projects, initiatives, and specific activities which will vary by assignment. We offer a 12-week, paid summer internship program for college students who want to separate the…
2027 Summer Internship Program - Configuration and Automation
Caresource·Remote
Internship Program The CareSource Intern is responsible for providing support on special projects, initiatives, and specific activities which will vary by assignment. We offer a 12-week, paid summer internship program for college students who want to separate themselves from the…
2027 Summer Internship Program - Member Experience and Insights
Caresource·Remote
Internship Program The CareSource Intern is responsible for providing support on special projects, initiatives, and specific activities which will vary by assignment. We offer a 12-week, paid summer internship program for college students who want to separate themselves from the…
2027 Summer Internship Program - Accounting
Caresource·Remote
Job Description Internship Program The CareSource Intern is responsible for providing support on special projects, initiatives, and specific activities which will vary by assignment. We offer a 12-week, paid summer internship program for college students who want to separate the…
Product Lifecycle Platform Administration Manager
Caresource·Ohio WFH
Job Summary: The Product Lifecycle Platform Administration Manager is responsible for platform administration, configuration management, platform roadmap & backlog management, workflow optimization, access governance, release management coordination, vendor relationship support,…
Scrum Product Owner (Health Plan/MCO experience)
Caresource·Remote
Job Summary: The Scrum Product Owner fulfills the role of Scrum Product Owner as defined by the principles of Scrum to maximize the value of the IT product and work of the development team. Essential Functions: • Develop the strategic vision for an IT product • Work closely wit…
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