Company · 405 open roles
Careers at Caresource
Caresource has 405 active roles on ResuMinder right now, with 46% remote-friendly. Score your CV instantly and use the ResuMinder extension to apply in seconds — no manual form-filling.
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405 positions at Caresource
Hybrid Primary Care Triage Registered Nurse (RN) - Massachusetts ONLY
Caresource·Boston, MA
Job Summary: The Care Delivery Triage RN is responsible for performing telephonic clinical triage and providing health information service and care coordination as a key part of the primary care team, and acts as the primary liaison with Care Partnership and external care team m…
Health Partner Network Manager
Caresource·Ohio Mobile
Job Summary: The Health Partner Network Manager executes the Health Partner contracting strategy, develops contract provisions based on cost, quality/analysis and monitors key metrics for the assigned Market. Essential Functions: • Create, execute and administer value based rei…
Information Security GRC Analyst III - CISSP preferred
Caresource·Remote
Job Summary: The Information Security GRC Analyst III managed day to day, short and long term information security risks and ensures activities are within risk tolerance and in compliance with approved risk management policies, procedures and limits. Essential Functions: • Meas…
Network Engineer III - Must be in the Dayton Area
Caresource·Dayton, OH
Job Summary: The Network Engineer III is responsible for evaluating, supporting, implementing and monitoring Network Management Toolsets also, implements complex multi-site network solutions, leads projects, and serves as an escalation point for the team. Essential Function…
Community Health Worker
Caresource·Arkansas Mobile
Job Summary: The Community Health Worker participates as a member of the inter-disciplinary care team (ICT) to coordinate care for members. Essential Functions: • Engage with the member in a variety of settings to establish an effective, professional relationship. Settings for …
Utilization Management Market Operations Manager - RN Preferred - Must live in Nevada - Must hold NV license
Caresource·Remote
Job Summary: The Utilization Management (UM) Market Operations Manager is responsible for the operational activities of UM and Appeals for a specified line(s) of business managing the development of policies and procedures, review of team metrics, statutory reporting, overseeing…
Medical Director
Caresource·Remote
Job Summary: The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical case review for members. Essential Functions: • Provide prior authorization medical reviews, consultation and clinical review services • Participate …
Medical Director
Caresource·Remote
Job Summary: The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical case review for members. Essential Functions: • Provide prior authorization medical reviews, consultation and clinical review services • Participate …
Medical Director
Caresource·Remote
Job Summary: The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical case review for members. Essential Functions: • Provide prior authorization medical reviews, consultation and clinical review services • Participate …
Health Plan Data Analyst III (Health Plan & Provider experience a must)
Caresource·Remote
Job Summary: The Health Plan Data Analyst III is responsible for extracting, analyzing, reporting, tracking and monitoring provider data across business functions, systems and interfaces. Additional responsibilities include analyzing data operations to support building new soluti…
Managing Actuary – Supplemental Benefits
Caresource·Remote
Job Summary: The Managing Actuary provides leadership and direction to ensure team goals and strategies are successfully achieved. Essential Functions: • Lead a small team of actuaries ensuring compliance with applicable Actuarial Standards of Practice and supporting their tra…
Managing Actuary – Value-Based Care
Caresource·Remote
Job Summary: The Managing Actuary provides leadership and direction to ensure team goals and strategies are successfully achieved. Essential Functions: • Lead a small team of actuaries ensuring compliance with applicable Actuarial Standards of Practice and supporting their tra…
Vice President, Market Chief Financial Officer(Must Live In New York)
Caresource·New York WFH
Job Summary: The Vice President, Market Chief Financial Officer provides financial oversight, leadership and support to the region/market/corporate; ensures the department proactively collaborates with other departments within the organization; and provides strategic/tactical sup…
Triage Nurse Nights - Compact State Licensed RN
Caresource·Ohio WFH
Job Summary: *Nights - every other weekend, every other holiday* *Shift differential* Essential Functions: • Utilize assessment skills and evidence-based triage guidelines for triage of healthy, as well as acutely or chronically ill or injured members, including pediatric, adul…
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…
Manager, LTSS Service Determination Operations
Caresource·Arkansas Mobile
Job Summary: The Manager, LTSS Service Determination Operations is responsible for leading the day-to-day operations of a market specific LTSS service determination function, ensuring accurate, timely, and compliant translation of assessments into appropriate long-term services …
Director, Actuarial Science (AI Transformation)
Caresource·Remote
Job Summary: The Director, Actuarial Science is responsible for guiding the strategic direction, driving innovation and producing key insights for the organization that drive company performance. Essential Functions: • Accountable for pricing, forecasting, month-end close activ…
Community Health Worker - Massachusetts (Franklin, Hampshire, Northern Berkshire, and Surrounding Areas)
Caresource·Massachusetts Mobile
Job Summary: The Community Health Worker - Massachusetts functions as a resource to enrollees on clinical care, health systems, and social drivers of health, supporting a panel of enrollees to overcome barriers to care and engagement related to social needs. This role utilizes e…
AVP, Hospital & Integrated Delivery System
Caresource·New Jersey WFH
Job Summary: The AVP, Hospital and Integrated Delivery System (IDS) Network Contracting provides leadership for the Massachusetts market's provider contracting strategy across hospitals, health systems, and related physician organization networks. The AVP is responsible for deve…
Hybrid BH (LICSW or LMHC) Clinical Care Manager - Brockton
Caresource·Worcester, MA
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…
Program Manager National Networks
Caresource·Remote
Job Summary: The National Network Program Manager will support day-to-day operations across National Network programs by managing deliverables, maintaining documentation, and coordinating the flow of information across teams. The Program Manager acts as the connective layer acro…
Business Analyst IV
Caresource·Remote
Job Summary: The Business Analyst IV is a senior-level position responsible for driving strategic initiatives and leading cross-functional teams to deliver innovative solutions that address complex business challenges. This role bridges the gap between business needs and technolo…
Hybrid BH (LICSW) or (LMHC) Clinical Manager - Seekonk, MA
Caresource·Attleboro, MA
Job 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 pos…
Mom and Baby Care Manager - Social Worker Pacific Time Zone Required
Caresource·Nevada WFH
Job Summary: The Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the population with culturally competent delivery of…