Company · 405 open roles
Careers at Caresource
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405 positions at Caresource
Team Lead, Configuration
Caresource·Not specified
Identify, manage and document the status of open issues. Develop and utilize reports to analyze and stratify data to address gaps and provide answers to issues identified within the department or by other departments, utilizing TriZetto or Optum for research and correction. Utili…
Care Guide
Caresource·Ohio Mobile
Job Summary: The Care Guides are responsible for participating as a member of the inter-disciplinary Care Coordination Team to coordinate care for members, meeting their individual needs and the needs of the population. The Care Guide serves as a single point of contact for care…
Behavioral Health Medical Director
Caresource·Bronx NY Office
Job Summary: The Behavioral Health Medical Director provides clinical oversight for behavioral health services across ElderServe Health. Serves as the clinical authority for behavioral health programs, medical management activities, utilization review, quality improvement initia…
Hybrid Administrative Assistant - Russian Speaking preferred!
Caresource·Brooklyn NY Office
Job Summary: The Administrative Assistant - ESH is responsible for meeting the administrative needs of their executive and assigned organization within the company. Essential Functions: • Compose and prepare advanced business presentation documents and spreadsheets • Assist wi…
Privacy Analyst III
Caresource·Remote
Job Summary: The Privacy Analyst III is responsible for investigating privacy incidents, providing guidance to internal business partners on appropriate use and disclosure of Protected Health Information (PHI), and assists in maturing the privacy program. Essential Functions: …
Hybrid Registered Nurse (RN) - Brockton- 5K Sign On
Caresource·Brockton, 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, …
Encounters Data Analyst III
Caresource·Ohio WFH
Job Summary: Encounters Data Analyst III is responsible to perform analysis of all data into, out of and within CareSource in support of Encounters Revenue and Remediation efforts. Essential Functions: • Identify and quantify data issues within the organization and assist in t…
Specialist, Data Compliance - Indiana
Caresource·Indiana WFH
Job Summary: The Specialist, Data Compliance – Indiana is responsible for ensuring all Healthy Indiana Plan (HIP) and Hoosier Healthwise (HHW) data conforms to Indiana Family & Social Services Administration (FSSA) and Office of Medicaid Policy & Planning (OMPP) data standards a…
AVP, Data Management
Caresource·Remote
Job Summary: The Associate Vice President, Data Management is a senior technology executive responsible for the strategy, architecture, engineering, integration, quality, and operational management of enterprise data platforms. This leader ensures that the data ecosystem is scal…
Hybrid Registered Nurse (RN) - Massachusetts - East Longmeadow - 5K Sign On Bonus
Caresource·Longmeadow, 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-Attleboro-$5k SIGN ON BONUS
Caresource·Boston MA Office (Avenue de Lafayette)
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…
Care Guide - NE Ohio
Caresource·Ohio Mobile
Job Summary: The Care Guides are responsible for participating as a member of the inter-disciplinary Care Coordination Team to coordinate care for members, meeting their individual needs and the needs of the population. The Care Guide serves as a single point of contact for care…
Care Guide Plus
Caresource·Ohio Mobile
Job Summary: The Care Guides are responsible for participating as a member of the inter-disciplinary Care Coordination Team to coordinate care for members, meeting their individual needs and the needs of the population. The Care Guide serves as a single point of contact for care…
AVP, Business Intelligence & Analytics Engineering
Caresource·Remote
Job Summary: The AVP, Business Intelligence & Analytics Engineering is a senior technology leader responsible for advancing CareSource's data analytics, data science, and artificial intelligence capabilities across the enterprise. This role partners directly with clinical, finan…
Actuarial Analyst I
Caresource·Remote
Job Summary: The Actuarial Analyst I is responsible for providing timely, accurate, and actionable data and analysis supporting the department, area, and corporate key initiatives. Essential Functions: • Develops actionable recommendations to management relative to all analysi…
Mgr, Ohio Market Contracting- Managed Care- Healthcare-Leadership Experience
Caresource·Ohio WFH
Job Summary: The Manager, Ohio Market Contracting is responsible for leading specialized contracting efforts, handle unique contracting situations, including facilitating contracting changes and negotiations. Essential Functions: • Responsible for tracking and trending, invent…
Life Services Life Coach-Northern Region (Allen County or Lake County)
Caresource·Indiana Mobile
Job Summary: The Life Services Life Coach provides one-on-one coaching and development for participants in the Life Services program as defined by member needs both urgent, immediate, and long term to prepare members for employment or education programs and assist them with socia…
Market Development Partner - Massachusetts
Caresource·Massachusetts WFH
Job Summary: The Market Development Partner (MDP) is responsible for cultivating and managing strategic relationships with key market stakeholders, including healthcare providers, community-based organizations, LTSS entities, and advocacy groups, driving growth by self-generatin…
Primary Medical Care Assistant (Boston)
Caresource·Boston MA Office (Northampton)
Job Summary: The Primary Care Medical Assistant provides care to patients in a clinic setting by managing patient flow through the clinic, obtaining pertinent clinical information including the patient's complaint, health history, and measurement of vital signs, preparing the pat…
Social Workers - Hybrid (Per Diem)
Caresource·Brooklyn, NY
Job Summary: The Social Worker is a member of the interdisciplinary care management team responsible for assessing and addressing members' psychosocial, behavioral, and social determinants of health needs. This role supports members and their families in navigating health, socia…
Social Workers - Hybrid (Per Diem)(Bilingual - Russian, Mandarin, or Cantonese Preferred)
Caresource·Bronx NY Office
Job Summary: The Social Worker is a member of the interdisciplinary care management team responsible for assessing and addressing members' psychosocial, behavioral, and social determinants of health needs. This role supports members and their families in navigating health, socia…
Entitlement Specialist (Onsite/Local Travel)(Bilingual Russian, Mandarin, or Cantonese Preferred)
Caresource·Bronx NY Office
Job Summary: The Entitlement Specialist is responsible for ensuring that members maintain continuous Medicaid eligibility by overseeing the timely completion of Medicaid renewals, new Medicaid applications and RVI-3 conversions. The Specialist will assist members in gathering al…
Hybrid Quality Coordinator (Bronx Office & WFH)
Caresource·Bronx NY Office
Job Summary: The Quality Coordinator - ESH analyzes and coordinates quality and regulatory activities related to member grievances and appeals, ensuring compliance with federal, state, contractual, and organizational requirements. Analyzes cases, evaluates compliance and operati…
Hybrid RN Care Clinical Manager
Caresource·Boston, 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, …