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
Customer Care Specialist I (Must live in Ohio)
Caresource·Ohio WFH
Job Summary: The Customer Care Specialist I assists members/beneficiaries or providers with routine service inquiries. Essential Functions: • Resolve member/beneficiaries or provider routine service inquiries; examples include claims processing, member benefit education, contr…
Clinical Psychologist
Caresource·Remote
Job Summary: The Clinical Psychologist provides Behavioral Health coverage determination for utilization management to ensure members receive appropriate and medically necessary care in the most cost-effective setting. Essential Functions: • Assume responsibility for the overal…
Behavioral Health Medical Director
Caresource·Remote
Job Summary: The Behavioral Health Medical Director is responsible for the overall safety of patients with a BH diagnosis, with a special focus on safe prescribing. Essential Functions: • Assume responsibility for the overall safety of patients with a BH diagnosis, with a spec…
Senior Director, Clinical Data Governance and Integration
Caresource·Dayton or United States
Senior Director, Clinical Data Governance and Integration at Caresource. Location: Dayton or United States. Role: leading governance, driving integration, managing team Requirements: Bachelor's required (master's preferred or equivalent experience), 7+ years in healthcare analyti…
Operations Specialist II
Caresource·Dayton or United States
Operations Specialist II at Caresource. Location: Dayton or United States. Role: representing claims, submitting tickets, analyzing claims Requirements: 2+ years in a healthcare claims environment, bachelor’s degree or equivalent, advanced Microsoft Office skills, claims coding k…
Managing Actuary
Caresource·Dayton or United States
Managing Actuary at Caresource. Location: Dayton or United States. Role: developing models, forecasting trends, managing reserves Requirements: Requires ASA credential, bachelor\u0002s degree or equivalent experience, 2+ years actuarial and management experience preferred, strong…
Managing Actuary
Caresource·Remote
Job Summary: The Managing Actuary provides leadership and direction to ensure team goals and strategies are successfully achieved. Essential Functions: • Responsible for pricing, forecasting, reserving or other actuarial processes including development of key assumptions, as w…
Senior Director, Clinical Data Governance and Integration
Caresource·Remote
Job Summary: The Senior Director, Clinical Data Governance & Integration is responsible for developing, executing and coordinating enterprise clinical data governance and integration activities. This role ensures standardized business requirements, oversees governance cadence, a…
Hybrid Registered Nurse Care Manager - Queens - Bengali speaking Preferred
Caresource·Queens, New York, United States
Hybrid Registered Nurse Care Manager - Queens - Bengali speaking Preferred at Caresource. Location: Queens, New York, United States. Role: assessing members, coordinating care, conducting visits Requirements: Active NY RN license, assoc degree in nursing (bachelor's preferred), 2…
Hybrid Behavioral Health Nurse Care Manager
Caresource·Queens, New York, United States
Hybrid Behavioral Health Nurse Care Manager at Caresource. Location: Queens, New York, United States. Role: assessing members, coordinating care, performing visits Requirements: Active NY RN licensure, associate degree in nursing (BSN preferred), 2+ years RN experience, driver’s …
Medicare Sales Representative II-2
Caresource·Ohio Mobile
Job Summary: The Medicare Sales Representative II is responsible for supporting the sales strategy and enrollment goals in collaboration with management to ensure goals are successfully achieved for the Medicare Advantage product line within an assigned territory and consistent …
RN Clinical Care Manager - Springfield and surrounding areas
CareSource·Massachusetts, United States
RN Clinical Care Manager - Springfield and surrounding areas at CareSource. Location: Massachusetts, United States. Role: engaging enrollees, coordinating care, managing cases Requirements: Licensed clinician in Massachusetts (RN/LCSW/LISCW/LMHC), 3+ years clinical or 1+ year RN …
Hybrid RN Clinical Care Manager - Methuen and surrounding areas
Caresource·Boston or Methuen or Massachusetts
Hybrid RN Clinical Care Manager - Methuen and surrounding areas at Caresource. Location: Boston or Methuen or Massachusetts. Role: managing care, conducting visits, coordinating care Requirements: Registered clinician with 3+ years experience in nursing or behavioral health, exp…
Hybrid Registered Nurse (RN) Clinical Care Manager - Roxbury
Caresource·Boston, MA
Job Summary: The Integrated Care Clinical Manager - BH - Massachusetts at CareSource/Commonwealth Care Alliance (CCA) is a community based BH Clinician responsible for providing monitoring, follow-up and clinical care management to dually eligible enrollees with complex medical,…
Hybrid Operations Specialist - Rehab - Russian Speaking preferred
CareSource·Queens or Bronx or Brooklyn
Hybrid Operations Specialist - Rehab - Russian Speaking preferred at CareSource. Location: Queens or Bronx or Brooklyn. Role: supporting care, answering calls, ordering services Requirements: High school/GED required; bilingual fluency (Spanish, Russian or Chinese) required; fami…
Hybrid Registered Nurse (RN) Clinical Care Manager - Roxbury
Caresource·Boston or Massachusetts
Hybrid Registered Nurse (RN) Clinical Care Manager - Roxbury at Caresource. Location: Boston or Massachusetts. Role: engaging enrollees, coordinating care, conducting assessments Requirements: Current unrestricted MA clinical license (RN/LCSW/LISCW/LMHC), 3+ years RN/BH clinician…
Community Based Care Coordinator I
Caresource·Arkansas Mobile
Job Summary: The Community Based Care Coordinator I – Arkansas with oversight from the care coordination team is the member concierge and is the single point of contact for assessment, person-centered planning, service coordination (funded or unfunded), disease management and tr…
Hybrid Registered Nurse (RN) Clinical Care Manager - Lynn and surrounding areas
Caresource·Lynn or Boston or Massachusetts
Hybrid Registered Nurse (RN) Clinical Care Manager - Lynn and surrounding areas at Caresource. Location: Lynn or Boston or Massachusetts. Role: engaging members, coordinating care, managing cases Requirements: Mobile, community-based RN/clinical care manager required to perform a…
Hybrid Registered Nurse (RN) Clinical Care Manager - Medford and surrounding areas
Caresource·Medford or Boston or Massachusetts
Hybrid Registered Nurse (RN) Clinical Care Manager - Medford and surrounding areas at Caresource. Location: Medford or Boston or Massachusetts. Role: engaging enrollees, coordinating care, conducting assessments Requirements: Current unrestricted MA clinical license (RN/LCSW/LISC…
Hybrid Registered Nurse (RN) Clinical Care Manager - Malden and surrounding areas
Caresource·Malden or Boston or Massachusetts
Hybrid Registered Nurse (RN) Clinical Care Manager - Malden and surrounding areas at Caresource. Location: Malden or Boston or Massachusetts. Role: engaging members, coordinating care, performing assessments Requirements: Active MA clinical license (RN/LCSW/LICSW/LMHC), AS in nur…
VP, Chief Medicaid Actuary
Caresource·Dayton or United States
VP, Chief Medicaid Actuary at Caresource. Location: Dayton or United States. Role: driving strategy, overseeing filings, providing insights Requirements: Bachelor's in actuarial science, math, or finance; 10+ years actuarial experience (7+ in healthcare Medicaid preferred); 5+ ye…
Behavioral Health Medical Director
Caresource·Dayton or United States
Behavioral Health Medical Director at Caresource. Location: Dayton or United States. Role: ensuring safety, leading policies, reviewing utilization Requirements: MD/DO with psychiatry residency and psychiatry board certification, current state medical license, 5+ years clinical p…
Quality Risk Adjustment Advisor IV (Health Plan experience required)
Caresource·Dayton or United States
Quality Risk Adjustment Advisor IV (Health Plan experience required) at Caresource. Location: Dayton or United States. Role: leading programs, conducting audits, analyzing metrics Requirements: Bachelor's required, 7 years risk adjustment/medical record review/coding/quality mana…
Medical Director
Caresource·Dayton or United States
Medical Director at Caresource. Location: Dayton or United States. Role: reviewing appeals, providing guidance, standardizing protocols Requirements: MD/DO with residency completion, current unrestricted state medical license and board certification, 5+ years clinical practice, M…