Company · 287 open roles
Careers at Caresource
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287 positions at Caresource
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…
AVP, Market Chief Financial Officer(Must Live in New York)
Caresource·New York WFH
Job Summary: The AVP, 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 support to re…
Community Based Care Manager RN
Caresource·Georgia Mobile
Job Summary: The Community Based 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 through culturally co…
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, Model Engineering & Operations
Caresource·Remote
Job Summary: The Director, Model Engineering & Operations is responsible for leading the strategy, development, implementation, and optimization of enterprise AI and machine learning solutions that support core health plan operations and business objectives. This role provides l…
Director, Actuarial Science (Rate Advocacy, Month End Close, Forecasting)
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…
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…
Life Services Life Coach II- Northern Nevada
Caresource·Nevada Mobile
Job Summary: The Life Services Life Coach II provides one-on-one coaching and development for participants in the Life Services program with a focus on complex populations as defined by member needs both urgent, immediate, and long term to prepare members for employment or educat…
Community Health Worker - Massachusetts (Plymouth / Bristol / Barnstable and Surrounding Area)
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…
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…
Enterprise Enablement, Analytics and Toolchain Integration Lead
Caresource·Remote
Job Summary: The Enterprise Enablement, Analytics and Toolchain Integration Lead owns enterprise adoption, visibility, analytics, and AI-enabled tool use that support consistent, high-quality requirements delivery across federated teams. This role is not an AI-specific role; it …
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…
Hybrid BH (LICSW or LMHC) Clinical Care Manager - Plymouth
Caresource·Springfield, 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…
Hybrid BH (LICSW or LMHC) Care Manager - Lynn
Caresource·Lynn, 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 position…