Company · 287 open roles
Careers at Caresource
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287 positions at Caresource
AVP, Actuarial Science
Caresource·Remote
Job Summary: The AVP, Actuarial Science, is responsible for driving and supporting company strategy and managing actuarial expertise in coordination with others to ensure actuarial soundness, and to use actuarial knowledge and tools to help improve profitability of CareSource’s …
Senior Director, Actuarial Science
Caresource·Remote
Job Summary: The Senior Director, Actuarial Science is responsible for setting the strategic direction, driving innovation and producing key insights for the organization that drive company performance. Essential Functions: • Accountable for pricing, forecasting, month-end clos…
AVP, Actuarial Science
Caresource·Remote
Job Summary: The AVP, Actuarial Science, is responsible for driving and supporting company strategy and managing actuarial expertise in coordination with others to ensure actuarial soundness, and to use actuarial knowledge and tools to help improve profitability of CareSource’s …
Senior Director, Supplemental Providers & Enhanced Benefits(Preferred Experience in Managed Care)
Caresource·Remote
Job Summary: The Senior Director, Supplemental Providers & Enhanced Benefits is responsible for the oversight, administration, and performance of supplemental vendor relationships and enhanced benefit programs across assigned markets and products. This position is responsible fo…
Operational Excellence Analyst III (Hybrid location preferred)
Caresource·Remote
Job Summary: Operational Excellence Analyst III is responsible to take a leading role in the oversight and monitoring of Operations regulatory requirements, and Service Organization Control-1 (SOC-1) controls. Hybrid location- 2 days in Dayton, OH office and 3 days remote- is pr…
Director, Employee Relations
Caresource·Remote
Job Summary: The Director, Employee Relations serves as a strategic HR leader and trusted advisor to executive leaders, HR Business Partners, Legal, Compliance, and HR Centers of Excellence. This role establishes and leads the enterprise employee relations strategy, governance f…
Hybrid Registered Nurse (RN) Clinical Care Manager - South Holyoke - 5K Sign On Bonus
Caresource·Massachusetts Mobile
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 -$5k SIGN ON BONUS
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, …
Hybrid RN Care Manager -$5k SIGN ON BONUS
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, …
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…
Member Health Assessor
Caresource·Georgia WFH
Weekend Requirement Job Summary: The Member Health Assessor engages with the member to establish an effective, professional relationship with primary responsibility to conduct their health risk assessment. Essential Functions: • Participate in the Integrated Care Coordination Te…
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: …
Community Health Worker - Ohio Mobile
Caresource·Ohio 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 …
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…