Company · 397 open roles
Careers at Caresource
Caresource has 397 active roles on ResuMinder right now, with 42% remote-friendly. Score your CV instantly and use the ResuMinder extension to apply in seconds — no manual form-filling.
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397 positions at Caresource
Customer Care Specialist I (Healthcare/Medicare Experience, 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…
Hybrid Registered Nurse Care Manager - Brooklyn
Caresource·Brooklyn, NY
Job Summary: The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while promoting quality cost effective outcomes. Essent…
Operations Specialist (Care Management and Member Services)(Hybrid - Queens, NY)
Caresource·Queens NY Office
Job Summary: The Operations Specialist - ESH is responsible for the clerical, administrative, customer service and coordination activities to support Care Management and Member Services. Essential Functions: • Supports the provision of care plans, including ordering services f…
Systems Analyst III
Caresource·Remote
Job Summary: The Systems Analyst III is responsible for leading research and analysis to identify systems impacted by requirements, possible interfaces, cross team dependencies and affected lines of business. Preferred Skills: • Strong systems-thinking skills with the ability…
Hybrid RN Clinical Care Manager - North End Boston Area
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, Community Based Care Management - RN - Nevada Based
Caresource·Nevada Mobile
Job Summary: The Team Lead, Community Based Care Management provides front line management and support to departmental leadership in the development and execution of the Care Model in alignment with corporate goals Essential Functions: • Functions as a “hands-on” supervisor, a…
Community Based Care Manager
Caresource·Ohio Mobile
Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT) to meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Iden…
Community Based Care Coordinator-Duals Integrated Care - Wayne County, MI
Caresource·Michigan Mobile
Job Summary: The Community Based Care Coordinator, Duals Integrated Care is responsible for managing and coordinating care for dual-eligible beneficiaries, those who qualify for both Medicare and Medicaid. This position focuses on integrating health services and community resour…
Data Scientist IV - HealthCare preferred
Caresource·Remote
Job Summary: The Data Scientist IV is responsible for leading the design, development, and operationalization of advanced analytics, machine learning, and artificial intelligence solutions that improve healthcare operations, patient outcomes, and organizational performance. This…
Community Marketing Representative II- Must Reside in North Georgia
Caresource·Georgia Mobile
Job Summary: The Community Marketing Representative II is responsible to support the enrollment and retention strategy in collaboration with management to ensure all membership goals are successfully achieved. Essential Functions: • Utilize an educational approach to community…
Hybrid Registered Nurse (RN) Care Manager - Lowell/Lawrence $5K SIGN ON BONUS!
Caresource·Lowell, MA
Job Summary: The Integrated Care Clinical 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…
Enterprise Medical Director
Caresource·Remote
Job Summary: The Enterprise Medical Director is responsible for the development, implementation and revision of corporate level clinical care standards and practice guidelines, ensuring compliance with nationally accepted quality standards. Essential Functions: • Development, …
Member Service Representative - Bronx - Russian or Mandarin speaking preferred!
Caresource·Bronx, NY
Job Summary: The Member Services Representative is responsible for receiving and handling incoming calls on the general 1-800 numbers and provide first call resolution for members and callers. Directs calls as necessary and/or takes detailed messages if unable to complete reques…
Architect II
Caresource·Remote
Job Summary: Responsible for the definition, oversight, coordination and development of technology designs, along with the related road maps and lifecycle management. Essential Functions: • Aligns efforts across the various technical architectural disciplines within the compan…
Director, Health Partner Engagement(Need To Live In Georgia)
Caresource·Remote
Job Summary: The Director, Health Partner Engagement directs, oversees, and manages strong relationships with key Health Partners throughout the state to ensure CareSource delivers and meets the specifications of our Health Partner contractors. Essential Functions: • Identifies…
Team Lead, UCA Reviewer
Caresource·Massachusetts WFH
Job Summary: The Team Lead, Assessment Review & Submission, supervises a team of RN Reviewers who review and submit assessments for quality and compliance measures and applies their knowledge of Mass Health Rating Categories and compliance standards to ensure the reviews are com…
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 clinical review services as directed • Participate in peer-to-peer discussions • Provide pr…
SIU Investigator III (Must live in Arkansas)
Caresource·Arkansas WFH
Job Summary: The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members. Researches, gathers, and analyzes data to identify trends…
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…
Encounters Systems Analyst II
Caresource·Remote
Job Summary: The Encounters Systems Analyst II is responsible for performing analysis of Encounters data and understanding the financial and clinical impact of changes and decisions to the business process to ensure that the Service Level Agreements are achieved. Essential Funct…
Manager, Enrollment Operations (MCO/DSNP Enrollment experience required)
Caresource·Remote
Job Summary: The Manager, Enrollment Operations provides leadership and direction to the Enrollment team to ensure the goals and standards of the department, and CareSource, are met. Essential Functions: • Understand enrollment end to end processes and able to comprehend impact…
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…
Medical Director, Post-Service Review & Medical Claims Review (MCR)
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 clinical review services as directed • Participate in peer-to-peer discussions • Provide pro…
Director, Enrollment Operations(Duals Special Needs Enrollment Experience Required)
Caresource·Remote
Job Summary: The Director, Enrollment Operations provides strategic and operational leadership for enterprise enrollment operations across assigned product lines. This role oversees end-to-end member enrollment operations, data integrity, platform integration, vendor coordinatio…