Company · 251 open roles
Careers at Caresource
Caresource has 251 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.
Refreshed continuously
Across active listings
All open roles
251 positions at Caresource
Hybrid Registered Nurse (RN) Clinical Care Manager - Brighton and surrounding areas - 5K Sign On Bonus
Caresource·Brighton, 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, …
Vendor Medical Coding Analyst
Caresource·Remote
Job Summary: The Vendor Medical Coding Analyst is responsible for guiding the overall efficiency and accuracy of the vendor payment process through analyzing medical records and supplemental data to ensure diagnostic and procedural codes accurately reflect and support the visit …
Quality Consumer Experience Project Manager
Caresource·Remote
Job Summary: The Quality Consumer Experience (Cx) Project Manager is responsible for managing variably complex high-priority, cross-functional projects within the Consumer Experience organization, executing within the project management framework. Essential Functions: • Ensure…
Claims AI Business Analyst IV
Caresource·Remote
Job Summary: The Claims AI Business Analyst IV is responsible for driving end-to-end process transformation initiatives across Claims Operations by leveraging automation and artificial intelligence (AI) to improve efficiency, reduce costs, and enhance quality. This role operates…
Team Lead, Case Management - Integrated Care
Caresource·Ohio Mobile
Job Summary: Team Lead, Case Management Integrated Care is responsible to provide support, direction, and assistance to Case Management (CM) staff. Essential Functions: • Give effective and timely feedback to staff regarding performance outcomes and progress toward goals • Mon…
Team Lead, Integrated Care Coordination - Waiver
Caresource·Ohio Mobile
Job Summary: Team Lead, Integrated Care Coordination - Waiver, serves as a working leader responsible for both the day-to-day operational support of assigned Care Coordinators and the direct management of a reduced caseload of MyCare HCBS Waiver members. The Team Lead serves as …
Hybrid Registered Nurse Care Manager - Fall River $5K SIGN ON BONUS
Caresource·Fall River, 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…
Applied AI Scientist III
Caresource·Remote
Job Summary: The Applied AI Scientist III is responsible for the development and application of cutting-edge advanced analytics solutions using emerging Artificial Intelligence (AI) technologies such as Agentic AI, Retrieval Augmented Generation (RAG), Large Language Models (LLM…
RN Clinical Care Manager Roxbury/Dorchester, MA
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, …
LTSS and Dual Eligible Program Manager
Caresource·Remote
Job Summary: The LTSS and Dual Eligible Program Manager is responsible for managing large-scale portfolio programs aligned to strategic objectives that include multiple projects. Essential Functions: • Responsible for successful delivery of LTSS and Dual Eligible programs • U…
Human Resources Business Partner III
Caresource·Remote
Job Summary: The Human Resources Business Partner III serves as a strategic partner to senior leaders, aligning HR strategies and initiatives with business objectives and organizational culture. Essential Functions: • Serve as a trusted advisor to senior leaders, acting as an …
Employee Relations Partner III
Caresource·Remote
Job Summary: The Employee Relations Partner III serves as a strategic advisor on employee relations, partnering with business leaders, HR Business Partners, and CoE's to strengthen organizational practices and advance enterprise initiatives. This role helps shape and execute emp…
Operations Regulatory Specialist II (Hybrid location)
Caresource·Remote
Job Summary: The Operations Regulatory Specialist II provides analytical support and leadership for key internal Operations projects and partners with the Operations departments to ensure all regulatory and compliance deliverables are met. This position will work Tues/Thurs in th…
Remote RN MDS Reviewer - must reside in MA
Caresource·Massachusetts WFH
Job Summary: The RN MDS Reviewer supports successful completion and submission of the MDS (Minimum Data Set) to MassHealth. This role will examine MDS assessments prepared by clinicians to ensure completeness, accuracy and appropriate explanation of functional status and related…
SIU Investigator III (Health Plan experience required)
Caresource·2 Locations
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…
PI Medical Coding Reviewer III (CPC, RHIT/RHIA required)
Caresource·Remote
Job Summary: The Program Integrity Medical Coding Reviewer III supports most complex medical record audit programs, dispute management, escalation management and generates concise in-depth reporting and analysis to track performance related to the Pre-Pay and Post-Paid Processes…
Community Based Care Coordinator-Duals Integrated Care
Caresource·Ohio 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…
Hybrid Registered Nurse (RN) Care Manager - Queens - Bengali speaking preferred
Caresource·Queens, 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…
Assistant General Counsel
Caresource·Remote
Job Summary: The Assistant General Counsel provides legal counsel and support on complex and high impact matters within the Legal Department, collaborating with the General Counsel, Deputy General Counsel(s), and/or Senior Assistant General Counsel(s) as appropriate. Serves as l…
Hybrid Registered Nurse (RN) Clinical Care Manager - Quincy and surrounding areas
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, …
Community Based Care Manager - Reno and surrounding areas
Caresource·Nevada 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…
Member Services Rep - Bronx, NY - Bi-lingual strongly preferred
Caresource·Bronx NY Office
Job Summary: 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 request of caller. Provides excellent custom…
Data Scientist II
Caresource·Remote
Job Summary: The Data Scientist II is responsible for designing and validating predictive models, machine learning models, and artificial intelligence that inform and improve business processes across the organization (operational, clinical, financial, marketing, etc.). Essenti…
Architecture Director
Caresource·Dayton, OH
Define and champion technology architecture strategy in partnership with Enterprise Architecture, ensuring alignment with business goals and IT objectives. Act as a thought leader in identifying emerging technologies and innovative approaches that drive competitive advantage and …