Company · 397 open roles
Careers at Caresource
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397 positions at Caresource
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 …
Payment Cycle Analyst II
Caresource·Remote
Job Summary: The Payment Cycle Analyst II is responsible for providing analytical support and leadership for key Claims-related projects and initiatives. Essential Functions: • Define clinical and payment policy requirements to support configuration of clinical editing system …
LTSS Provider Relations Account Manager-Must Travel to Dayton & Cincinnati Metro Areas
Caresource·Ohio Mobile
Job Summary: The LTSS Provider Relations Account Manager is responsible for working in a highly matrixed organization and influencing internal stakeholder relationships. This role will engage with LTSS and HCBS providers to build, manage and maintain relationships, with a strong …
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…
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…
VP Legal & Regulatory Affairs -ESH(Must Live In New York)
Caresource·New York WFH
Job Summary: The Vice President, Legal & Regulatory Affairs for ElderServe Health (ESH) is responsible for leading the legal and regulatory affairs functions for ESH, ensuring ESH compliance with applicable laws, regulations, contractual obligations, government program requireme…
Sr. Director, Market Chief Financial Officer (Must Live in New York)
Caresource·New York WFH
Job Summary: The Senior Director, Market Chief Financial Officer provides financial oversight, leadership and support to the region/market/corporate; supports the department in collaborating with other departments within the organization; and provides strategic/tactical support …
Registered Nurse Clinical Care Manager - Brockton
Caresource·Brockton, MA
Job Summary: The Clinical Care Manager-Massachusetts at CareSource/Commonwealth Care Alliance 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 soci…
Hybrid RN Care Manager - Long Island
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…
BH Nurse Care Manager - Long Island
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…
Hybrid RN Care Manager-Stoughton-$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, …
Community Based Care Manager - Clark/Washoe County, NV
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 Health Assessor
Caresource·Dayton WFH
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 Team as needed • Coord…
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…
Human Resources Business Partner III (New York residency required)
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 i…
Community Based Care Manager - Nye County, NV
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…
EDI Technical Product Manager
Caresource·Remote
Job Summary: The EDI Technical Product Manager serves as the strategic and technical owner of CareSource's EDI platform, responsible for driving the vision, roadmap, and execution of enterprise data exchange capabilities. This role combines a deep understanding of healthcare EDI…
2027 Summer Internship Program
Caresource·Remote
Internship Program Welcome to the CareSource Summer internship program. Please apply to this position as we wait on our specific roles to be posted. You will be notified when they go live thank you! The CareSource Intern is responsible for providing support on special projects,…
CAHPS & HOS Program Lead
Caresource·Remote
Job Summary: The CAHPS & HOS Program Lead is responsible for execution for the strategy, governance, delivery, and performance of the CAHPS and HOS programs. This position recommends program direction, integrates work across business and technical functions, and ensures that reg…
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…
Community Based Care Coordinator-Duals Integrated Care
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…
Community Based Care Manager
Caresource·Ohio 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…
Sales Strategy & Operations Manager (Tampa FL or Atlanta GA areas)
Caresource·Tampa, FL
Job Summary: The Sales Strategy & Operations Manager serves as the primary sales strategy and operations partner supporting the CareSource Military & Veterans business within the greater Tampa, FL or Atlanta, GA. This role helps drive enrollment growth and market performance thro…
Manager, Population Health- Must Reside in the State of Georgia!
Caresource·Georgia WFH
Job Summary: The Manager, Population Health is responsible for leading and managing the population health strategies that improve quality of care, access, and outcomes for CareSource members. This role oversees team-based care navigation efforts, supports quality improvement ini…