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Careers at Caresource
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397 positions at Caresource
Service Integration Analyst II
Caresource·Dayton, OH
Job Summary: The Service Process Analyst II identifies opportunities for improvement in Customer Care's business processes and recommends projects aimed at enhancing quality, reducing costs, and promoting automation and call reduction. This position collaborates with stakeholders…
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…
Hybrid Registered Nurse Clinical Care Manager - Dorchester
Caresource·Dorchester, 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 Registered Nurse Clinical Care Manager - Springfield
Caresource·Springfield, 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, …
Director, VBR & Risk Adjustment
Caresource·Remote
Job Summary: The Director, Network Performance & Engagement provides expert leadership, analysis and ongoing support in the areas of provider network operations including Total Cost of Care (TCOC), value-based purchasing, and state or federal quality initiatives, business issue …
Program Manager, Market Vendor Performance
Caresource·Georgia WFH
Job Summary: The Program Manager, Market Vendor Performance is responsible for coordinating programs that support the delivery of member benefits including durable medical equipment (DME), home modification, and wheelchair repair services. This role partners with internal stakeh…
Hybrid RN Clinical Care Manager - Billerica
Caresource·Billerica, 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…
Manager, Life Services
Caresource·Remote
Job Summary: The Manager, Life Services is responsible to collaborate with Executive Director to establish operational goals for Life Services. Essential Functions: • Assist in development and provision of life services for the Medicaid eligible population • Communicate and pr…
Hybrid Registered Nurse (RN) Clinical Care Manager - Sunderland
Caresource·Sunderland, 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 Registered Nurse (RN) Clinical Care Manager - Chicopee - 5K Sign On Bonus
Caresource·Chicopee, 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 Registered Nurse (RN) Care Manager - Everett $5K SIGN ON BONUS!
Caresource·Everett, 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…
Hybrid Registered Nurse (RN) Clinical Care Manager - South 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, …
Manager, Information Technology – Encounters IT (Transformation & Architecture Focus)
Caresource·Remote
Manager, Information Technology – Encounters IT (Transformation & Architecture Focus) Job Summary The Manager, Information Technology – Encounters IT is a technology leader and visionary responsible for driving modernization, scalability, and innovation across the Encounter Manag…
Integrated Care Program Operations Manager
Caresource·Remote
Job Summary: The Integrated Care Program Operations Manager assists the Duals team with open projects and progress towards completion, program enhancements, development, and execution activities related to implementation and ongoing design and standardization for the Dual eligib…
Medical Director(Neonatologist Preferred)
Caresource·Remote
Job Summary: The Medical Director, Neonatology is responsible for providing subject matter expertise and medical leadership in the development of utilization management, care management and quality of care programs for infant and neonatology services. Essential Functions: • Wo…
Team Lead, Provider Data Integrity (SQL/Provider Data Experience)
Caresource·Remote
Job Summary: The Team Lead, Provider Data Integrity performs supervision and support of the Provider Data Integrity (PDI) team. Essential Functions: • Perform supervision and support of the Provider Data Integrity (PDI) team • Manage key PDI functions to meet regulatory and op…
Market Development Partner-1
Caresource·Ohio WFH
Job Summary: The Market Development Partner (MDP) is responsible for cultivating and managing strategic relationships with key market stakeholders, including healthcare providers, community-based organizations, LTSS entities, and advocacy groups, driving growth by self-generatin…
Hybrid RN Case Manager - Queens
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…
Intake Scheduling Specialist - Bengali Speaking Preferred
Caresource·Brooklyn, NY
Job Summary: The Intake Scheduling Specialist processes referrals; explains the program(s) and their benefits to potential enrollees and their families; addresses Medicaid issues of potential enrollees to Entitlement department and timely follows up on their resolution; schedule…
Community Based Care Managers
Caresource·Mississippi Mobile
TrueCare is a Mississippi non-profit, provider-sponsored health plan formed by a coalition of Mississippi hospitals and health systems throughout the state and supported by CareSource’s national leadership in quality and operational excellence. TrueCare offers locally based provi…
Community Based Care Manager
Caresource·Mississippi Mobile
TrueCare is a Mississippi non-profit, provider-sponsored health plan formed by a coalition of Mississippi hospitals and health systems throughout the state and supported by CareSource’s national leadership in quality and operational excellence. TrueCare offers locally based provi…
Market Development Partner-2
Caresource·Ohio WFH
Job Summary: The Market Development Partner (MDP) is responsible for cultivating and managing strategic relationships with key market stakeholders, including healthcare providers, community-based organizations, LTSS entities, and advocacy groups, driving growth by self-generatin…
Enterprise Quality Statistician
Caresource·Remote
Job Summary: The Enterprise Quality Statistician leads, implements, and conducts analysis for quality and performance improvement and population health processes through the integration of quality improvement science and advanced statistical methodologies. Essential Functions:…
Community Based Care Manager RN Wayne County
Caresource·Michigan 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…