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.
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251 positions at Caresource
Hybrid Registered Nurse (RN) Clinical Care Manager - Roxbury
Caresource·Boston or Massachusetts
Hybrid Registered Nurse (RN) Clinical Care Manager - Roxbury at Caresource. Location: Boston or Massachusetts. Role: engaging enrollees, coordinating care, conducting assessments Requirements: Current unrestricted MA clinical license (RN/LCSW/LISCW/LMHC), 3+ years RN/BH clinician…
Community Based Care Coordinator I
Caresource·Arkansas Mobile
Job Summary: The Community Based Care Coordinator I – Arkansas with oversight from the care coordination team is the member concierge and is the single point of contact for assessment, person-centered planning, service coordination (funded or unfunded), disease management and tr…
Hybrid Registered Nurse (RN) Clinical Care Manager - Lynn and surrounding areas
Caresource·Lynn or Boston or Massachusetts
Hybrid Registered Nurse (RN) Clinical Care Manager - Lynn and surrounding areas at Caresource. Location: Lynn or Boston or Massachusetts. Role: engaging members, coordinating care, managing cases Requirements: Mobile, community-based RN/clinical care manager required to perform a…
Hybrid Registered Nurse (RN) Clinical Care Manager - Medford and surrounding areas
Caresource·Medford or Boston or Massachusetts
Hybrid Registered Nurse (RN) Clinical Care Manager - Medford and surrounding areas at Caresource. Location: Medford or Boston or Massachusetts. Role: engaging enrollees, coordinating care, conducting assessments Requirements: Current unrestricted MA clinical license (RN/LCSW/LISC…
Hybrid Registered Nurse (RN) Clinical Care Manager - Malden and surrounding areas
Caresource·Malden or Boston or Massachusetts
Hybrid Registered Nurse (RN) Clinical Care Manager - Malden and surrounding areas at Caresource. Location: Malden or Boston or Massachusetts. Role: engaging members, coordinating care, performing assessments Requirements: Active MA clinical license (RN/LCSW/LICSW/LMHC), AS in nur…
Hybrid Registered Nurse (RN) 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…
Care Manager Mom and Baby RN - Must Reside in Indiana
Caresource·Indiana WFH
Job Summary: The 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 with culturally competent delivery of…
VP, Chief Medicaid Actuary
Caresource·Dayton or United States
VP, Chief Medicaid Actuary at Caresource. Location: Dayton or United States. Role: driving strategy, overseeing filings, providing insights Requirements: Bachelor's in actuarial science, math, or finance; 10+ years actuarial experience (7+ in healthcare Medicaid preferred); 5+ ye…
VP, Chief Medicaid Actuary
Caresource·Remote
Job Summary: Vice President, Actuarial - Product is responsible for driving company strategy and managing actuarial expertise in coordination with other leaders on all aspects of CareSource’s rate levels to ensure actuarial soundness, and to use actuarial knowledge and tools to h…
Mom and Baby Care Manager - RN - Must reside in Nevada
Caresource·Nevada WFH
Job Summary: The 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 with culturally competent delivery of…
Behavioral Health Medical Director
Caresource·Remote
Job Summary: The Market Behavioral Health Medical Director is responsible for the overall safety of patients with a Behavioral Health diagnosis, with a special focus on safe prescribing. Essential Functions: • Assume responsibility for the overall safety of patients with a beha…
Behavioral Health Medical Director
Caresource·Dayton or United States
Behavioral Health Medical Director at Caresource. Location: Dayton or United States. Role: ensuring safety, leading policies, reviewing utilization Requirements: MD/DO with psychiatry residency and psychiatry board certification, current state medical license, 5+ years clinical p…
Manager, Field Sales (Ohio Residency is Required)
Caresource·Remote
Job Summary: The Manager, Field Sales is responsible for leading and overseeing a team of sales representatives operating in the field to achieve enrollment targets and drive business growth. The Manager will analyze market trends, monitor team performance, provide coaching and …
Medical Director
Caresource·Remote
Job Summary: The Clinical Appeals Medical Director will perform medical necessity review of appeals, within the organization, ensuring timely, accurate, quality and compliant review of clinical appeals. Administers the decision-making process related to appeals, supports clinica…
Quality Risk Adjustment Advisor IV (Health Plan experience required)
Caresource·Dayton or United States
Quality Risk Adjustment Advisor IV (Health Plan experience required) at Caresource. Location: Dayton or United States. Role: leading programs, conducting audits, analyzing metrics Requirements: Bachelor's required, 7 years risk adjustment/medical record review/coding/quality mana…
Medical Director
Caresource·Dayton or United States
Medical Director at Caresource. Location: Dayton or United States. Role: reviewing appeals, providing guidance, standardizing protocols Requirements: MD/DO with residency completion, current unrestricted state medical license and board certification, 5+ years clinical practice, M…
Senior Manager, Capacity Planning & Reporting
Caresource·Ohio or United States
Senior Manager, Capacity Planning & Reporting at Caresource. Location: Ohio or United States. Role: maintaining staffing, delivering reporting, analyzing forecasts Requirements: Bachelor's required (Master's preferred or equivalent experience). 7 years forecasting/WFM/call center…
Care Coordinator (Care Manager) - Registered Nurse (RN), Social Worker, or Clinical Counselor
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…
Provider Contracting Analyst II
Caresource·Dayton, Ohio, United States
Provider Contracting Analyst II at Caresource. Location: Dayton, Ohio, United States. Role: developing models, performing analysis, supporting contracting Requirements: Bachelor's degree or equivalent experience, 2+ years in healthcare reimbursement/provider contracting or claims…
Payment Cycle Analyst III
CareSource·Ohio or United States
Payment Cycle Analyst III at CareSource. Location: Ohio or United States. Role: conducting analysis, developing requirements, validating tests Requirements: Bachelor's degree (or equivalent experience), 5+ years health plan experience, user testing experience, knowledge of claims…
Business Analyst IV
CareSource·Dayton or United States
Business Analyst IV at CareSource. Location: Dayton or United States. Role: leading initiatives, managing requirements, mentoring analysts Requirements: Bachelor's degree or equivalent, 7+ years requirements management experience, experience with Azure DevOps/ServiceNow/JIRA/Mode…
Provider Contracting Analyst II
Caresource·Dayton WFH
Job Summary: The Provider Contracting Analyst II supports the development, validation, and optimization of provider reimbursement strategies through advanced data analysis, financial modeling, and AI-enabled analytic tools. This role is responsible for evaluating provider paymen…
Physical Therapist Care Delivery (Massachusetts)
Caresource·Massachusetts, United States
Physical Therapist Care Delivery (Massachusetts) at Caresource. Location: Massachusetts, United States. Role: documenting assessment, performing evaluations, coordinating equipment Requirements: Current unrestricted PT or OT license, 5+ years related experience, bachelor’s degree…
Intake Nurse (RN) - Bilingual (Spanish, Russian, or Chinese)
Caresource·Brooklyn, New York, United States
Intake Nurse (RN) - Bilingual (Spanish, Russian, or Chinese) at Caresource. Location: Brooklyn, New York, United States. Role: conducting outreach, performing assessment, evaluating eligibility Requirements: Associates in Nursing required, current NY RN license, valid driver's l…