CareSource
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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 c…
Job Summary The Medical Records Coordinator II is responsible for all forms and aspects of retrospective medical record retrieval including, but not limited to, claims data analysis, outreach data research, direct EM…
Job Summary: The Sales Strategy & Operations Manager serves as the primary sales strategy and operations partner supporting the CareSource Military & Veterans business. This position is responsible for enabling enrol…
Job Summary: The Program Integrity Investigative Coordinator I monitors and maintains all SIU fraud reporting mechanisms (hotline, facets routing, fax, emails) to ensure compliance with regulatory requirements. **Ess…
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…
Job Summary The Integrated Care Program Manager is responsible for managing large-scale portfolio programs aligned to strategic objectives that include multiple projects. Essential Functions - Responsible for suc…
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…
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 c…
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…
Job Summary: The Integrated Care Program Manager is responsible for managing large-scale portfolio programs aligned to strategic objectives that include multiple projects. Essential Functions: - Responsible for s…
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 Integrit…
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…
Roles and Responsibilities: - Work in a blended environment, handling customer queries through inbound - Maintain adherence to departmental productivity and quality benchmarks. - Aim for achieving a first-call resolu…
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 individ…
Job Summary The Revenue Cycle Coordinator III is responsible for providing oversight in the research and resolution of member related eligibility and billing complaints from internal customers and governing entities.…
Job Summary The Provider Engagement Specialist - Provider Delegation Performance is responsible for overseeing and improving the performance of delegated partnerships programs and act as the engagement lead for high…
Job Summary The Provider Engagement Specialist - Provider Delegation Performance is responsible for overseeing and improving the performance of delegated partnerships programs and act as the engagement lead for high…
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…
Job Summary: The Enterprise Enablement, Analytics and Toolchain Integration Lead owns enterprise adoption, visibility, analytics, and AI-enabled tool use that support consistent, high-quality requirements delivery ac…
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…
Job Summary: The Director, Actuarial Science is responsible for guiding the strategic direction, driving innovation and producing key insights for the organization that drive company performance. **Essential Function…
Job Summary: The Director, Actuarial Science is responsible for guiding the strategic direction, driving innovation and producing key insights for the organization that drive company performance. **Essential Function…
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 populati…
Job Summary: The Behavioral Health Medical Director provides clinical oversight for behavioral health services across ElderServe Health. Serves as the clinical authority for behavioral health programs, medical manage…
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 populati…
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 healt…
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 posit…
Job Summary: Care Delivery RN collaborates with members of an interdisciplinary team to provide primary care, in home specialty care, and care coordination to a specific panel of high risk and complex patients, inclu…
Job Summary: Care Delivery RN collaborates with members of an interdisciplinary team to provide primary care, in home specialty care, and care coordination to a specific panel of high risk and complex patients, inclu…
Job Summary: - The Integrated Care Clinical Manager - BH - Massachusetts is a community based BH Clinician responsible for providing monitoring, follow-up and clinical care management to dually eligible enrollees wit…
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…
Job Summary: The Clinical Nurse Educator is responsible for assisting in identifying learning and development needs for clinical staff. Assesses competencies, need for additional training and education, and develops…
Job Summary: The Clinical Care Manager-Massachusetts is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medica…
Job Summary: The Rural Health Liaison conducts outreach activities and serves as a resource for members, providers, and community-based organizations (CBOs) to address the diverse health needs of rural populations. T…
Are you ready to make a meaningful impact in the lives of Medicare beneficiaries? At CareSource, we’re looking for passionate individuals to join our team as a Medicare Sales Representative II. This is more than just a j…
Are you ready to make a meaningful impact in the lives of Medicare beneficiaries? At CareSource, we’re looking for passionate individuals to join our team as a Medicare Sales Representative II. This is more than just a j…
Are you ready to make a meaningful impact in the lives of Medicare beneficiaries? At CareSource, we’re looking for passionate individuals to join our team as a Medicare Sales Representative II. This is more than just a j…
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 positi…
Are you ready to make a meaningful impact in the lives of Medicare beneficiaries? At CareSource, we’re looking for passionate individuals to join our team as a Medicare Sales Representative II. This is more than just a j…
Now offering a $5,000.00 SIGN ON BONUS as well as strong total rewards, including benefits, 401(k) match, and Annual Incentive Plan eligibility up to 15% of eligible annual earnings Job Summary: The Integrated Ca…
Job Summary The Market Quality Improvement Specialist II collaborates with department manager and other leadership to evaluate opportunity for HEDIS data and process improvement in new or existing projects with focus…
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 individ…
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 c…
ElderServe Health is a mission-driven, nonprofit managed care organization serving the New York metropolitan area. ElderServe provides long-term services and supports to more than 20,000 older adults and adults with disa…
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 acce…
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…
Now offering a $5,000.00 SIGN ON BONUS as well as strong total rewards, including benefits, 401(k) match, and Annual Incentive Plan eligibility up to 15% of eligible annual earnings Job Summary: The Integrated Ca…
Job Summary: The Life Services Life Coach II provides one-on-one coaching and development for participants in the Life Services program with a focus on complex populations as defined by member needs both urgent, imme…
Job Summary: The Primary Care Medical Assistant provides care to patients in a clinic setting by managing patient flow through the clinic, obtaining pertinent clinical information including the patient's complaint, h…
Job Summary: The Primary Care Medical Assistant provides care to patients in a clinic setting by managing patient flow through the clinic, obtaining pertinent clinical information including the patient's complaint, h…
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CareSource currently has 182 verified open jobs on JobAssist, with 12 added in the last 30 days.
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CareSource lists a mix of hybrid and remote positions – each listing shows its workplace type up front.