194 Results for

CareSource, Inc. Jobs in the United States

Jobs

Integrated Care Clinical Manager - Springfield CareSource

Springfield, MA

$80,000–$120,000 / year

Job Summary: The Integrated Care Clinical Manager - Massachusetts for 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 social care needs. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.

7 days ago

Member Svc. Rep - Russian or Mandarin Speaking Preferred! CareSource

Bronx, NY

$41,200–$66,000 / year

CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. Job Summary: The Member Services Representative is responsible for receiving and handling incoming calls on the general 1-800 numbers and provide first call resolution for members and callers.

7 days ago

Medical/Clinical Policy Writer (Work From Home) CareSource

Dayton, OH

$72,200–$115,500 / year

CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. Licensure and Certification: RN or equivalent clinical licensure preferred, or in lieu of licensure: 2 years Clinical /Medical policy writing experience or equivalent Policy/Healthcare experience.

7 days ago

Technical Delivery Lead EES CareSource

Dayton, OH

$94,100–$164,800 / year

Job Summary: The Technical Delivery Lead, EES is responsible for owning technical delivery and technical management for Release & Environment Management (RM/EM), is responsible for providing technical leadership, governance, and continuous improvement for enterprise release management, deployment processes, and environment management services, ensuring reliable and compliant software delivery across the organization. Drive AI adoption and business outcomes by identifying, prioritizing, and delivering AI-enabled capabilities that improve productivity, quality, customer experience, speed to market, risk management, or cost efficiency within their area of responsibility.

7 days ago

Member Svc. Rep - Russian Or Mandarin Speaking Preferred! CareSource

Bronx, NY

$41,200–$66,000 / year

7 days ago

Pharmacy Tech II Rx Solutions Center CareSource

Dayton, OH

$35,900–$57,300 / year

CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. Essential Functions: Performs technical and clerical duties that do not require the professional clinical judgement of a pharmacist (i.e., confirms member identity, updates demographic information, updates provider information, faxes providers, etc.).

8 days ago

Rural Health Liaison-(Churchill County Nevada Required) CareSource

Fallon, NV

$62,700–$100,400 / year

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. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.

9 days ago

Operations Business Analyst IV - Claims adjudication and/or Facets claims adjudication (preferred) CareSource

$94,100–$164,800 / year

Job Summary: The Operations Business Analyst IV oversees the business analysis initiatives to drive operational excellence and efficiency of existing processes and systems, leads cross functional process improvements, and aligns solutions with organizational strategy. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.

13 days ago

Hybrid Registered Nurse (Rn) Clinical Care Manager - Ipswitch - 5K Sign On Bonus CareSource

Boston, MA

$80,000–$120,000 / year

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. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.

13 days ago

Product Manager - Vendor Oversight CareSource

Dayton, OH

$113,000–$197,700 / year

This role translates business, customer, regulatory, operational, and technology objectives into prioritized, phased delivery plans; establishes governance, milestones, readiness criteria, and success measures; and coordinates cross-functional teams and third parties through implementation, stabilization, and transition to operational ownership. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.

16 days ago

Product Manager - Data Migration CareSource

Dayton, OH

$113,000–$197,700 / year

16 days ago

Care Coordinator, Dorchester MA CareSource

$47,400–$76,000 / year

Job Summary: The Care Coordinator - Massachusetts at CareSource/Commonwealth Care Alliance is the primary point of contact for a stratified panel of members whose role is to assist enrollees in navigating their health care providing care planning and coordination of services, ensuring timely service delivery and prompting continuity of care through coordinated outreach and engagement with members and providers. Conducts routine outreach to members and providers to confirm service details, coordinates services with long term services and supports teams,, serves as a health plan subject matter expert and accurately documents care coordination activities.

17 days ago

Hybrid RN Clinical Care Manager - Dorchester - 5K Sign On Bonus CareSource

Dorchester, MA

$80,000–$120,000 / year

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, behavioral and social care needs. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.

17 days ago

Hybrid Nurse Care Manager - Nassau County - Mltc CareSource

Queens, NY

$100,000–$135,000 / year

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. Develops efficient plans of care, authorizing only needed services at the most appropriate levels, utilizing network providers and ensuring that services are based on members' needs.

17 days ago

Director, Compliance(Preferred Experience In Health Plan Operations And Live In Massachusetts) CareSource

$113,000–$197,700 / year

Job Summary: The Director, Compliance is responsible for establishing a baseline of compliance risk, identifying areas of potential exposure, developing and aligning compliance risk management strategies with CareSource goals and objectives, and executing the compliance program ensuring effectiveness. Oversee all activities related to the assigned program's regulatory and sub regulatory guidance and changes; Ensure timely responses to regulator requests, audit deliverables, and investigations; and ensure required changes are effectively implemented.

2 days ago

Information Security GRC Analyst IV - ESH CareSource

Dayton, OH

$113,000–$197,700 / year

Design, review, mature, and manage a framework of internal IT controls sufficient to effectively protect the confidentiality, integrity, and availability of information assets critical to the business, maintaining robust evidence of controls and representing these records to internal and external auditors and regulators. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.

2 days ago

Team Lead, Integrated Care Coordination - Waiver--Must live in Ohio CareSource

Mobile, OH

$72,200–$115,500 / year

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. Serve as the primary coordinator or consultant for High-risk members, Members with repeated incidents, Complex transition cases, Members requiring multidisciplinary intervention, Members experiencing service gaps or Members with significant social determinants of health challenges.

2 days ago

Integrated Care Clinical Manager - BH - Greenfield, MA CareSource

Greenfield, MA

$80,000–$120,000 / year

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 with complex medical, behavioral and social care needs. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.

20 days ago

Integrated Care Clinical Manager - BH - Pittsfield, MA CareSource

Pittsfield, MA

$80,000–$120,000 / year

20 days ago

Intake Nurse (Hybrid/Mobile)(Bilingual)(Bronx, Manhattan, Westchester County) 10K Sign on Bonus CareSource

Westchester County, NY

$100,000–$135,000 / year

CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. Working Conditions: This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential.

20 days ago

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