Arkansas, United States · Hybrid
$49k–$79k/yr
Job Summary: The Health Partner Engagement Specialist I is responsible for collaborating with key Health Partners in the development of specific strategies for enhanced engagement. Health Partner engagement shall be meas…
Skills: Account Management, Customer Service, Microsoft Outlook, Microsoft Word, Microsoft Excel
Boston, Massachusetts, United States · Hybrid
$80k–$120k/yr
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 man…
Skills: Care Coordination, Case Management, Patient Assessment, Interdisciplinary Team Leadership, Chronic Condition Management
Springfield, Massachusetts, United States · Hybrid
$80k–$120k/yr
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 man…
Skills: Clinical Care Management, Case Management, Patient Assessment, Care Plan Development, Interdisciplinary Team Leadership
Nevada, United States · Remote Solely
$63k–$100k/yr
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 suppor…
Skills: Case Management, Care Coordination, Psychosocial Assessment, Trauma-Informed Care, Motivational Interviewing
New York, New York, United States · On-site
$55k–$87k/yr
Job Summary: The Quality Coordinator - ESH analyzes and coordinates quality and regulatory activities related to member grievances and appeals, ensuring compliance with federal, state, contractual, and organizational req…
Skills: Quality Assurance, Regulatory Compliance, Case Management, Data Analysis, Grievance Handling
New York, New York, United States · Hybrid
$63k–$100k/yr
Job Summary: The Social Worker is a member of the interdisciplinary care management team responsible for assessing and addressing members' psychosocial, behavioral, and social determinants of health needs. This role supp…
Skills: Psychosocial Assessment, Care Coordination, Resource Navigation, Counseling, Case Management
New York, New York, United States · Hybrid
$63k–$100k/yr
Job Summary: The Social Worker is a member of the interdisciplinary care management team responsible for assessing and addressing members' psychosocial, behavioral, and social determinants of health needs. This role supp…
Skills: Psychosocial Assessment, Care Coordination, Resource Navigation, Case Management, Counseling
Dayton, Ohio, United States · On-site
$55k–$87k/yr
Job Summary: The Team Lead, Customer Care is responsible for leading and directing their team to ensure goals, regulatory, compliance, and department standards are met. Essential Functions: Conduct regularly scheduled co…
Skills: Coaching, Performance Management, Data Analysis, Change Management, Conflict Resolution
Ohio, United States · Remote OK
$83k–$133k/yr
Job Summary: The Manager, Ohio Market Contracting is responsible for leading specialized contracting efforts, handle unique contracting situations, including facilitating contracting changes and negotiations. Essential F…
Skills: Contract Negotiation, Managed Care, Leadership, Project Management, Business Analysis
Springfield, Massachusetts, United States · Hybrid
$90k–$120k/yr
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 man…
Skills: Clinical Care Management, Case Management, Patient Assessment, Interdisciplinary Collaboration, Care Planning
Springfield, Massachusetts, United States · Hybrid
$80k–$120k/yr
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 man…
Skills: Clinical Care Management, Case Management, Patient Assessment, Care Coordination, Interdisciplinary Team Leadership
New York, New York, United States · On-site
$47k–$76k/yr
Job Summary: The Entitlement Specialist is responsible for ensuring that members maintain continuous Medicaid eligibility by overseeing the timely completion of Medicaid renewals, new Medicaid applications and RVI-3 conv…
Skills: Medicaid Eligibility, Case Management, Customer Service, Time Management, Critical Thinking
Massachusetts, United States · Hybrid
$80k–$120k/yr
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 man…
Skills: Clinical Care Management, Case Management, Patient Assessment, Care Coordination, Interdisciplinary Collaboration
Dayton, Ohio, United States · Hybrid
$47k–$76k/yr
Job Summary: The Administrative Assistant III is responsible for meeting the administrative needs of their executive and assigned organization within the company. This is a hybrid position that works in the Dayton OH off…
Skills: Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Microsoft Visio
Boston, Massachusetts, United States · On-site
$36k–$57k/yr
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, healt…
Skills: Vital Signs Measurement, Electronic Medical Record (EMR), Phlebotomy, EKG, Patient Flow Management
Springfield, Massachusetts, United States · On-site
$36k–$57k/yr
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, healt…
Skills: Vital Signs Measurement, Electronic Medical Record (EMR), Phlebotomy, EKG, Patient Flow Management
United States · Hybrid
$80k–$120k/yr
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 man…
Skills: Clinical Care Management, Case Management, Patient Assessment, Care Planning, Interdisciplinary Collaboration
Dayton, Ohio, United States · Remote OK
Job Summary: The Operations Business Analyst III is responsible for reviewing and analyzing the effectiveness and efficiency of existing processes and systems, and participate in development of solutions to improve or fu…
Skills: Process Analysis, Cost-Benefit Analysis, ROI Analysis, Strategic Planning, Operational Readiness
Dayton, Ohio, United States · Remote OK
$63k–$100k/yr
Job Summary: The Operations Specialist II provides analytical support and leadership for project impacting Claims and key internal Claims projects. Essential Functions: Represent claims on cross-functional project work t…
Skills: Data Analysis, Healthcare Claims Processing, Managed Care, Medical Coding, Technical Writing
Acton, Massachusetts, United States · Hybrid
$80k–$120k/yr
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 compl…
Skills: Care Coordination, Case Management, Clinical Assessment, Patient Education, Interdisciplinary Collaboration
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Collaborate with Health Partners to develop engagement strategies and resolve routine issues to drive overall satisfaction. Maintain key account relationships through proactive outreach, documentation in CRM tools, and regular field visits.
Requires a bachelor's degree in business or communications and 1-3 years of experience in healthcare account management or sales. Must possess a valid driver's license and be able to travel more than 50% of the time.
The Health Partner Engagement Specialist I is responsible for collaborating with key Health Partners in the development of specific strategies for enhanced engagement. Health Partner engagement shall be measured by confidence in CareSource and affiliated Companies ability to fulfill promises, integrity to make things right when problems occur, pride in working with Caresource and their passion about Caresource being a vital member of the care team.
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. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business
Health Care with Heart. It is more than a tagline; it’s how we do business. CareSource has been providing life-changing health care to people and communities for 30+ years and we continue to be a transformative force in the industry by placing people over profits. CareSource is and will always be member-first. Even as we grow, we remember the reason we are here – to make a difference in our members’ lives by improving their health and well-being. Today, CareSource offers a lifetime of health coverage to more than 2 million members through plan offerings including Marketplace, Medicare products and Medicaid. With our team of 4,500+ employees located across the country, we continue to clear a path to better life for our members. Visit the "Life" section to see how we are living our mission in the states we serve. CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law. If you’d like more information about your EEO rights as an applicant under the law, please click here: https://www.eeoc.gov/employers/upload/poster_screen_reader_optimized.pdf and here: https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf
Offices: Dayton, OH, US
Health Care with Heart. It is more than a tagline; it’s how we do business. CareSource has been providing life-changing health care to people and communities for 30+ years and we continue to be a transformative force in the industry by placing people over profits. CareSource is and will always be member-first. Even as we grow, we remember the reason we are here – to make a difference in our members’ lives by improving their health and well-being. Today, CareSource offers a lifetime of health coverage to more than 2 million members through plan offerings including Marketplace, Medicare products and Medicaid. With our team of 4,500+ employees located across the country, we continue to clear a path to better life for our members. Visit the "Life" section to see how we are living our mission in the states we serve. CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law. If you’d like more information about your EEO rights as an applicant under the law, please click here: https://www.eeoc.gov/employers/upload/poster_screen_reader_optimized.pdf and here: https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf
Offices: Dayton, OH, US
