Jobs at CareSource (Now Hiring) — 115 open — Page 5
Customer Care Specialist I (Must live in Ohio)
Ohio, United States · Remote OK
$36k–$57k/yr
Mid level
Job Summary: The Customer Care Specialist I assists members/beneficiaries or providers with routine service inquiries. Essential Functions: Resolve member/beneficiaries or provider routine service inquiries; examples inc…
Skills: Critical thinking, Listening skills, Decision making, Problem-solving, Computer proficiency
Clinical Psychologist
Dayton, Ohio, United States · Remote OK
$94k–$165k/yr
Mid level
Job Summary: The Clinical Psychologist provides Behavioral Health coverage determination for utilization management to ensure members receive appropriate and medically necessary care in the most cost-effective setting. E…
Skills: Utilization Management, Clinical Case Review, Behavioral Health, Case Management, Quality Improvement
Behavioral Health Medical Director
Dayton, Ohio, United States · Remote OK
$195k–$342k/yr
Senior
Job Summary: The Behavioral Health Medical Director is responsible for the overall safety of patients with a BH diagnosis, with a special focus on safe prescribing. Essential Functions: Assume responsibility for the over…
Skills: Safe Prescribing, Clinical Policy Development, Utilization Management, Case Management, Quality Improvement
Managing Actuary
Dayton, Ohio, United States · Remote OK
$94k–$165k/yr
Senior
Job Summary: The Managing Actuary provides leadership and direction to ensure team goals and strategies are successfully achieved. Essential Functions: Responsible for pricing, forecasting, reserving or other actuarial p…
Skills: Actuarial Pricing, Forecasting, Reserving, Actuarial Modeling, SQL
Onboarding Specialist
Massachusetts, United States · Remote OK
$47k–$76k/yr
Senior
Job Summary: The Onboarding Specialist is the primary contact for members as they transition to a CCA health plan. The Specialist contacts new members via telephonic outreach and identifies both the member's existing hea…
Skills: Motivational Interviewing, Member Outreach, Customer Relations, Active Listening, Telehealth Technologies
Onboarding Specialist
Massachusetts, United States · Remote OK
$47k–$76k/yr
Senior
Job Summary: The Onboarding Specialist is the primary contact for members as they transition to a CCA/CareSource health plan. The Specialist contacts new members via telephonic outreach and identifies both the member's e…
Skills: Telephonic Outreach, Motivational Interviewing, Member Advocacy, Care Management, Customer Relations
Remote - Onboarding Specialist
Massachusetts, United States · Remote OK
$47k–$76k/yr
Senior
Job Summary: The Onboarding Specialist is the primary contact for members as they transition to a CCA/CareSource health plan. The Specialist contacts new members via telephonic outreach and identifies both the member's e…
Skills: Telephonic Outreach, Motivational Interviewing, Member Advocacy, Care Management, Customer Relations
Administrative Assistant III (must live in Mississippi-in office)
Ridgeland, Mississippi, United States · Hybrid
$43k–$68k/yr
Mid level
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…
Skills: Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Microsoft Visio
Senior Director, Clinical Data Governance and Integration
Dayton, Ohio, United States · Remote OK
$136k–$237k/yr
Senior+
Job Summary: The Senior Director, Clinical Data Governance & Integration is responsible for developing, executing and coordinating enterprise clinical data governance and integration activities. This role ensures standar…
Skills: Clinical Data Governance, Data Integration, Healthcare Analytics, Interoperability, SQL
Hybrid Registered Nurse Care Manager - Queens - Bengali speaking Preferred
New York, New York, United States · Hybrid
$100k–$135k/yr
Mid level
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 nee…
Skills: Care Coordination, Case Management, Patient Assessment, Interdisciplinary Collaboration, Microsoft Office
Medicare Sales Representative II-2
Mobile, Alabama, United States · On-site
$47k–$76k/yr
Mid level
Job Summary: The Medicare Sales Representative II is responsible for supporting the sales strategy and enrollment goals in collaboration with management to ensure goals are successfully achieved for the Medicare Advantag…
Skills: Medicare Sales, CRM, Microsoft Office Suite, Public Speaking, Negotiation
RN Clinical Care Manager - Holyoke and surrounding areas
Boston, Massachusetts, United States · On-site
$90k–$120k/yr
Mid level
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 medical, b…
Skills: Clinical Care Management, Case Management, Patient Assessment, Care Planning, Interdisciplinary Collaboration
Clinical Care Manager - Massachusetts-10
Massachusetts, United States · On-site
$90k–$120k/yr
Mid level
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 medical, b…
Skills: Clinical Care Management, Case Management, Patient Assessment, Interdisciplinary Collaboration, Care Planning
Community Based Care Manager RN
Mobile, Alabama, United States · On-site
$63k–$100k/yr
Mid level
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…
Skills: Case Management, Care Coordination, Patient Assessment, Interdisciplinary Team Collaboration, Trauma-Informed Care
Life Services Life Coach-Northern Region (Allen County or Lake County)
Indiana, United States · On-site
$47k–$76k/yr
Mid level
Job Summary: The Life Services Life Coach provides one-on-one coaching and development for participants in the Life Services program as defined by member needs both urgent, immediate, and long term to prepare members for…
Skills: Coaching, Counseling, Case Management, Motivational Interviewing, Microsoft Office Suite
Hybrid Registered Nurse (RN) Care Manager - Brooklyn
New York, New York, United States · Hybrid
$100k–$135k/yr
Mid level
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 nee…
Skills: Care Coordination, In-home Assessment, Case Management, Patient Advocacy, Interdisciplinary Collaboration
VP, Chief Medicaid Actuary
Dayton, Ohio, United States · Remote OK
$150k–$300k/yr
Senior+
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 actuar…
Skills: Actuarial Science, Rate Negotiations, Financial Forecasting, Strategic Planning, Regulatory Compliance
Care Manager Mom and Baby RN - Must Reside in Indiana
Indiana, United States · Remote Solely
$63k–$100k/yr
Mid level
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: Care Coordination, Case Management, Psychosocial Assessment, Person-Centered Planning, Trauma-Informed Care
Intake Nurse (RN) - Bilingual (Spanish, Russian, or Chinese) - UAS (Uniform Assessment System)
New York, New York, United States · On-site
$100k–$135k/yr
Mid level
Job Summary: The Intake Nurse - RN is responsible for assessing potential new members for eligibility for the program and for explaining the program to them and their families. Responsible for knowing required outreach a…
Skills: Patient Assessment, UAS Tool, Care Planning, Community Outreach, Bilingual Communication
Behavioral Health Medical Director
Dayton, Ohio, United States · Remote OK
$195k–$342k/yr
Senior
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 respon…
Skills: Safe Prescribing, Utilization Management, Clinical Policy Development, Quality Improvement, Case Management