CareSource
CareSource offers more than just a job; it provides a chance to make a tangible difference in the lives of others. As a leading health insurance provider, CareSource is dedicated to improving the health and well-being of its members through innovative solutions and compassionate care. Here, you'll join a team of passionate professionals who are committed to transforming healthcare, fostering a collaborative and supportive work environment where individual contributions are valued and recognized. Currently, CareSource is seeking talented individuals to fill a variety of dynamic roles. Explore opportunities to apply your expertise as a Business Analyst, Data Engineer, Healthcare Analyst, or Financial Analyst. If you're passionate about innovation, there are openings for AI Developers as well as leadership positions such as Senior Director of Product Performance & Operations. At CareSource, you'll find the opportunity to grow your career while contributing to a mission-driven organization that is shaping the future of healthcare.
About the Company
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
Open Positions
43Job Summary:The Manager, Customer Care is responsible to guide Team Leads and staff relative to daily operational issues.Essential Functions:Ensure quantitative and qualitative objectives are used to ...
Job Summary:The Edifecs/EDI Systems Analyst II or III, depending on experience, is responsible for collaborating with internal and external customers to elicit their business requirements and develop ...
Job Summary:The Community Justice Liaison is responsible for engaging with members prior to their release from incarceration and during the transition period as these members re-enter their community....
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...
Job Summary:The Data Product Manager I is responsible for supporting the analytics and data strategy within the healthcare insurance space. In this role, you will work closely with product managers, d...
Job DescriptionJob Summary:The EDI Technical Product Manager serves as the strategic and technical owner of CareSource's EDI platform, responsible for driving the vision, roadmap, and execution of ent...
Job Summary:Director, MyCare HCBS Waiver is responsible for developing, directing and overseeing CareSource MyCare HCBS Waiver and Long-Term Care Services and Supports (LTSS) case management programs....
Job Summary:The role of the Director, Finance provides financial oversight, leadership and support to the market/corporate and ensures the department proactively collaborates with and provides support...
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 Medic...
Job Summary:The Manager, Market Quality Improvement manages the day-to-day prioritization of staff activities in collaboration with Director, Quality Improvement. The Manager will be responsible for d...
Job Summary:The Associate Vice President, Dual Products collaborates closely with both Market and Corporate Leadership to ensure the effective delivery of care for multiple markets with high volume me...
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 ...
Job Summary:Reporting to the Chief Medical Officer of instED, the Virtual Medical Control (VMC) Nurse Practitioner provides medical decision making, including all elements of diagnostics, treatment, a...
Job Summary:Grievance & Appeals Coordinator I, in collaboration with department leadership, is responsible for all daily appeals logging and coordination of all State Hearings.Essential Functions:Ensu...
Job Summary:Clinical Care Reviewer II is responsible for processing medical necessity reviews for appropriateness of authorization for health care services, assisting with discharge planning activitie...
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 ...
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 ...
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...
Job Summary:The Senior Manager, Quality Risk Adjustment is responsible for overseeing the Quality Risk Adjustment (QRA) Medical Record Review (MRR) program which includes chart retrieval and coding wh...
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...
Job Summary:The role of the Team Lead, Case Management - Integrated Care is to provide support, direction and assistance to Case Management staff.Essential Functions:Give effective and timely feedback...
Job Summary:The Business Analyst IV is a senior-level position responsible for driving strategic initiatives and leading cross-functional teams to deliver innovative solutions that address complex bus...
Job Summary:The Talent Development Partner III plays a pivotal role in advancing our organization's learning culture and performance by designing, developing, and facilitating innovative and high-impa...
Job Summary:The MDP Analytical Engineer II is responsible for designing, developing, and optimizing data solutions using Databricks SQL and the business intelligence platforms to generate regulatory r...
Job Summary:The AI Engineer II is responsible for software development related to generative AI solutions. The role will work closely with cross-functional teams to ensure the successful delivery of s...
Job Summary:The Healthcare Analyst III is responsible for trend analysis, presenting analytical findings and recommendations regarding utilization to management and being proficient in identifying and...
Job Summary:This Sr. Director, Care Management Administration is responsible for providing strategic, operational, and administrative support to the Senior Vice President of Care Management and Depart...
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 inqui...
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 leade...
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 res...
Job Summary:The Associate Vice President, LTSS is responsible for oversight of development, execution and implementation of, as well as the ongoing design and standardization for the Dual eligible and...
Job Summary:The Senior Manager, Program Integrity is responsible to provide leadership and direction to ensure the goals and strategies of the department are successfully achieved.Essential Functions:...
Job Summary:The Manager, LTSS Program Operations assists the Duals team with open projects and progress towards completion, program enhancements, development, and execution activities related to imple...
Job Summary:The Data Solutions Engineer III is responsible for bringing advanced knowledge of Data Warehousing (including ETL, development, testing, ad-hoc reporting, and business analysis) to the Fin...
Job Summary:The Health Plan Sales Associate II is responsible for identifying and education consumers about the CareSource exchange product lines, generating enrollment leads and referrals, supporting...
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 leade...
Job Summary:The Provider Network Operations Analyst II executes small to medium scale project plans, business and data analysis, and provides specialized support of the LTSS & HCBS provider network an...
Internship ProgramThe CareSource Intern is responsible for providing support on special projects, initiatives, and specific activities which will vary by assignment. We offer a 12-week, paid summer in...
Job Summary:The AI Developer plays a key role in designing, developing, and deploying intelligent solutions. This role is focused on solving complex business challenges through innovative AI technolog...
Job Summary:The Vice President of Talent Strategy will play a critical role in shaping and executing the organization’s talent strategies. This role will oversee learning and development, recruiting, ...
Job Summary:The Project Manager I is responsible for managing small complexity projects within programs or small complexity standalone projects.Essential Functions:Responsible for successful delivery ...
Job Summary:The Financial Analyst II is responsible for preparing analysis for utilization and financial trends, costs, revenues, financial commitments and obligations incurred to predict future reven...
Job Summary:The Senior Director, Marketplace Performance and Strategy leads the development of the Marketplace program strategy across the enterprise, execution of complex performance analysis and mon...