Latest Jobs
Job Summary: Director, Population Health is responsible to for the execution of the population health strategies in collaboration with population health corporate and market leadership. Essential Functions: Actively work...
Job Summary: The Actuarial Analyst II (Medicare Duals) is responsible for providing timely, accurate, and actionable data, analysis and recommendations supporting the department, area, and corporate key initiatives. Esse...
Job Summary: The Actuarial Analyst II is responsible for providing timely, accurate, and actionable data, analysis and recommendations supporting the department, area, and corporate key initiatives. Essential Functions:...
Job Summary: The Market Implementation Manager partners with Business Development, Market and Product leaders, EPMO, IT, vendors, business owners, and other key stakeholders across the company to support the preparation...
Job Summary: The Utilization Management (UM) Market Operations Manager is responsible for the operational activities of UM and Appeals for a specified line(s) of business managing the development of policies and procedur...
Job Summary: The Clinical Appeals Nurse is responsible for processing clinical appeals and attending state hearings within compliance and regulatory standards, clinical guidelines, and contractual obligations. Essential...
Job Summary: The Manager, Information Technology is responsible for working closely with customers, business partners, project managers, and team members to understand business requirements that drive the analysis and de...
Job Summary: This position supports TRICARE Prime Demo by CareSource Military & Veterans, which aims to enhance healthcare access and prioritize the unique needs of the military community. We encourage military affil...
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 accepte...
Job Summary: The Triage Nurse is responsible for using decision support software to perform telephonic clinical triage and health information service for CareSource managed health plans and external clients. Essential Fu...
Job Summary: The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical case review for members. Essential Functions: Provide prior authorization medical reviews,...
Job Summary: The Data Scientist II is responsible for designing and validating predictive models, machine learning models, and artificial intelligence that inform and improve business processes across the organization (o...
Job Summary: The Internal Auditor IV is primarily responsible for managing the Internal Audit Control Assurance Program while also working in a self-directed team environment to execute internal audits as defined by mana...
Job Summary: The Market Intelligence Analyst III supports all business units directly in market analysis need for business development of new products/markets as well as competitive intelligence. Essential Functions: Mee...