CareSource Management Services LLC jobs
Job Summary: The Actuarial Analyst II (Medicare) is responsible for providing timely, accurate, and actionable data, analysis and recommendations supporting the department, area, and corporate key initiatives. Essential...
Job Summary: The Actuarial Analyst I is responsible for providing timely, accurate, and actionable data and analysis supporting the department, area, and corporate key initiatives. Essential Functions: Develops actionabl...
Job Summary: The Community Marketing Representative III is responsible to develop strategy for productive relationships with Public and Private Community partners to promote membership growth and retention for any lines...
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 Finance function, and...
Job Summary: The Team Lead, Medical Record Retrieval is responsible for all forms and aspects of retrospective HCC capture and submission including, but not limited to, claims data targeting, outreach data research plann...
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 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 Associate Vice President, Program Integrity Operations is responsible for driving overall compliance, process and data Program Integrity and as well as Internal Controls and risk management performance r...
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 activities (i.e. DME, home h...
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 Manager, Provider Data Operations Implementation is responsible for overseeing the implementation and integration of provider data into company's provider data management system. This role ensures the ac...
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 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 solutions within the...
Internship Program The 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 internship program fo...
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