130 open roles on Laand · 48 added this week
Showing 60 of 130
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CareSource
Today
Location not stated
Job Summary: The Performance Improvement Evaluator II assists with implementing and evaluating performance improvement and population health processes through the integration of quality improvement science. Essential Functions: • Serves as the...
CareSource
Today
Location not stated
Job Summary: The Utilization Management (UM) Operations Strategy & Implementation Lead is responsible for maintenance and oversight of all operational and compliance activities that support the UM department. This role will also drive key process...
CareSource
Today
Springfield MA Office
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, health history, and measurement...
CareSource
Today
Bronx NY Office
Job Summary: The Paralegal II - Quality Appeals & Grievances provides legal, analytical, and operational support to the Quality Appeals and Grievances function. The role conducts research, reviews appeal and grievance determinations, analyzes...
CareSource
Today
Boston, United States
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 complex medical, behavioral and...
CareSource
Today
Dorchester, MA
Job Summary: The Care Coordinator - Massachusetts at CareSource/Commonwealth Care Alliance is the primary point of contact for a stratified panel of members whose role is to assist enrollees in navigating their health care providing care planning...
CareSource
Yesterday
Location not stated
Job Description 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 for college...
CareSource
Yesterday
Location not stated
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 for college students who want to separate...
CareSource
Yesterday
Location not stated
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 for college students who...
CareSource
Yesterday
Location not stated
Job Summary: The Enterprise Quality Vendor Liaison is responsible for supporting the oversight of the day-to-day operational activities for the Enterprise Quality Vendor programs. In addition, act as a liaison between Quality vendors and...
CareSource
Yesterday
Location not stated
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 for college students who...
CareSource
Yesterday
Location not stated
Job Summary: The Market Quality Improvement Specialist II collaborates with department manager and other leadership to evaluate opportunity for HEDIS data and process improvement in new or existing projects with focus on measurable benefits...
CareSource
Yesterday
Location not stated
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 for college students who...
CareSource
Yesterday
Location not stated
Job Summary: The Project Manager III is responsible for managing medium to high complexity projects within programs and high complexity standalone projects. Essential Functions: • Responsible for successful delivery of project • Ensure project...
CareSource
Yesterday
Location not stated
Job Summary: The Transitions Coordinator- Post Acute is responsible for monitoring and managing the functions related to member level of care transitions to and from long-term care, respite nursing facility services, and the enrollment or...
CareSource
Yesterday
Location not stated
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 for college students who...
CareSource
Yesterday
Location not stated
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 for college students who...
CareSource
Yesterday
Location not stated
CareSource Military & Veterans (CSMV) is dedicated to improving health care access and delivery for veterans and military families in service to our nation. Internship Program The CareSource Intern is responsible for providing support on special...
CareSource
Yesterday
Location not stated
Job Summary: The Grievance & Appeals Specialist III, in collaboration with department leadership, is responsible for processing and responding to claim appeals and disputes, and provides the department with subject matter expertise in clinical...
CareSource
Yesterday
Springfield MA Office
Position Summary Provides support in a clinic setting by managing patient flow through the clinic, obtaining pertinent clinical information including the patient’s complaint, health history, and measurement of vital signs, preparing the patient...
CareSource
2 days ago
Queens, NY
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 needs while promoting quality...
CareSource
2 days ago
Location not stated
Job Summary: Vice President, Market Operations - Ohio is responsible for developing the overall market program strategy and business objectives; lead the alignment and collaboration to establish CareSource as the industry leader in member and...
CareSource
2 days ago
Location not stated
Job Summary: The LTSS & Dual Eligible Report Engineer IV will play a crucial role in utilizing data analytics to drive informed decision-making and optimize business processes within the healthcare environment. This senior-level position is...
CareSource
2 days ago
Michigan Mobile
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 Medicaid. This position focuses on integrating...
CareSource
2 days ago
Location not stated
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 for college students who...
CareSource
2 days ago
Location not stated
Job Summary: The Manager, Application Production Support is responsible for managing the support, maintenance, and performance of business-critical applications and production environments supporting ESH operations. Leads application support...
CareSource
2 days ago
Queens, NY
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 needs while promoting quality...
CareSource
2 days ago
Location not stated
Job Summary: The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members. Researches, gathers...
CareSource
2 days ago
United States
Job Summary: Commonwealth Care Alliance's (CCA) Care Delivery programing is responsible for providing care delivery and care management to a specific panel of high risk and complex people. Founded in 1977, the practice known today as CCA Primary...
CareSource
2 days ago
Location not stated
Job Summary: The Digital Product Manager I is responsible for managing digital product(s) from the planning phase through deliverables coordination, execution, communication, and results tracking. Essential Functions: • Manage growth and...
CareSource
2 days ago
Lowell, MA
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 complex medical, behavioral and...
CareSource
2 days ago
Massachusetts Mobile
Job Summary: The Care Delivery Advanced Practice Clinician (APC) provides comprehensive primary care and clinical care coordination to a panel of patients, including individuals with significant medical, behavioral, and social complexities that...
CareSource
2 days ago
Location not stated
Job Summary: The Manager, Customer Care Medicare Strategy leads the execution, measurement, and continuous improvement of Customer Care (Call Center and Grievance & Appeals) initiatives that strengthen the Medicare member experience and...
CareSource
2 days ago
Las Vegas NV Office
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 for college students who...
CareSource
2 days ago
Location not stated
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, behavioral and social care...
CareSource
2 days ago
Dayton, OH
Job Description: Develop the strategic vision for and manage IT products and projects. Work closely with the Scrum team to maintain focus on goals, alignment with business needs and urgent matters, and adherence to strategic vision, budget...
CareSource
2 days ago
Location not stated
Job Summary: The AI Product Manager owns the AI strategy, roadmap, and portfolio for assigned business areas, identifying and prioritizing AI opportunities that align with business objectives and value realization goals. This role applies...
CareSource
2 days ago
Location not stated
Job Summary: Clinical Care Reviewer II – Behavioral Health is responsible for processing medical necessity reviews for appropriateness of authorization for behavioral health care services, assisting with discharge planning activities (i.e...
CareSource
2 days ago
Location not stated
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 for college students who...
CareSource
2 days ago
Queens, NY
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 needs while promoting quality...
CareSource
2 days ago
Location not stated
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 of project • Ensure project milestone...
CareSource
3 days ago
Bronx NY Office
Job Summary: The Marketing Outreach Mgr is responsible for establishing and maintaining relationships among potential referrals sources as well as educating eligible consumers about available Medicare and/or Medicaid products to drive enrollment...
CareSource
3 days ago
Location not stated
Job Summary: The Director, Compliance is responsible for establishing a baseline of compliance risk, identifying areas of potential exposure, developing and aligning compliance risk management strategies with CareSource goals and objectives, and...
CareSource
3 days ago
Location not stated
Job Summary: The Information Security GRC Analyst IV manages day to day, short and long term information security risk and compliance programs. They also ensure activities are within risk tolerance and in compliance with approved policies...
CareSource
3 days ago
Ohio Mobile
Job Summary: Team Lead, Integrated Care Coordination - Waiver, serves as a working leader responsible for both the day-to-day operational support of assigned Care Coordinators and the direct management of a reduced caseload of MyCare HCBS Waiver...
CareSource
4 days ago
Location not stated
Job Summary: The Project Manager III is responsible for managing medium to high complexity projects within programs and high complexity standalone projects. Essential Functions: • Responsible for successful delivery of project • Ensure project...
CareSource
4 days ago
Location not stated
Job Summary: The Business Resiliency Specialist III develops and maintains policies, plans, and procedures for business continuity, disaster recovery, and incident and crisis management to sustain critical operations and restore services...
CareSource
4 days ago
Location not stated
Job Summary: The Manager, Provider Performance Engagement is accountable for overseeing the performance engagement activities with internal and external partners. With a focus on improving health outcomes and total cost of care, the manager...
CareSource
Last week
Brooklyn, United States
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 activities within the...
CareSource
Last week
United States
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 activities within the...
CareSource
Last week
Springfield, MA
Job Summary: The Integrated Care Clinical Manager - Massachusetts at CareSource/Commonwealth Care Alliance is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible...
CareSource
Last week
Location not stated
Job Summary: The Business Analyst IV serves as a business analysis leader responsible for shaping business strategy, guiding enterprise initiatives, and driving alignment between organizational objectives and technology-enabled solutions. This...
CareSource
Last week
Bronx, NY
Job Summary: The Member Services Representative is responsible for receiving and handling incoming calls on the general 1-800 numbers and provide first call resolution for members and callers. Directs calls as necessary and/or takes detailed...
CareSource
Last week
Location not stated
Job Summary: The Data Scientist I is responsible for supporting the design and validation of predictive models, machine learning models, and artificial intelligence that inform and improve business processes across the organization (operational...
CareSource
Last week
Springfield, MA
Job Summary: The Integrated Care Clinical Manager - Massachusetts for CareSource/Commonwealth Care Alliance is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible...
CareSource
Last week
Location not stated
Job Summary: Medical/Clinical Policy Writer research and develop moderate to complex Medical/Clinical, BH, and Reimbursement policies; ensure adherence to company, state, and federal guidelines. Essential Functions: • Support the operational...
CareSource
Last week
Location not stated
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 complex medical, behavioral and...
CareSource
Last week
Massachusetts Mobile
Job Summary: Care Delivery RN collaborates with members of an interdisciplinary team to provide primary care, in home specialty care, and care coordination to a specific panel of high risk and complex patients, including individuals with...
CareSource
Last week
Location not stated
Job Summary: The Director, Operations Regulatory and Accuracy Assurance Oversight is responsible for representing and leading regulatory, compliance, and accuracy assurance activities on behalf of the Operations division. This senior-level leader...
CareSource
Last week
Location not stated
Job Summary: The Manager, Finance - Cost Reporting is responsible for managing the cost reporting processes within the finance department. This role involves ensuring accuracy and completeness of financial data, preparing detailed cost reports...