Search the 17 jobs at CareSource

The Manager of Ohio Market Contracting leads specialized contracting efforts, facilitates changes and negotiations, manages day-to-day operations and staff performance, and ensures alignment with organizational goals. This role includes developing strategic plans, reporting accomplishments to management, and maintaining relationships with internal partners and external providers.

The Lead Design Engineer will develop and implement the enterprise design language system, ensuring consistency and scalability across digital products. They will collaborate with cross-functional teams, mentor team members, stay updated on design trends, and advocate for user-centered design principles.

The Configuration Analyst III is responsible for managing system configuration requirements, developing reports, identifying issues, and ensuring accuracy in configurations. The role involves collaborating with various departments to improve efficiencies, manage reimbursement reviews, audit configurations, and mentor team members in requirement definition. The analyst must also stay updated with regulatory requirements and enhance system processes.

The Compliance Manager is responsible for developing and executing effective compliance strategies in line with CareSource goals. They oversee regulatory requirements, collaborate with various units to ensure compliance satisfaction, draft reports for leadership, and perform data analysis and risk assessment activities. They also maintain key relationships with state regulators and assist in regulatory audits.

The Community Marketing Coordinator manages enrollment strategies and community marketing efforts for CareSource’s Medicaid and Health Insurance services. This role entails developing educational opportunities, coordinating community events, managing promotional materials, adhering to marketing regulations, and maintaining CRM documentation while providing effective communication and organizational support.

The Application Developer III is responsible for designing, coding, testing, and analyzing software programs. This includes performing technical reviews, software deployment, incident management, and ensuring adherence to coding methodologies. The role also involves collaboration with other IT professionals and contributing to operational goals.

The Manager of Provider Relations oversees collaboration with health partners, enhancing provider satisfaction and retention. Responsibilities include developing strategic objectives, training the Provider Relations team, and managing relationships. This role focuses on driving account satisfaction, addressing complex provider issues, and ensuring effective operational engagement.

The Team Lead, Configuration Testing oversees testing of medical benefits and related processes. Responsibilities include guiding staff, managing project status, maintaining fee schedules, and ensuring internal controls. They tackle vendor management tasks and audit configuration for accuracy to minimize fraud. The role involves problem-solving and communication, alongside training and developing team members.

The Manager, Configuration leads the department to achieve operational goals, implements process improvements, maintains reimbursement methodologies, oversees project plans, manages regulatory changes, and collaborates with team leads on staffing and development strategies.

The Data Science and AI Manager leads advanced analytics solutions in healthcare, utilizing NLP and AI technologies to enhance operations and patient care. This role involves managing projects, mentoring a team, collaborating with interdisciplinary stakeholders, and developing predictive models from complex datasets.

The Actuarial Analyst III provides strategic data analysis and recommendations supporting corporate initiatives, calculates profitability, conducts regular analyses, prepares IBNR reserves, and offers mentorship to junior analysts while engaging in cross-functional teams.

The Community Marketing Representative III develops strategies to build partnerships with community agencies to facilitate enrollment in CareSource programs. Responsibilities include working collaboratively with sales and internal teams, identifying marketing opportunities, conducting educational events, and maintaining prospects in a CRM. A focus on relationship management and compliance with regulations is essential.

The Solution Architect III - Edifecs is responsible for designing and implementing enterprise-level cloud solutions by collaborating with development and infrastructure teams. This role focuses on optimizing cloud resource usage, ensuring compliance with industry standards, leading technical discussions, and migrating on-prem applications to the cloud using native technologies. The architect also evaluates new technologies and creates strategies for innovation across the enterprise.

The Manager, Provider Network Performance leads initiatives for Value Based Reimbursement (VBR) programs, ensuring project goals are met through collaboration and performance tracking. Responsibilities include managing team performance, identifying improvement opportunities, and strategizing with senior management on future VBR developments.

The Application Architect II is responsible for overseeing technology designs, developing innovative architectures, and establishing strategies and goals for the technology architecture of the enterprise. This role involves collaboration across various IT disciplines, guiding architectural principles, and conducting evaluations of technical initiatives while ensuring alignment with the organization's objectives.

The OnBase Developer II role involves designing, coding, testing, and analyzing software applications. Responsibilities include performing technical code reviews, maintaining software development life cycle processes, and liaising with related stakeholders. The position demands problem-solving and troubleshooting skills, along with an understanding of various software technologies and methodologies.

The Market Administrative Assistant III assists with special projects, conducts research, compiles data, and maintains records. Responsibilities include preparing reports, managing calendars, arranging travel, organizing meetings, and performing clerical duties while providing professional support to executives.