CareSource

2 days ago

RN Clinical Care Manager - Danvers surrounding area

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…

3 days ago

Quality Analyst III

RemoteNorth America

analytics business-development powerbi sas sql +1 skills

Senior analyst who interprets complex healthcare data and builds reports, graphics, and dashboards with SQL, SAS, and DAX/Power BI to inform strategy and drive HEDIS and population health quality performance.

72 200 – 115 500 $

3 days ago

Hybrid RN Case Manager - Queens

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…

3 days ago

AI Architect III

ai api azure cloud cloud-native +9 skills

Job Summary: The AI Architect III leads the design and integration of scalable, secure, and sustainable Generative AI solutions within CareSource’s enterprise technology ecosystem. This role partners across…

6 days ago

Quality Analyst III

analytics business-development powerbi sas sql +1 skills

Job Summary: The Quality Analyst III is responsible for analyzing and interpreting complex healthcare data. This role will collaborate with cross-functional teams, providing analytical insight to inform strategy and…

6 days ago

Manager, Case Management RN- Integrated Care

Job Summary: The Manager, Case Management - Integrated Care is responsible for overseeing the Integrated Care Duals Product Teams in coordinating the care, service and health benefits for selected member populations.…

Health Partner Network Manager

Job Summary: The Health Partner Network Manager executes the Health Partner contracting strategy, develops contract provisions based on cost, quality/analysis and monitors key metrics for the assigned Market. Essential…

gap-analysis

Information Security GRC Analyst III - CISSP preferred

authentication ipsec network-security networking ssl +1 skills

Job Summary: The Information Security GRC Analyst III managed day to day, short and long term information security risks and ensures activities are within risk tolerance and in compliance with approved risk management…

Integrated Care Program Operations Manager

business-development process-improvement

Job Summary: The Integrated Care Program Operations Manager assists the Duals team with open projects and progress towards completion, program enhancements, development, and execution activities related to…

Hybrid RN Clinical Care Manager - Springfield - 5K Sign On Bonus

Job Summary: The Integrated Care Clinical Manager - Massachusetts at CareSource\Commonwealth Care Alliance (CCA) is a community based registered nurse responsible for providing monitoring, follow-up and clinical care…

Hybrid RN Clinical Care Manager - Springfield - 5K Sign On Bonus

Job Summary: The Integrated Care Clinical Manager - Massachusetts at CareSource/Commonwealth Care alliance (CCA) is a community based registered nurse responsible for providing monitoring, follow-up and clinical care…

Utilization Management Market Operations Manager - RN Preferred - Must live in Nevada - Must hold NV license

process-improvement six-sigma visio

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…

Hybrid RN Clinical Care Manager - Lowell-$5k SIGN ON BONUS

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…

Health Plan Data Analyst III (Health Plan & Provider experience a must)

process-improvement six-sigma sql statistics

The Health Plan Data Analyst III at CareSource extracts, analyzes, reports on, and monitors provider data across business functions and systems, supporting Health Partner Lifecycle (HPLC) initiatives and operational improvements using SQL, Microsoft Excel/Access, and Cognizant Facets.

72 200 – 115 500 $

Community Based Care Manager RN

Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the…

Mom and Baby Care Manager - RN - Must reside in Nevada

Job Summary: The Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural…

Hybrid RN Clinical Care Manager - Whitman-R13461 Hybrid RN Clinical Care Manager - Fall River$5k SIGN ON BONUS

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…

RemoteNorth AmericaFull-timeC-level

AVP, Market Chief Financial Officer(Must Live in New York)

business-development financial-reporting strategic-planning

Job Summary: The AVP, Market Chief Financial Officer provides financial oversight, leadership and support to the region/market/corporate; ensures the department proactively collaborates with other departments within…

RemoteNorth AmericaFull-timeC-level

Vice President, Market Chief Financial Officer(Must Live In New York)