Caresource

Job Summary: The Operations Business Analyst IV oversees the business analysis initiatives to drive operational excellence and efficiency of existing processes and systems, leads cross functional process improvements,…

Community Marketing Representative II- Must Reside in Franklin County or Contiguous County

Job Summary: The Community Marketing Representative II is responsible to support the enrollment and retention strategy in collaboration with management to ensure all membership goals are successfully achieved.…

Integrated Care Clinical Manager - RN - Lynn, MA

RemoteNorth AmericaContract

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…

Director, Actuarial Science (Medicaid Rate Advocacy, Month End Close, Forecasting)

AI Business Development SAS SQL

Job Summary: The Director, Actuarial Science is responsible for guiding the strategic direction, driving innovation and producing key insights for the organization that drive company performance. Essential Functions:…

2 weeks ago

Product Manager - Data Migration

Acceptance Criteria Agile AI Analytics Cloud +3 skills

Job Summary: The Product Manager owns the strategy, vision, operating model, and roadmap for assigned products, capabilities, or enterprise transformation initiatives. This role translates business, customer,…

2 weeks ago

Health Partner Network Manager

North AmericaContract

Corrective Action Gap Analysis

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…

2 weeks ago

Hybrid RN Clinical Care Manager - Dorchester - 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…

Integrated Care Clinical Manager - BH - Taunton, MA

Job Summary: The Integrated Care Clinical Manager - BH - Massachusetts is a community based BH Clinician responsible for providing monitoring, follow-up and clinical care management to dually eligible enrollees with…

Director, Claims Process Optimization ( Facets Required)

Analytics Automation Data Analytics Performance Management Root Cause Analysis

Job Summary: The Director, Claims Process Optimization leads the design, implementation, and ongoing oversight of automation and artificial intelligence capabilities across CareSource claims operations. This position…

3 weeks ago

Integrated Care Clinical Manager - BH - Pittsfield, MA

RemoteNorth AmericaContractSenior

Job Summary: The Integrated Care Clinical Manager - BH - Massachusetts is a community based BH Clinician responsible for providing monitoring, follow-up and clinical care management to dually eligible enrollees with…

Senior Director, Actuarial Science(Preferred Experience In Federal Health Policy Analysis & Advocacy)

Business Development SAS SQL

Job Summary: The Senior Director, Actuarial Science is responsible for setting the strategic direction, driving innovation and producing key insights for the organization that drive company performance. Essential…

3 weeks ago

Hybrid Registered Nurse Clinical Care Manager - Springfield

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…

Integrated Care Clinical Manager - BH - Greenfield, MA

Job Summary: The Integrated Care Clinical Manager - BH - Massachusetts is a community based BH Clinician responsible for providing monitoring, follow-up and clinical care management to dually eligible enrollees with…

Manager, Utilization Management - Must have a MA RN License

Job Summary: The Manager, Utilization Management is responsible for the oversight of all utilization management activities ensuring consistency of services and achievement of utilization targets. Essential Functions:…

Hybrid RN Care Manager - Greater Boston - $10K 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…

Hybrid RN Clinical Care Manager - North End Boston Area

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…

Systems Analyst III

Acceptance Criteria Agile Azure Azure DevOps CI/CD +7 skills

Job Summary: The Systems Analyst III is responsible for leading research and analysis to identify systems impacted by requirements, possible interfaces, cross team dependencies and affected lines of business. Preferred…

3 weeks ago

Operations Specialist (Care Management and Member Services)(Hybrid - Queens, NY)

Job Summary: The Operations Specialist - ESH is responsible for the clerical, administrative, customer service and coordination activities to support Care Management and Member Services. Essential Functions: Supports…

Hybrid RN Care Manager - Longmeadow-