Caresource

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…

Community Based Care Manager

Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT) to meet the needs of the individual, natural supports and the population through culturally competent…

Team Lead, Community Based Care Management - RN - Nevada Based

North AmericaLead

Job Summary: The Team Lead, Community Based Care Management provides front line management and support to departmental leadership in the development and execution of the Care Model in alignment with corporate goals…

Applied AI Scientist IV - Healthcare, LLM/SLM, RAG experience

Agentic AI AI Ai Enablement Analytics API +27 skills

Job Summary: The Applied AI Scientist IV is responsible for establishing technical direction and leading the design, development, and operationalization of advanced artificial intelligence solutions that improve…

4 weeks ago

Community Marketing Representative II- Must Reside in North Georgia

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.…

Data Scientist IV - HealthCare preferred

Agentic AI AI Analytics AWS Azure +25 skills

Job Summary: The Data Scientist IV is responsible for leading the design, development, and operationalization of advanced analytics, machine learning, and artificial intelligence solutions that improve healthcare…

Medical Director

RemoteNorth AmericaMiddle

Job Summary: The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical case review for members. Essential Functions: Provide clinical review services as…

Encounters Systems Analyst II

Agile Analytics Data Science MySQL Oracle +5 skills

Job Summary: The Encounters Systems Analyst II is responsible for performing analysis of Encounters data and understanding the financial and clinical impact of changes and decisions to the business process to ensure…

Hybrid RN Clinical Care Manager - East Longmeadow - 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…

Medical Director, Post-Service Review & Medical Claims Review (MCR)

Job Summary: The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical case review for members. Essential Functions: Provide clinical review services as…

Hybrid RN Care Manager - Western, MA - $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…

Director, Enrollment Operations(Duals Special Needs Enrollment Experience Required)

AI Automation Corrective Action Data Governance Performance Management +1 skills

Job Summary: The Director, Enrollment Operations provides strategic and operational leadership for enterprise enrollment operations across assigned product lines. This role oversees end-to-end member enrollment…

RemoteNorth AmericaC-level

Sr. Director, Market Chief Financial Officer (Must Live in New York)

Analytics Business Development Financial Reporting

Job Summary: The Senior Director, Market Chief Financial Officer provides financial oversight, leadership and support to the region/market/corporate; supports the department in collaborating with other departments…

RemoteNorth AmericaC-level

VP Legal & Regulatory Affairs -ESH(Must Live In New York)

Performance Management Succession Planning

Job Summary: The Vice President, Legal & Regulatory Affairs for ElderServe Health (ESH) is responsible for leading the legal and regulatory affairs functions for ESH, ensuring ESH compliance with applicable laws,…

Human Resources Business Partner III (New York residency required)

RemoteNorth AmericaC-level

Job Summary: The Human Resources Business Partner III serves as a strategic partner to senior leaders, aligning HR strategies and initiatives with business objectives and organizational culture. Essential Functions:…

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…

2 months ago

Manager, Information Technology – Encounters IT (Transformation & Architecture Focus)

Agile AI Analytics Anomaly Detection API +23 skills

Manager, Information Technology – Encounters IT (Transformation & Architecture Focus) Job Summary The Manager, Information Technology – Encounters IT is a technology leader and visionary responsible for driving…

2 months ago

Hybrid Paralegal II - ESH Quality Appeals & Grievances (Bronx Office & Work From Home)

AI Legal Research Process Improvement Regulatory Compliance

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…

2 months ago

Hybrid RN Case Manager - South Shore / Southeast MA - $5K SIGN ON BONUS!