Caresource

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-

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,…

Hybrid RN Care Manager - North Shore / Merrimack Valley - $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…

Hybrid RN Case Manager - Holyoke

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