13 remote positions · 3 no-phone
CareSource
Job Summary:The Data Governance Analyst III is responsible for collaborating with leadership to develop the Data Management and Governance programs, multi-year roadmaps and tactica...
Job Summary:The Associate Director, Compliance is responsible for establishing a baseline of compliance risk, identifying areas of potential exposure, developing and aligning compl...
CareSource
Job Summary:The Managing Actuary provides leadership and direction to ensure team goals and strategies are successfully achieved.Essential Functions:Responsible for pricing, foreca...
CareSource
Job Summary: Leads the implementation of Lean Portfolio Management practices across the enterprise to optimize flow, improve value delivery, and strengthen strategic outcomes. The...
CareSource
Job Summary:The Medical Economics Analyst III is responsible for being proficient in identifying, quantifying and modeling opportunities to reduce medical costs within the market a...
CareSource
Job Summary:The Intelligent Automation Developer II creates and implements Intelligent Process Automation using UiPath and/or Power Automate, Python- AI/ ML solutions based on busi...
CareSource
Job Summary: The Manager, Finance - Cost Reporting is responsible for managing the cost reporting processes within the finance department. This role involves ensuring accuracy and...
Job Summary:The Healthcare Analyst II VBR is responsible for analyzing healthcare utilization to identify patterns, variation, and outliers as well as identify and quantify opportu...
Job Summary: Reporting to the Chief Medical Officer of instED, the Virtual Medical Control (VMC) Physician provides medical decision making, including all elements of diagnostics,...
CareSource
Job Summary:The Manager, Ohio Market Contracting is responsible for leading specialized contracting efforts, handle unique contracting situations, including facilitating contractin...
Job Summary: The Manager, Enrollment Operations provides leadership and direction to the Enrollment team to ensure the goals and standards of the department, and CareSource, are m...
Job Summary: Clinical Care Reviewer II is responsible for processing medical necessity reviews for appropriateness of authorization for health care services, assisting with discha...
CareSource
Job Summary:The Clinical Appeals Nurse is responsible for processing clinical appeals and attending state hearings within compliance and regulatory standards, clinical guidelines, ...
