Job Summary. The Medicare Sales Representative II is responsible for supporting the sales strategy and enrollment goals in collaboration with management to ensure goals are successfully achieved for the Medicare Advantage product line within an assigned territory and consistent with state and federal regulations. Essential Functions. Contribute and support the development of educational and enrollment opportunities with area agencies on aging, se...
Job Summary. The Claims Management Analyst III is responsible for leading eBusiness initiatives and coordination of activities across multiple functional areas. Essential Functions. Manage the EDI (Electronic Data Interchange) trading partners and network of clearinghouses to ensure accurate and timely exchange of information. Works closely with Vendor Management to improve and maintain the trading partner agreement with the trading partners. Thi...
Job Summary. The Manager, Market Quality Improvement manages the day-to-day prioritization of staff activities in collaboration with Director, Quality Improvement. The Manager will be responsible for developing quality documents in compliance with state and federal requirements and work with departments outside of quality to obtain information for reports. Essential Functions. Responsible for Corporate oversight of the HEDIS Medical Record Review...
Job Summary. The Manager, Market Quality Improvement manages the day-to-day prioritization of staff activities in collaboration with Director, Quality Improvement. The Manager will be responsible for developing quality documents in compliance with state and federal requirements and work with departments outside of quality to obtain information for reports. Essential Functions. Responsible for Corporate oversight of the HEDIS Medical Record Review...
Job Summary. The Sourcing Manager II implements the corporate strategic sourcing and vendor relations function and associated processes to ensure the company is strategically sourcing materials, equipment, and services with the highest level of quality and in the most cost effective manner. Essential Functions. Working closely with executive leadership, business owners, and staff throughout the organization to ensure that new requirements are sou...
Job Summary. The Manager, Market Quality Improvement manages the day-to-day prioritization of staff activities in collaboration with Director, Quality Improvement. The Manager will be responsible for developing quality documents in compliance with state and federal requirements and work with departments outside of quality to obtain information for reports. Essential Functions. Responsible for Corporate oversight of the HEDIS Medical Record Review...
Internship Program. The CareSource Intern is responsible for providing support on special projects, initiatives, and specific activities which will vary by assignment. We offer a 12-week, paid summer internship program for college students who want to separate themselves from the pack. This is an exciting opportunity to obtain real-world experience and prepare yourself for your career after college. The program offers. The opportunity to work on ...
Job Summary. The Sourcing Manager II implements the corporate strategic sourcing and vendor relations function and associated processes to ensure the company is strategically sourcing materials, equipment, and services with the highest level of quality and in the most cost effective manner. Essential Functions. Working closely with executive leadership, business owners, and staff throughout the organization to ensure that new requirements are sou...
Job Summary. The Manager, Market Quality Improvement manages the day-to-day prioritization of staff activities in collaboration with Director, Quality Improvement. The Manager will be responsible for developing quality documents in compliance with state and federal requirements and work with departments outside of quality to obtain information for reports. Essential Functions. Responsible for Corporate oversight of the HEDIS Medical Record Review...
Internship Program. The CareSource Intern is responsible for providing support on special projects, initiatives, and specific activities which will vary by assignment. We offer a 12-week, paid summer internship program for college students who want to separate themselves from the pack. This is an exciting opportunity to obtain real-world experience and prepare yourself for your career after college. The program offers. The opportunity to work on ...
Job Summary. The Actuarial Analyst I is responsible for providing timely, accurate, and actionable data and analysis supporting the department, area, and corporate key initiatives. Essential Functions. Develops actionable recommendations to management relative to all analysis. Calculates profitability reports on appropriate business segments. Performs regular and ad-hoc analysis to identify opportunities to improve efficiency and affordability. P...
Job Summary. The Community Based Care Coordinator, Duals Integrated Care is responsible for managing and coordinating care for dual-eligible beneficiaries, those who qualify for both Medicare and Medicaid. This position focuses on integrating health services and community resources to improve health outcomes and enhance the quality of life for individuals with complex health needs, including those who are eligible for waiver services. Essential F...
