Job Summary: The Utilization Management (UM) Operations Strategy & Implementation Lead is responsible for maintenance and oversight of all operational and compliance activities that support the UM department. This role will also drive key process changes and identify
Are you a strategic leader who thrives on turning data, market insight, and customer understanding into growth opportunities and business impact? Do you enjoy partnering with executive leadership to shape strategic priorities, influence investment decisions, and
Are you a strategic leader who thrives on turning data, market insight, and customer understanding into growth opportunities and business impact? Do you enjoy partnering with executive leadership to shape strategic priorities, influence investment decisions, and
Are you a strategic commercial leader who thrives on turning insights into growth and building the operational capabilities that power high-performing revenue organizations? Do you enjoy partnering across Sales, Product, Finance, Marketing, Legal, and Customer Success
Are you a strategic commercial leader who thrives on turning insights into growth and building the operational capabilities that power high-performing revenue organizations? Do you enjoy partnering across Sales, Product, Finance, Marketing, Legal, and Customer Success
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: Accountable for pricing, forecasting, month-end close activities and
Job Summary: The Business Analyst IV is a senior-level position responsible for driving strategic initiatives and leading cross-functional teams to deliver innovative solutions that address complex business challenges. This role bridges the gap between business needs
Full Stack Software Engineer, Mid The Opportunity: As a full-stack software engineer, you can solve complex technical challenges by delivering end-to-end solutions in a fast-paced, agile environment. If youre looking for the opportunity to not only
Software Architect, Lead The Opportunity: As a Lead Software Architect, you will define and drive the end-to-end architecture for modernizing MATLAB-based algorithms into scalable Python-based applications. You will lead the design of containerized, cloud-ready systems with
Job Summary: The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical case review for members. Essential Functions: Provide prior authorization medical reviews, consultation and clinical review services Participate in peer-to-peer
Description: Manager is open to 100% remote candidates for a Technical Product Owner who has preferred experience/ exposure to Azure Cosmos DB, though being hybrid in Dayton, OH 2 days a week on-site would be preference.
Job Summary: The Medical Director, Neonatology is responsible for providing subject matter expertise and medical leadership in the development of utilization management, care management and quality of care programs for infant and neonatology services. Essential Functions:
Job Summary: The EDI Technical Product Manager serves as the strategic and technical owner of CareSources EDI platform, responsible for driving the vision, roadmap, and execution of enterprise data exchange capabilities. This role combines a deep
Job Summary: The Director, Health Partner Engagement directs, oversees, and manages strong relationships with key Health Partners throughout the state to ensure CareSource delivers and meets the specifications of our Health Partner contractors. Essential Functions: Identifies
Job Summary: The Architect III - Cloud, DevOps, and SRE is responsible for partnering with many internal CareSource IT teams to design and implement critical outcomes in the Cloud, DevOps, and SRE domains intended to be
Job Summary: The Senior Director, Supplemental Providers & Enhanced Benefits is responsible for the oversight, administration, and performance of supplemental vendor relationships and enhanced benefit programs across assigned markets and products. This position is responsible for