The Human Centered Design Product Designer II is responsible for collaboratively building products and services that enable our members to achieve their holistic health goals across all factors of social determinants of health by delivering high quality end to end experiences that have a measurable impact on our members. They focus on defining and designing features for o

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 ident

The Human Centered Design Product Designer III is responsible for collaboratively building products and services that enable our members to achieve their holistic health goals across all factors of social determinants of health by delivering high quality end to end experiences that have a measurable impact on our members. They focus on defining and driving strategic initi

The Director, Compliance is responsible for establishing a baseline of compliance risk, identifying areas of potential exposure, developing and aligning compliance risk management strategies with CareSource goals and objectives, and executing the compliance program ensuring effectiveness. Essential Functions Serves as the program compliance officer for an assigned CareSou

The Release Train Engineer (RTE) III will play a pivotal role in orchestrating the delivery of complex projects across multiple agile teams, ensuring alignment with organizational goals and objectives. Essential Functions Oversee the coordination and integration of work across multiple Agile teams. Primary directive is to manage risks, escalate impediments, confirm value

The Special Investigations Unit (SIU) Investigator Lead is the face of the SIU with external federal and state regulatory agencies and is responsible for regulatory communications to ensure timeliness with these oversight agencies. This role is also responsible for the identification and monitoring of emerging fraud, waste, and abuse (FWA) trends and conducting research a

The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c

The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c

The Health Plan Operations Analyst I reviews and analyzes the effectiveness and efficiency of existing market operation processes and systems and participates in development of solutions to improve or further leverage these functions. Essential Functions Participates in the development of new market operation initiatives from concept to implementation and provide statisti

CareSource is a healthcare company that's growing rapidly with a lot of exciting things on the horizon. In Florida, ImagineCare was formed by Spark Pediatrics and CareSource to provide differentiating care and service to Florida SMMC Medicaid members and their providers. CareSource is looking for highly skilled professionals to transform the lives of ImagineCare enrollees

The Senior Director, Market Operations is responsible for planning, organizing, and leading market initiatives and the implementations of CareSource, client, program, and State initiatives. The Senior Director, Market Operations is responsible for working directly with Enterprise Operations and the Market Lead to prepare the market for growth and continued operations. Ess

The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c

The Internal Auditor II works in a self directed team environment to execute internal audits as defined by management and the Audit Committee with progressive latitude for team goal setting, initiative and independent judgement on collective work products. The auditor works to identify and evaluate organizational risk, recommends and monitors mitigation action and support

The Community Based Care Manager collaborates with members of an inter disciplinary care team (ICT), providers, community and faith based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports. Facilitates communication, coordinates c

The Health Partner Engagement Manager is responsible for working closely with managers to build, manage and maintain health partner relationships. Essential Functions Support Manager in meeting department financial cost savings goals Prepare for and participate in various meetings (to include Joint Operating Committees, Operations Meetings and Association Meetings) with k