Search the 31 jobs at CareSource

The Arkansas PASSE Manager, Compliance is responsible for overseeing and documenting compliance programs in healthcare, ensuring regulatory requirements are met, conducting audits, drafting reports, and serving as a point of contact for state regulators. The role involves collaboration with business units, managing compliance oversight functions, and tracking compliance risks and performance improvements.

The Actuarial Analyst III provides strategic data analysis and recommendations supporting corporate initiatives, calculates profitability, conducts regular analyses, prepares IBNR reserves, and offers mentorship to junior analysts while engaging in cross-functional teams.

The Community Marketing Representative III develops strategies to build partnerships with community agencies to facilitate enrollment in CareSource programs. Responsibilities include working collaboratively with sales and internal teams, identifying marketing opportunities, conducting educational events, and maintaining prospects in a CRM. A focus on relationship management and compliance with regulations is essential.

The Compliance Manager is responsible for managing the compliance program for CareSource Arkansas PASSE, ensuring regulatory requirements are met, overseeing compliance risk activities, and collaborating with business units. Duties include drafting reports, facilitating regulatory audits, and fostering effective relationships within the organization.

The VP, Market CMO is responsible for leading clinical excellence and quality improvement initiatives for the health plan. This role involves accountability for medical cost performance, interaction with providers, oversight of clinical quality strategies, compliance with regulations, and engagement with external stakeholders. Additional responsibilities include mentoring staff, leading strategic improvements, and participating in market reviews.

The Community Marketing Coordinator supports sales enrollment strategies and helps achieve membership goals. Responsibilities include coordinating marketing and educational activities, managing promotional materials, scheduling meetings, monitoring competition, and assisting with Medicare Advantage enrollment, requiring travel to community events.

The State Market Intelligence Analyst IV investigates and recommends solutions for reimbursement improvements, collaborates with teams on contracting decisions, and develops actionable recommendations for senior management. The role focuses on optimizing operational processes and providing strategic guidance to enhance quality and affordability initiatives.

The VP of Quality and Performance Outcomes is responsible for overseeing HEDIS operations and improving STAR ratings. The role includes establishing objectives, promoting understanding of quality programs, ensuring compliance with NCQA, leading satisfaction surveys, developing health literacy campaigns, and managing budgets.

The Value Based Reimbursement Program Manager manages value-based reimbursement initiatives, evaluates opportunities, collaborates with finance and medical teams to enhance performance, and oversees multiple projects related to healthcare reimbursement models. Key responsibilities include translating contract terms into actionable data, improving provider performance, and ensuring accurate reporting of results.

The Application Architect II is responsible for overseeing the development and coordination of Application Solutions. Key responsibilities include providing architectural guidance, reviewing designs and code, creating proof of concepts, tracking code performance, and discussing solutions for reusable modules. The role requires collaboration with leadership and other teams to enhance architectural practices.

The Manager, IT Financial Systems Development is responsible for leading teams in the delivery of SAP systems and custom solutions, ensuring alignment with business and IT strategies. The role involves managing stakeholder relationships, optimizing delivery processes, and contributing to continuous improvement initiatives. The manager also oversees team and vendor performance, develops career plans for staff, and ensures compliance with architectural standards.

The Application Developer III is responsible for designing, coding, testing, and analyzing software applications. This includes running performance tests, administering analyses of test results, assisting in software deployment, conducting code reviews, and maintaining an understanding of the software development life cycle. The role involves working independently while contributing to operational goals and resolving software-related issues.

The Associate Vice President, Enterprise Quality Assurance & Accreditation leads the accreditation program, ensuring compliance and readiness. Responsibilities include overseeing audits, managing relationships with accrediting bodies, developing strategic plans, and ensuring reporting accuracy. Additional tasks involve fiscal planning and stakeholder management to drive quality improvement initiatives within the healthcare sector.

The Data Solutions Engineer III is responsible for the full life cycle of data and analytic solutions, focusing on Power BI development. Duties include designing complex reports, optimizing data models, partnering in product ideation, mentoring colleagues, and ensuring data security while maintaining advanced levels of data analysis and business intelligence.

The Solution Architect III leads the design and implementation of enterprise-level cloud solutions. The role involves migrating applications to the cloud, evaluating new technologies, and overseeing the technical design of complex cloud systems. The Architect collaborates with various teams to ensure compliance with industry standards and best practices, and documents architectural solutions focusing on security and scalability.

The OnBase Developer II designs, codes, tests, and analyzes software programs and applications. Responsibilities include performance testing, software deployment, code reviews, and troubleshooting. The role also involves collaboration with other IT professionals and requires an understanding of various software development methodologies.

The Cloud Developer III role involves designing and building cloud-native applications and services, implementing serverless architectures, developing APIs, optimizing performance, automating code deployment, and integrating security practices. The role requires collaboration with cross-functional teams and compliance with standards.

The Cloud Developer II is tasked with designing, building, and maintaining cloud-native applications and services. Responsibilities include developing scalable cloud solutions, implementing serverless architectures, optimizing CI/CD pipelines, and ensuring compliance with standards. The role involves collaboration with cross-functional teams and requires a strong background in Azure and software engineering.

The Technical Lead oversees the transformation to a Quality Engineering approach, leading a team, implementing best practices, and ensuring compliance with healthcare regulations. Responsibilities include developing automated testing strategies, managing CI/CD pipelines, and enhancing quality measures across the software development lifecycle.

The Solutions Architect III - Provider Systems designs and implements cloud-focused technical solutions in healthcare IT. They lead the migration of applications to the cloud, develop system architectures, ensure compliance with standards, and optimize resource utilization. This role involves collaborating with teams, creating strategies, and facilitating discussions to translate business needs into effective technical solutions.