Jobs at CareSource

Prepares journal entries, reconciliations, financial statements, regulatory filings, cost and revenue analyses, payment requests, and audit support. Ensures compliance with GAAP, statutory accounting principles, NAIC requirements, and internal controls. Researches accounting standards and legislation, improves accounting processes, prepares reports and schedules, and supports timely financial reporting. Requires a bachelor’s degree and two years of related accounting or finance experience.

Analyzes member and provider feedback, call drivers, sentiment, and behavioral trends to improve customer experiences and call-center efficiency. Builds dashboards, scorecards, executive reports, and visual narratives; develops conversational AI solutions using Microsoft Copilot Studio and Power Platform; researches industry benchmarks; and partners cross-functionally to implement and monitor measurable service improvements.

Administers and governs the product lifecycle management platform, including configuration, workflows, security, access, releases, enhancements, reporting, and data health. Owns the platform roadmap and backlog, coordinates vendors and technology teams, supports audits and regulatory needs, and provides advanced user support and training. The role identifies automation and adoption improvements while maintaining governance, documentation, operational metrics, and platform support processes.

Leads a site reliability engineering team and owns the reliability, observability, automation, and AI-enabled operations roadmap. Establishes SLOs, SLIs, error budgets, and reliability metrics while advancing self-healing systems, AIOps, CI/CD, chaos engineering, incident response, capacity planning, and ITSM/ITOM integrations. Develops engineers, manages vendors, partners with security and governance teams, and drives adoption of engineering-led reliability practices across technology organizations.

Leads the design, implementation, optimization, governance, and evaluation of complex AI solutions, agents, and automations. Partners with business leaders to deliver AI-enabled healthcare experiences, workflows, and operational improvements. Serves as an AI subject matter expert, researches emerging capabilities, establishes best practices, supports responsible AI and risk mitigation, leads cross-functional initiatives, and mentors less experienced analysts.

Leads enterprise-wide strategic sourcing, category management, vendor relations, contract development, negotiations, and procurement policy. Develops sourcing roadmaps, analyzes markets and spend, manages supplier performance and risk, supports ROI and lease-versus-buy analyses, ensures regulatory compliance, and mentors sourcing team members. Partners with legal, finance, treasury, executives, business owners, and suppliers to optimize costs, improve processes, and deliver measurable category results.

Manages digital products from planning through execution, optimization, budgeting, stakeholder communication, and results tracking. Owns product roadmaps, backlogs, customer experience, digital quality, analytics, compliance, and Agile delivery. Coordinates internal teams, IT partners, agencies, and vendors while translating business needs into digital solutions. Leads innovation initiatives, including IoT projects, and applies Lean Management and Design Thinking to develop capabilities and improve customer engagement, adoption, and product maturity.

Develops and maintains business continuity, disaster recovery, incident management, and crisis response programs. Conducts impact analyses and risk assessments, evaluates third-party dependencies, coordinates response and recovery activities, and validates readiness through training, exercises, and testing. Tracks preparedness metrics, corrective actions, and compliance with resiliency standards including ISO 22301 and NIST SP 800-34. Provides guidance to less experienced personnel and drives continuous improvement across business and technology stakeholders.

Manages medium- to high-complexity projects from initiation through closure, including schedules, budgets, resources, risks, issues, governance, reporting, and stakeholder communication. Leads cross-functional business and IT teams, coordinates vendors, maintains project documentation and metrics, ensures compliance with EPMO standards, develops communication and training plans, and mentors junior project staff. The role requires managing projects with teams of 20 or more and budgets up to $3.5 million.

Supports the design, validation, and operationalization of predictive, machine learning, and AI models. Analyzes structured and unstructured data, develops algorithms, validates outcomes, creates visualizations, and communicates findings to stakeholders. Collaborates cross-functionally to integrate solutions and prepares model pipelines for business use. The role also involves statistical analysis, NLP, exploratory data analysis, feature engineering, and research into emerging technologies.

Manages healthcare cost reporting, including financial data accuracy, detailed report preparation, reimbursement analysis, regulatory compliance, reporting-system improvements, and management presentations. Collaborates across departments, identifies trends and discrepancies, supports strategic planning, and leads process improvements. Requires expertise in Medicaid cost reporting, healthcare reimbursement, finance technologies, analytics, and staff leadership.

Leads enterprise business analysis strategy across programs and portfolios, partnering with executives to define requirements, evaluate investments, measure business value, manage risks, and guide transformation initiatives. Establishes standards and governance, analyzes operational and financial data, supports regulatory compliance, and mentors analysts. The role also advances AI-enabled tools, automation, and analytics to improve decision-making and business outcomes within a healthcare payer environment.

Owns product strategy, vision, operating models, governance, and roadmaps for data migration, integrations, and enterprise transformation initiatives. Translates business and technical objectives into prioritized delivery plans, coordinates cross-functional teams and vendors, oversees readiness, testing, implementation, stabilization, and transition to operations. Manages risks, dependencies, stakeholder expectations, compliance, and executive reporting while guiding product owners and delivery teams.

Supports membership enrollment and retention through community outreach, educational presentations, direct marketing, relationship management, lead generation, and coordination with community, government, provider, and business organizations. Maintains regulatory compliance, documents sales activity in CRM systems, monitors market trends, and manages territory-based membership goals. The role requires regular travel, health insurance knowledge, state insurance licensing, and collaboration with internal teams.

Leads ElderServe Health’s legal, compliance, regulatory, governance, and risk functions. Advises executive leadership, oversees legal and regulatory strategy, ensures compliance with healthcare laws and government program requirements, manages significant transactions and partnerships, represents the organization with regulators and stakeholders, and develops departmental capabilities, budgets, talent, and performance measures.

Lead a small actuarial team responsible for pricing, forecasting, reserving, and actuarial modeling for supplemental benefits. Develop assumptions, evaluate experience and trends, support rate filings and IBNR reserve estimates, provide strategic recommendations, and ensure compliance with actuarial standards.